AcuTrials

Training in self-needling and performing it as part of a clinical trial: the practitioner and patient experience

Bardy, J. See all items with this value

Mackereth, P. See all items with this value

Finnegan-John, J. See all items with this value

Molassiotis, A. See all items with this value

Acupuncture in Medicine See all items with this value

2015

33(3)

210-216

RCT

CANCER -- Complications -- Treatment See all items with this value

FATIGUE -- Treatment See all items with this value

Acupuncture See all items with this value

ATTITUDE (Psychology) See all items with this value

BREAST tumors See all items with this value

CONTENT analysis (Communication) See all items with this value

FOCUS groups See all items with this value

Interviewing See all items with this value

RESEARCH -- Methodology See all items with this value

MEDICAL cooperation See all items with this value

MEDICAL personnel See all items with this value

Research See all items with this value

RESEARCH -- Finance See all items with this value

HEALTH self-care See all items with this value

QUALITATIVE research See all items with this value

TEACHING methods See all items with this value

THEMATIC analysis See all items with this value

RANDOMIZED controlled trials See all items with this value

PATIENTS -- Attitudes See all items with this value

England See all items with this value

Objective: To evaluate the immediate effects of traditional local thermal therapy with indirect moxibustion on renal hemodynamics in patients with chronic kidney disease (CKD) by using Doppler ultrasonography (US). Design: Examiner-blinded crossover study. Participants: Forty-three participants with CKD (mean age ± standard deviation [SD], 44 ± 15 years; estimated glomerular filtration rate, 69.5 ± 25.5 mL/min per 1.73 m2; 20 men and 23 women). Intervention: Participants received three successive treatment sessions of indirect moxibustion bilaterally at BL 23, a crucial acupuncture point, in the session. In the control session, the examiner was blinded by using smoke and aroma produced by moxibustion performed in an ashtray placed near the patient's body. Outcome measures: The main outcome measure was resistive index (RI) in the renal segmental arteries. Blood flow parameters, including RI, were measured for six renal segmental arteries by using Doppler US at rest (baseline), immediately after completion of moxibustion (post 1), and 10 minutes later (post 2). Adverse events were monitored during intervention. Results: In the control session, RI at post 1 (median [first, third quartile]: 0.587 [0.562, 0.626]) and post 2 (0.583 [0.567, 0.629]) did not change significantly compared with baseline (0.592 [0.563, 0.636]), while in the treatment session, RI at post 1 (0.565 [0.530, 0.618]) and post 2 (0.561 [0.533, 0.614]) decreased significantly compared with baseline (0.590 [0.550, 0.652]) ( p < 0.001 and p < 0.001, respectively). The reduction in RI from baseline to post 2 in treatment session was significantly greater than in control session (mean ± SD, ?0.026 ± 0.028 versus ?0.003 ± 0.028; mean difference, ?0.023 [95% confidence interval, ?0.036 to ?0.010]; p = 0.001]. No adverse events, such as burns, were observed during the study period. Conclusion: Renal vascular resistance was decreased after indirect moxibustion therapy in patients with CKD.

Accession Number: 103624320; Source Information: Jun2015, Vol. 33 Issue 3, p210; Subject Term: CANCER -- Complications -- Treatment; Subject Term: FATIGUE -- Treatment; Subject Term: ACUPUNCTURE; Subject Term: ATTITUDE (Psychology); Subject Term: BREAST tumors; Subject Term: CONTENT analysis (Communication); Subject Term: FOCUS groups; Subject Term: INTERVIEWING; Subject Term: RESEARCH -- Methodology; Subject Term: MEDICAL cooperation; Subject Term: MEDICAL personnel; Subject Term: RESEARCH; Subject Term: RESEARCH -- Finance; Subject Term: HEALTH self-care; Subject Term: QUALITATIVE research; Subject Term: TEACHING methods; Subject Term: THEMATIC analysis; Subject Term: RANDOMIZED controlled trials; Subject Term: PATIENTS -- Attitudes; Subject Term: ; Geographic Subject: ENGLAND; Geographic Subject: ; Number of Pages: 7p; ; Document Type: Article;

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