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Somatic acupressure for the fatigue-sleep disturbance-depression symptom cluster in breast cancer survivors: A phase II randomized controlled trial
Journal article   Open access   Peer reviewed

Somatic acupressure for the fatigue-sleep disturbance-depression symptom cluster in breast cancer survivors: A phase II randomized controlled trial

Meng-Yuan Li, Stephen Wai Hang Kwok, Jing-Yu (Benjamin) Tan, Daniel Bressington, Xian-Liang Liu, Tao Wang and Shun-Li Chen
European journal of oncology nursing : the official journal of European Oncology Nursing Society, Vol.66, 102380
2023
DOI: https://doi.org/10.1016/j.ejon.2023.102380
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Published1.54 MBDownloadView
CC BY-NC-ND V4.0,  Open Access

Abstract

Acupressure Breast neoplasms Depression Fatigue Randomized controlled trial Sleep disorder
Objective To evaluate the feasibility of the somatic acupressure (SA) for managing the fatigue-sleep disturbance-depression symptom cluster (FSDSC) among breast cancer (BC) survivors and its preliminary effects. Methods In this Phase II randomized controlled trial (RCT), 51 participants were randomised evenly into the true SA group, sham SA group, and usual care group. All the participants received usual care. The two SA groups performed additional true or sham self-acupressure daily for seven weeks. The primary outcomes related to the assessment of participants' recruitment and compliance with study questionnaires and interventions. Clinical outcomes assessed the preliminary effects of SA on fatigue, sleep disturbance, depression, and quality of life. Semi-structured interviews were undertaken to capture participants' experiences of participating in this study. The statistical effects of the intervention on the outcomes were modelled in repeated measures ANOVA and adjusted generalized estimating equations. Results Forty-five participants completed the SA intervention. No adverse events were reported. Over 85% of the participants could sustain for 25 days or more and 15 min or more per session, but the adherence to the intervention requirement was yet to improve. The group by time effect of the FSDSC and depression were significant (p < 0.05). Qualitative findings showed that participants positively viewed SA as a beneficial strategy for symptom management. Conclusions The SA intervention protocol and the trial procedures were feasible. The results demonstrated signs of improvements in targeted outcomes, and a full-scale RCT is warranted to validate the effects of SA on the FSDSC.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.112 Palliative Care
1.112.297 Cancer Survivors
Web Of Science research areas
Nursing
Oncology
ESI research areas
Clinical Medicine
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