Acupuncture Intervention Protocol: Consensus Process for a Pragmatic Randomized Controlled Trial of Acupuncture for Management of Chronic Low Back Pain in Older Adults: An NIH HEAL Initiative Funded Project.
Acupuncture Intervention Protocol: Consensus Process for a Pragmatic Randomized Controlled Trial of Acupuncture for Management of Chronic Low Back Pain in Older Adults: An NIH HEAL Initiative Funded Project.
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DOI：
10.1177/21649561211007091
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发表时间：
2021
影响因子：
--
通讯作者：
Sherman KJ
中科院分区：
文献类型：
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作者：
Nielsen A;Ocker L;Majd I;Draisin JA;Taromina K;Maggenti MT;Long J;Nolting M;Sherman KJ
这篇文章的目的是描述一项由美国国立卫生研究院资助的针灸治疗老年人慢性腰背痛的实用随机对照试验(PRCT)(BackInAction)的共识过程，以制定针灸干预方案。慢性腰痛是全球导致残疾的主要原因之一：在65岁及以上的美国成年人中，近33%的人患有腰背痛。针灸对慢性下腰痛有效，但没有关于老年人的具体数据。美国国立卫生研究院(NIH)资助了一项针对这一人群的针灸PRCT。一个重要的试验里程碑是制定一项协商一致的干预方案。针灸顾问团(AAP)由九名成员组成：两名内科针灸医生，六名代表不同工作背景的执业针灸医生，以及一名针灸研究人员。我们使用了改进的Delphi流程，其中包括提供针灸试验数据、描述每位专家如何处理cLBP的调查数据、三次电话会议和电话之间的电子邮件讨论。热烈而专业的讨论促成了BackInAction试验的共识干预方案，其中包括护理的步骤/阶段，推荐护理疗程长度的参数，针刺部位的数量，插入深度，针保留时间，推荐的针头类型，要治疗的身体局部和远端区域，穴位选项，耳穴选项，自我护理选项，以及被认为理想的最小会话次数。使用改进的Delphi过程，一位AAP专家为65岁及以上患者的针灸治疗cLBP的PRCT创建了一个共识干预方案。
The aim of this article is to describe the consensus process used to develop an acupuncture intervention protocol for an NIH-funded pragmatic randomized controlled trial (PRCT) of acupuncture for the management of chronic low back (cLBP) in older adults (BackInAction). CLBP is among leading causes of disability worldwide: almost 33% of US adults 65 and older experience LBP. Acupuncture is effective for cLBP but there is no specific data on older adults. The National Institutes for Health (NIH) funded a PRCT of acupuncture needling for this population. An essential trial milestone was development of a consensus intervention protocol. An Acupuncture Advisory Panel (AAP) was formed with nine members: two physician-acupuncturists, six licensed acupuncturists representing diverse work backgrounds, and an acupuncture researcher. We used a modified Delphi process that included provision of acupuncture trial data, survey data describing how each expert treats cLBP, three conference calls, and between-call email discussion. Lively and professional discussions led to a consensus intervention protocol for the BackInAction trial that included steps/staging of care, recommendations for parameters of care session length, number of needle insertion sites, insertion depths, needle retention times, recommended types of needles, both local and distal areas of the body to be treated, acupuncture point options, auricular point options, self-care options, and minimum number of sessions considered ideal. Using a modified Delphi process, an expert AAP created a consensus intervention protocol for the PRCT of acupuncture needling for cLBP in patients 65 and older.