Feasibility of Implementing Acupuncture into a Federally Qualified Health Center to Alleviate Multiple Symptoms Among Breast Cancer Survivors Receiving Endocrine therapy
在联邦合格的健康中心实施针灸以减轻接受内分泌治疗的乳腺癌幸存者的多种症状的可行性
基本信息
- 批准号:10689313
- 负责人:
- 金额:$ 27.98万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-08-23 至 2025-05-31
- 项目状态:未结题
- 来源:
- 关键词:Acupuncture TherapyAddressAdherenceAffectAgreementAnxietyArthralgiaAttentionBreast Cancer survivorCancer SurvivorCaringClinicComplementary HealthConsolidated Framework for Implementation ResearchDataDiagnosisDistressEnsureEvidence based interventionEvidence based treatmentFaceFatigueFederally Qualified Health CenterFoundationsGoalsHealth InsuranceHealth Services AccessibilityHormonalHot flushesIncomeIndividualInsurance CoverageIntegrative MedicineIntegrative TherapyInterventionInterviewLow Back PainMalignant NeoplasmsMeasuresMedicaidMedicareMental DepressionMental HealthMethodsNeighborhoodsOncologyOutputPainParticipantPatientsPersonsPolypharmacyPrimary CarePrivatizationQuality of lifeRandomizedRandomized, Controlled TrialsRegimenReportingResearchRiskServicesSiteSleep disturbancesSocioeconomic StatusStructureSurveysSymptomsTamoxifenTestingTransportationTreatment EfficacyUnited StatesWomanWorkacceptability and feasibilityadjuvant endocrine therapyanastrozoleassociated symptombarrier to carechemotherapychronic pain managementcommon symptomcosteffectiveness testingeffectiveness/implementation trialefficacy evaluationethnic discriminationevidence baseexperiencefeasibility testingfunctional statushealth care availabilityhealth disparityhormone therapyimplementation processimprovedmalignant breast neoplasmmedically underservednegative affectprimary outcomeracial discriminationrecruitresearch studysatisfactionside effectsocial health determinantsstemsymptom clustersymptom managementtargeted therapy trialstreatment as usualunderserved community
项目摘要
PROJECT SUMMARY
Nearly 94% of breast cancer survivors experience one or more symptoms during or after endocrine therapy.
Joint pain, hot flashes, sleep disturbance, fatigue, depression, and anxiety are the most common concurrent
symptoms, some of which can persist for 5 to 10 years. These symptoms negatively affect adherence to
treatment and compromise people’s functional status, quality of life, and work functioning. Acupuncture is a
single therapy with few side effects that holistically addresses multiple symptoms. The effect of acupuncture
on multiple symptoms among breast cancer survivors receiving endocrine therapy has not been investigated.
Further, implementation-focused acupuncture research focuses on privately insured clinic settings and
ignores social determinants of health. There is an urgent need to remove barriers and ensure
equal access to this evidence-based treatment among breast cancer survivors with limited access to
acupuncture. Federally qualified health centers (FQHC) provide care to people who experience significant
barriers to health care access. To date, limited data exist about the use of acupuncture among cancer
survivors attending FQHCs. This research study has 2 aims: (1) to test the feasibility and acceptability of
implementing acupuncture within an FQHC oncology clinic as a way to manage multiple symptoms (pain, hot
flashes, fatigue, sleep disturbance, depression, anxiety) among breast cancer survivors receiving endocrine
therapy, and (2) to use a mixed methods approach to identify barriers and facilitators associated with the
implementation of acupuncture within an FQHC. The long-term goal is to facilitate the widespread
implementation, dissemination, and sustained utilization of acupuncture for symptom management among
medically underserved breast cancer survivors receiving endocrine therapy in FQHCs nationwide, and
ultimately to promote broader insurance coverage for acupuncture. The proposed research is significant
because of its potential to ensure equal access acupuncture, an evidence-based intervention. Results will
provide the foundation for a larger multi-site hybrid effectiveness-implementation trial of integrating
acupuncture into services provided at FQHCs for breast cancer survivors.
项目总结
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Hongjin Li其他文献
Hongjin Li的其他文献
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{{ truncateString('Hongjin Li', 18)}}的其他基金
A Multi-Omics Study of the Effect and Mechanisms of Acupuncture on Psychoneurological Symptoms Among Breast Cancer Survivors
针灸对乳腺癌幸存者心理神经症状的影响和机制的多组学研究
- 批准号:
10649197 - 财政年份:2023
- 资助金额:
$ 27.98万 - 项目类别:
Feasibility of Implementing Acupuncture into a Federally Qualified Health Center to Alleviate Multiple Symptoms Among Breast Cancer Survivors Receiving Endocrine therapy
在联邦合格的健康中心实施针灸以减轻接受内分泌治疗的乳腺癌幸存者的多种症状的可行性
- 批准号:
10510356 - 财政年份:2022
- 资助金额:
$ 27.98万 - 项目类别:
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