Self‐Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial
OBJECTIVE To test whether self‐administered acupressure reduces stress and stress‐related symptoms in caregivers of older family members. DESIGN In this randomized, assessor‐blind, controlled trial, 207 participants were randomized (1:1) to an acupressure intervention or a wait‐list control group. S...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2020-06, Vol.68 (6), p.1193-1201 |
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| creator | Cheung, Denise Shuk Ting Tiwari, Agnes Yeung, Wing‐Fai Yu, Doris Sau Fung So, Mike Ka Pui Chau, Pui Hing Wang, Xiao‐Min Lum, Terry Yat Sang Yuk Fung, Helina Yin King Ng, Benson Yuk Ming Zhang, Zhang‐Jin Lao, Lixing |
| description | OBJECTIVE
To test whether self‐administered acupressure reduces stress and stress‐related symptoms in caregivers of older family members.
DESIGN
In this randomized, assessor‐blind, controlled trial, 207 participants were randomized (1:1) to an acupressure intervention or a wait‐list control group.
SETTING
Community centers in Hong Kong, China.
PARTICIPANTS
Primary caregivers of an older family member who screened positive for caregiver stress with symptoms of fatigue, insomnia, or depression.
INTERVENTION
The 8‐week intervention comprised four training sessions on self‐administered acupressure, two follow‐up sessions for learning reinforcement, and daily self‐practice of self‐administered acupressure.
MEASUREMENTS
The primary outcome was caregiver stress (Caregiver Burden Inventory). Secondary outcomes included fatigue (Piper Fatigue Scale), insomnia (Pittsburgh Sleep Quality Index), depression (Patient Health Questionnaire), and health‐related quality of life (QoL) (12‐item Short‐Form Health Survey version 2). An intention‐to‐treat analysis was adopted.
RESULTS
Of 207 participants, 201 completed the study. Caregiver stress in the intervention group was significantly lower than that in the control group after 8 weeks (difference = −8.12; 95% confidence interval [CI] = −13.20 to −3.04; P = .002) and at 12‐week follow‐up (difference = −8.52; 95% CI = −13.91 to −3.12; P = .002). The intervention group, relative to the control group, also had significantly improved secondary outcomes of fatigue (difference = −0.84; 95% CI = −1.59 to −0.08; P = .031), insomnia (difference = −1.34; 95% CI = −2.40 to −0.27; P = .014), depression (difference = −1.76; 95% CI = −3.30 to −0.23; P = .025), and physical health‐related QoL (difference = 3.08; 95% CI = 0.28‐5.88; P = .032) after 8 weeks.
CONCLUSION
Self‐administered acupressure intervention significantly relieves self‐reported caregiver stress and co‐occurring symptoms in those caring for older family members. Further studies are needed to measure the symptoms objectively and to examine the clinical importance of the observed improvement in caregiver stress. J Am Geriatr Soc 68:1193–1201, 2020. |
| doi_str_mv | 10.1111/jgs.16357 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2364031554</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2364031554</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3887-d7a74d07a87cbff5f392104e6e86858bfe28a2e951c9ac31e7dfe27495781933</originalsourceid><addsrcrecordid>eNp1kM1OGzEURq0KVFLaRV8AWWLTLgb8O_Z0F0VAQVRIJXvLmblGjjzj1M5QhRWPwDPyJLgNsEDibu7Vp6Ojqw-hr5Qc0TLHy5t8RGsu1Qc0oZKzSgoqd9CEEMIqXVOxhz7lvCSEMqL1R7THGWlqrcUEwTUE93j_MO16P_i8hgQdnrbjKkHOYwLsYsIzm-DG30LKODp8FTpI-NT2PmzwL-gXJf-Bp_i3HbrY-7simMVhnWII5Zwnb8NntOtsyPDlee-j-enJfPazurw6O59NL6uWa62qTlklOqKsVu3COel4wygRUIOutdQLB0xbBo2kbWNbTkF1JVKikUrThvN99G2rXaX4Z4S8Nr3PLYRgB4hjNozXgnAqpSjo4Rt0Gcc0lOcME5SpWpJaF-r7lmpTzDmBM6vke5s2hhLzr3pTqjf_qy_swbNxXPTQvZIvXRfgeAv89QE275vMxdn1VvkESpeNsw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2412765068</pqid></control><display><type>article</type><title>Self‐Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Cheung, Denise Shuk Ting ; Tiwari, Agnes ; Yeung, Wing‐Fai ; Yu, Doris Sau Fung ; So, Mike Ka Pui ; Chau, Pui Hing ; Wang, Xiao‐Min ; Lum, Terry Yat Sang ; Yuk Fung, Helina Yin King ; Ng, Benson Yuk Ming ; Zhang, Zhang‐Jin ; Lao, Lixing</creator><creatorcontrib>Cheung, Denise Shuk Ting ; Tiwari, Agnes ; Yeung, Wing‐Fai ; Yu, Doris Sau Fung ; So, Mike Ka Pui ; Chau, Pui Hing ; Wang, Xiao‐Min ; Lum, Terry Yat Sang ; Yuk Fung, Helina Yin King ; Ng, Benson Yuk Ming ; Zhang, Zhang‐Jin ; Lao, Lixing</creatorcontrib><description>OBJECTIVE
To test whether self‐administered acupressure reduces stress and stress‐related symptoms in caregivers of older family members.
DESIGN
In this randomized, assessor‐blind, controlled trial, 207 participants were randomized (1:1) to an acupressure intervention or a wait‐list control group.
SETTING
Community centers in Hong Kong, China.
PARTICIPANTS
Primary caregivers of an older family member who screened positive for caregiver stress with symptoms of fatigue, insomnia, or depression.
INTERVENTION
The 8‐week intervention comprised four training sessions on self‐administered acupressure, two follow‐up sessions for learning reinforcement, and daily self‐practice of self‐administered acupressure.
MEASUREMENTS
The primary outcome was caregiver stress (Caregiver Burden Inventory). Secondary outcomes included fatigue (Piper Fatigue Scale), insomnia (Pittsburgh Sleep Quality Index), depression (Patient Health Questionnaire), and health‐related quality of life (QoL) (12‐item Short‐Form Health Survey version 2). An intention‐to‐treat analysis was adopted.
RESULTS
Of 207 participants, 201 completed the study. Caregiver stress in the intervention group was significantly lower than that in the control group after 8 weeks (difference = −8.12; 95% confidence interval [CI] = −13.20 to −3.04; P = .002) and at 12‐week follow‐up (difference = −8.52; 95% CI = −13.91 to −3.12; P = .002). The intervention group, relative to the control group, also had significantly improved secondary outcomes of fatigue (difference = −0.84; 95% CI = −1.59 to −0.08; P = .031), insomnia (difference = −1.34; 95% CI = −2.40 to −0.27; P = .014), depression (difference = −1.76; 95% CI = −3.30 to −0.23; P = .025), and physical health‐related QoL (difference = 3.08; 95% CI = 0.28‐5.88; P = .032) after 8 weeks.
CONCLUSION
Self‐administered acupressure intervention significantly relieves self‐reported caregiver stress and co‐occurring symptoms in those caring for older family members. Further studies are needed to measure the symptoms objectively and to examine the clinical importance of the observed improvement in caregiver stress. J Am Geriatr Soc 68:1193–1201, 2020.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.16357</identifier><identifier>PMID: 32096884</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Acupressure ; Caregivers ; Caregivers - statistics & numerical data ; complementary and alternative medicine ; Depression - psychology ; Family ; family caregivers ; Fatigue ; Fatigue - psychology ; Female ; geriatrics ; Hong Kong ; Humans ; Insomnia ; Male ; Middle Aged ; Quality of Life ; Self Care ; self‐administered acupressure ; Sleep disorders ; Sleep Initiation and Maintenance Disorders - psychology ; stress ; Stress, Psychological - psychology ; Surveys and Questionnaires</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2020-06, Vol.68 (6), p.1193-1201</ispartof><rights>2020 The American Geriatrics Society</rights><rights>2020 The American Geriatrics Society.</rights><rights>2020 American Geriatrics Society and Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3887-d7a74d07a87cbff5f392104e6e86858bfe28a2e951c9ac31e7dfe27495781933</citedby><cites>FETCH-LOGICAL-c3887-d7a74d07a87cbff5f392104e6e86858bfe28a2e951c9ac31e7dfe27495781933</cites><orcidid>0000-0002-8741-9271</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.16357$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.16357$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32096884$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheung, Denise Shuk Ting</creatorcontrib><creatorcontrib>Tiwari, Agnes</creatorcontrib><creatorcontrib>Yeung, Wing‐Fai</creatorcontrib><creatorcontrib>Yu, Doris Sau Fung</creatorcontrib><creatorcontrib>So, Mike Ka Pui</creatorcontrib><creatorcontrib>Chau, Pui Hing</creatorcontrib><creatorcontrib>Wang, Xiao‐Min</creatorcontrib><creatorcontrib>Lum, Terry Yat Sang</creatorcontrib><creatorcontrib>Yuk Fung, Helina Yin King</creatorcontrib><creatorcontrib>Ng, Benson Yuk Ming</creatorcontrib><creatorcontrib>Zhang, Zhang‐Jin</creatorcontrib><creatorcontrib>Lao, Lixing</creatorcontrib><title>Self‐Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>OBJECTIVE
To test whether self‐administered acupressure reduces stress and stress‐related symptoms in caregivers of older family members.
DESIGN
In this randomized, assessor‐blind, controlled trial, 207 participants were randomized (1:1) to an acupressure intervention or a wait‐list control group.
SETTING
Community centers in Hong Kong, China.
PARTICIPANTS
Primary caregivers of an older family member who screened positive for caregiver stress with symptoms of fatigue, insomnia, or depression.
INTERVENTION
The 8‐week intervention comprised four training sessions on self‐administered acupressure, two follow‐up sessions for learning reinforcement, and daily self‐practice of self‐administered acupressure.
MEASUREMENTS
The primary outcome was caregiver stress (Caregiver Burden Inventory). Secondary outcomes included fatigue (Piper Fatigue Scale), insomnia (Pittsburgh Sleep Quality Index), depression (Patient Health Questionnaire), and health‐related quality of life (QoL) (12‐item Short‐Form Health Survey version 2). An intention‐to‐treat analysis was adopted.
RESULTS
Of 207 participants, 201 completed the study. Caregiver stress in the intervention group was significantly lower than that in the control group after 8 weeks (difference = −8.12; 95% confidence interval [CI] = −13.20 to −3.04; P = .002) and at 12‐week follow‐up (difference = −8.52; 95% CI = −13.91 to −3.12; P = .002). The intervention group, relative to the control group, also had significantly improved secondary outcomes of fatigue (difference = −0.84; 95% CI = −1.59 to −0.08; P = .031), insomnia (difference = −1.34; 95% CI = −2.40 to −0.27; P = .014), depression (difference = −1.76; 95% CI = −3.30 to −0.23; P = .025), and physical health‐related QoL (difference = 3.08; 95% CI = 0.28‐5.88; P = .032) after 8 weeks.
CONCLUSION
Self‐administered acupressure intervention significantly relieves self‐reported caregiver stress and co‐occurring symptoms in those caring for older family members. Further studies are needed to measure the symptoms objectively and to examine the clinical importance of the observed improvement in caregiver stress. J Am Geriatr Soc 68:1193–1201, 2020.</description><subject>Acupressure</subject><subject>Caregivers</subject><subject>Caregivers - statistics & numerical data</subject><subject>complementary and alternative medicine</subject><subject>Depression - psychology</subject><subject>Family</subject><subject>family caregivers</subject><subject>Fatigue</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>geriatrics</subject><subject>Hong Kong</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Quality of Life</subject><subject>Self Care</subject><subject>self‐administered acupressure</subject><subject>Sleep disorders</subject><subject>Sleep Initiation and Maintenance Disorders - psychology</subject><subject>stress</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1OGzEURq0KVFLaRV8AWWLTLgb8O_Z0F0VAQVRIJXvLmblGjjzj1M5QhRWPwDPyJLgNsEDibu7Vp6Ojqw-hr5Qc0TLHy5t8RGsu1Qc0oZKzSgoqd9CEEMIqXVOxhz7lvCSEMqL1R7THGWlqrcUEwTUE93j_MO16P_i8hgQdnrbjKkHOYwLsYsIzm-DG30LKODp8FTpI-NT2PmzwL-gXJf-Bp_i3HbrY-7simMVhnWII5Zwnb8NntOtsyPDlee-j-enJfPazurw6O59NL6uWa62qTlklOqKsVu3COel4wygRUIOutdQLB0xbBo2kbWNbTkF1JVKikUrThvN99G2rXaX4Z4S8Nr3PLYRgB4hjNozXgnAqpSjo4Rt0Gcc0lOcME5SpWpJaF-r7lmpTzDmBM6vke5s2hhLzr3pTqjf_qy_swbNxXPTQvZIvXRfgeAv89QE275vMxdn1VvkESpeNsw</recordid><startdate>202006</startdate><enddate>202006</enddate><creator>Cheung, Denise Shuk Ting</creator><creator>Tiwari, Agnes</creator><creator>Yeung, Wing‐Fai</creator><creator>Yu, Doris Sau Fung</creator><creator>So, Mike Ka Pui</creator><creator>Chau, Pui Hing</creator><creator>Wang, Xiao‐Min</creator><creator>Lum, Terry Yat Sang</creator><creator>Yuk Fung, Helina Yin King</creator><creator>Ng, Benson Yuk Ming</creator><creator>Zhang, Zhang‐Jin</creator><creator>Lao, Lixing</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8741-9271</orcidid></search><sort><creationdate>202006</creationdate><title>Self‐Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial</title><author>Cheung, Denise Shuk Ting ; Tiwari, Agnes ; Yeung, Wing‐Fai ; Yu, Doris Sau Fung ; So, Mike Ka Pui ; Chau, Pui Hing ; Wang, Xiao‐Min ; Lum, Terry Yat Sang ; Yuk Fung, Helina Yin King ; Ng, Benson Yuk Ming ; Zhang, Zhang‐Jin ; Lao, Lixing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3887-d7a74d07a87cbff5f392104e6e86858bfe28a2e951c9ac31e7dfe27495781933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acupressure</topic><topic>Caregivers</topic><topic>Caregivers - statistics & numerical data</topic><topic>complementary and alternative medicine</topic><topic>Depression - psychology</topic><topic>Family</topic><topic>family caregivers</topic><topic>Fatigue</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>geriatrics</topic><topic>Hong Kong</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Quality of Life</topic><topic>Self Care</topic><topic>self‐administered acupressure</topic><topic>Sleep disorders</topic><topic>Sleep Initiation and Maintenance Disorders - psychology</topic><topic>stress</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheung, Denise Shuk Ting</creatorcontrib><creatorcontrib>Tiwari, Agnes</creatorcontrib><creatorcontrib>Yeung, Wing‐Fai</creatorcontrib><creatorcontrib>Yu, Doris Sau Fung</creatorcontrib><creatorcontrib>So, Mike Ka Pui</creatorcontrib><creatorcontrib>Chau, Pui Hing</creatorcontrib><creatorcontrib>Wang, Xiao‐Min</creatorcontrib><creatorcontrib>Lum, Terry Yat Sang</creatorcontrib><creatorcontrib>Yuk Fung, Helina Yin King</creatorcontrib><creatorcontrib>Ng, Benson Yuk Ming</creatorcontrib><creatorcontrib>Zhang, Zhang‐Jin</creatorcontrib><creatorcontrib>Lao, Lixing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheung, Denise Shuk Ting</au><au>Tiwari, Agnes</au><au>Yeung, Wing‐Fai</au><au>Yu, Doris Sau Fung</au><au>So, Mike Ka Pui</au><au>Chau, Pui Hing</au><au>Wang, Xiao‐Min</au><au>Lum, Terry Yat Sang</au><au>Yuk Fung, Helina Yin King</au><au>Ng, Benson Yuk Ming</au><au>Zhang, Zhang‐Jin</au><au>Lao, Lixing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self‐Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2020-06</date><risdate>2020</risdate><volume>68</volume><issue>6</issue><spage>1193</spage><epage>1201</epage><pages>1193-1201</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><abstract>OBJECTIVE
To test whether self‐administered acupressure reduces stress and stress‐related symptoms in caregivers of older family members.
DESIGN
In this randomized, assessor‐blind, controlled trial, 207 participants were randomized (1:1) to an acupressure intervention or a wait‐list control group.
SETTING
Community centers in Hong Kong, China.
PARTICIPANTS
Primary caregivers of an older family member who screened positive for caregiver stress with symptoms of fatigue, insomnia, or depression.
INTERVENTION
The 8‐week intervention comprised four training sessions on self‐administered acupressure, two follow‐up sessions for learning reinforcement, and daily self‐practice of self‐administered acupressure.
MEASUREMENTS
The primary outcome was caregiver stress (Caregiver Burden Inventory). Secondary outcomes included fatigue (Piper Fatigue Scale), insomnia (Pittsburgh Sleep Quality Index), depression (Patient Health Questionnaire), and health‐related quality of life (QoL) (12‐item Short‐Form Health Survey version 2). An intention‐to‐treat analysis was adopted.
RESULTS
Of 207 participants, 201 completed the study. Caregiver stress in the intervention group was significantly lower than that in the control group after 8 weeks (difference = −8.12; 95% confidence interval [CI] = −13.20 to −3.04; P = .002) and at 12‐week follow‐up (difference = −8.52; 95% CI = −13.91 to −3.12; P = .002). The intervention group, relative to the control group, also had significantly improved secondary outcomes of fatigue (difference = −0.84; 95% CI = −1.59 to −0.08; P = .031), insomnia (difference = −1.34; 95% CI = −2.40 to −0.27; P = .014), depression (difference = −1.76; 95% CI = −3.30 to −0.23; P = .025), and physical health‐related QoL (difference = 3.08; 95% CI = 0.28‐5.88; P = .032) after 8 weeks.
CONCLUSION
Self‐administered acupressure intervention significantly relieves self‐reported caregiver stress and co‐occurring symptoms in those caring for older family members. Further studies are needed to measure the symptoms objectively and to examine the clinical importance of the observed improvement in caregiver stress. J Am Geriatr Soc 68:1193–1201, 2020.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32096884</pmid><doi>10.1111/jgs.16357</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8741-9271</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 2020-06, Vol.68 (6), p.1193-1201 |
| issn | 0002-8614 1532-5415 |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Acupressure Caregivers Caregivers - statistics & numerical data complementary and alternative medicine Depression - psychology Family family caregivers Fatigue Fatigue - psychology Female geriatrics Hong Kong Humans Insomnia Male Middle Aged Quality of Life Self Care self‐administered acupressure Sleep disorders Sleep Initiation and Maintenance Disorders - psychology stress Stress, Psychological - psychology Surveys and Questionnaires |
| title | Self‐Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial |
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