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Related Experiment Videos

Developing and employing a 'responsive manualization' in the 'Acupuncture Approaches to Decrease Disparities in

Arya Nielsen1, Belinda Anderson2,3, Claudia Citkovitz4

  • 11 Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Acupuncture in Medicine : Journal of the British Medical Acupuncture Society
|March 23, 2019
PubMed
Summary

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A new acupuncture therapy manual was developed for chronic pain trials, ensuring consistency and flexibility for diverse patient needs. This responsive approach improves research replicability in real-world clinical settings.

Area of Science:

  • Integrative medicine
  • Clinical trial methodology
  • Pain management

Background:

  • Chronic pain affects many in the U.S., with acupuncture showing effectiveness.
  • Access to acupuncture is limited for underserved, minority, and lower socioeconomic populations.
  • Group acupuncture offers a lower-cost solution, but comparative effectiveness research is needed.

Purpose of the Study:

  • To describe the development of a responsive acupuncture therapy manual for a large effectiveness trial.
  • To compare individual versus group acupuncture care for chronic pain in an underserved population.
  • To ensure research consistency and replicability while accommodating real-world clinical variability.

Main Methods:

  • A modified Delphi process involving expert acupuncturists from diverse backgrounds.
Keywords:
acupuncturemusculoskeletal disorderspain managementpain researchpublic health

Related Experiment Videos

  • Consensus discussions to refine manual content, incorporating feedback from trial acupuncturists.
  • Development of a 'responsive manual' flowchart detailing treatment sequencing and options.

    • Main Results:

    • The manual included techniques like Tui na, Gua sha, acupuncture, and ear treatment.
    • Implementation occurred in five primary care settings with six research acupuncturists.
    • No serious adverse events (AE) were reported; minor AE were infrequent.

    Conclusions:

    • A structured yet flexible 'responsive manual' can be developed for acupuncture research.
    • This approach ensures consistency and replicability in clinical trials.
    • The manual accommodates the diverse needs of practitioners and patients in challenging settings.