Classical ACupuncture Treatment for people with Unexplained Symptoms
ISRCTN | ISRCTN99754128 |
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DOI | https://doi.org/10.1186/ISRCTN99754128 |
Secondary identifying numbers | 1 |
- Submission date
- 05/10/2007
- Registration date
- 10/04/2008
- Last edited
- 04/08/2011
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Prof Nicky Britten
Scientific
Scientific
Institute of Health Service Research
Peninsula Medical School
University of Exeter
St Luke's Campus
Exeter
EX1 2LU
United Kingdom
Study information
Study design | A pragmatic randomised trial of usual care versus acupuncture plus usual care, with a nested qualitative study involving interviews with patients. |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | GP practice |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | |
Study acronym | CACTUS study |
Study objectives | 1. In patients who attend frequently in primary care with medically unexplained physical symptoms that have persisted for more than three months, does the addition of five-element acupuncture to usual General Practitioner (GP) care, compared to usual care alone, improve self-reported health, increase health-improving behaviours, and reduce conventional medication and general practice consultation rates? 2. How do these patients experience the process and effects of acupuncture, how do they integrate it with conventional medical care and self-care, and how does it affect their use of other health care resources? |
Ethics approval(s) | Lewisham Research Ethics Committee (REC) on 05/12/2007 (ref: 07/H0810/54) |
Health condition(s) or problem(s) studied | Medically unexplained physical symptoms |
Intervention | Both groups will receive usual care. The intervention group will also receive up to twelve sessions of classical five-element acupuncture over a six month period. The control group will receive the same acupuncture intervention after a six month period. The two groups will be followed up for two years. |
Intervention type | Other |
Primary outcome measure | The primary quantitative outcome will be change in health status, from baseline to end of six months treatment, as measured by the Measure Yourself Medical Outcome Profile (MYMOP) questionnaire. MYMOP is a brief individualised questionnaire that measures change in two symptoms, one activity of daily living and general wellbeing, all measured on a seven point scale, and combined to give a single MYMOP profile score. |
Secondary outcome measures | 1. Change in health status and wellbeing as measured by: 1.1. General Wellbeing Questionnaire (GW-B12), which has three dimensions of energy, negative wellbeing (includes anxiety and depression), and positive wellbeing 1.2. Patient Enablement Instrument 1.3. Medication Change Questionnaire, a detailed measure of medication in a weekly diary format 1.4. EuroQol-5D, a brief generic outcome questionnaire 2. Health resource use: 2.1. GP consultation rates from practice computers 2.2. Other health resource use by self-report 3. Change in health-improving behaviours and self-care: primarily by qualitative methods Secondary outcomes measured at 3, 6, 12 and 24 months after randomisation. |
Overall study start date | 01/01/2008 |
Completion date | 31/10/2009 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | 100 |
Key inclusion criteria | Fulfill the Peveler criteria for medically unexplained symptoms: 1. Present to GP consultation with: 1.1. The presentation of a physical symptom 1.2. The symptom had existed for at least three months 1.3. It had caused clinically significant distress or impairment 1.4. It could not be explained by physical disease. The definition of this point will be clarified by adding that of Burton (2003), as physical symptoms for which no clear or consistent organic pathology can be demonstrated 2. Have a GP consultation rate of eight or more in the previous 12 months 3. Over 18 years, male and female |
Key exclusion criteria | 1. Under 18 years of age 2. Insufficient cognitive ability to complete the self-report questionnaires 3. Insufficient mobility and/or available transport to attend surgery for acupuncture treatment 4. Pregnant 5. A co-existent life-threatening condition, psychotic illness, severe substance abuse 6. Acupuncture treatment in the previous six months |
Date of first enrolment | 01/01/2008 |
Date of final enrolment | 31/10/2009 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Institute of Health Service Research
Exeter
EX1 2LU
United Kingdom
EX1 2LU
United Kingdom
Sponsor information
Peninsula Medical School (UK)
Hospital/treatment centre
Hospital/treatment centre
Institute of Health Service Research
St Luke's Campus
Exeter
EX1 2LU
England
United Kingdom
Phone | +44 (0)1392 264859 |
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charlotte.paterson@pms.ac.uk | |
Website | http://www.pms.ac.uk/pms/ |
https://ror.org/04dtfyh05 |
Funders
Funder type
Research organisation
King's Fund (UK) - research grant (http://www.kingsfund.org.uk/)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Results article | results | 01/06/2011 | Yes | No | |
Results article | results | 01/06/2011 | Yes | No |