This study aims to gather preliminary data regarding acupuncture and mindfulness in the treatment of chronic pain.
Neither acupuncture nor mindfulness have been studied with respect to chronic pain in an outpatient integrative health (IH) oncology clinic in the USA. Likewise, the combination of acupuncture and mindfulness combined as not been studied. Given that both acupuncture and mindfulness have demonstrated some analgesic relief in an acute pain setting, each merit study for pain relief in an outpatient setting. The investigators are evaluating the impact of two different acupuncture approaches for patients reporting chronic pain. Acupuncture will be provided by a Licensed Acupuncturist for patients reporting chronic pain. Participants will be randomized to one of two treatments - acupuncture as usual or acupuncture plus mindfulness. The investigators will collect data regarding chronic pain, interoceptive awareness, emotion regulation, and acceptability. The study is open to participants with any etiology and any location of chronic pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE
Enrollment
30
Participants will listen to music for 45 minutes while they rest with acupuncture needles in place.
Participants will listen to a recording of mindfulness for 15 minutes and then listen to music for 30 minutes while they rest with acupuncture needles in place.
Huntsman Cancer Institute
Salt Lake City, Utah, United States
Questions Regarding Pain and Other Symptoms
A questionnaire regarding pain as well as physical and mental awareness. A Likert scale 0-10 is used, where 0 is classified as "not at all" and 10 is classified "very much." Higher values are a worse outcome with questions 7-9 reverse scored.
Time frame: 2 months
Nondual Awareness Dimensional Assessment
A questionnaire regarding nondual awareness. Scored on a 10-point Likert scale (1=Not at all, 10=Very Much), higher values are a better outcome.
Time frame: 2 months
State Difficulties in Emotion Regulation Scale
A questionnaire regarding emotional awareness. Scored on a 5 point Likert scale (1=not at all, 5=completely), higher values are a better outcome.
Time frame: 2 months
Sensation Manikin
A map of the body used to identify and measure areas of pleasant and unpleasant sensations.
Time frame: 2 months
Retrospective Chart Review
To discover pain medications taken by participant in the last 90 days, including opioid dose (to be converted into morphine milligram equivalent, MME).
Time frame: 3 month
State Multidimensional Assessment of Interoceptive Awareness-2
A questionnaire regarding interoceptive awareness. Scored on a 6-point Likert scale (0=never, 5=always), higher values are a better outcome.
Time frame: 2 months
Acupuncture Questions
A questionnaire regarding changes in sensations experienced during the AT. This is scored on a 6-point Likert scale (0=not at all, 5=to all the time/every location), higher values are a better outcome.
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Time frame: 2 months
Acceptability Questions
A questionnaire regarding the acceptability of the AT. This is scored on a 5 point Likert scale (1=completely disagree, 5=completely agree), higher values are a better outcome.
Time frame: 1 day
Qualitative Inquiry
A questionnaire regarding experiences during the AT. This consists of free response questions.
Time frame: 1 day
Qualitative Interoceptive Awareness and Emotional Regulation
A questionnaire regarding changes experienced since AT. This consists of open ended text questions.
Time frame: 1 day
Quantitative questions
A questionnaire regarding overall health since AT. Questions 1-3 are scored on a Likert scale 0-10 is used where 0 is classified as "not at all" and 10 is classified "very much" with higher values indicating a better score and question 1 is reverse scored. Questions 4-8 are measured on a 5 point Likert scale (1=not at all, 5=completely) with higher values indicating a better outcome. Question 9 is scored on a 1-5 Likert scale with lower values indicating a better outcome. Questions 10-19 are scored on a 3 point Likert scale with higher values indicating a better outcome.
Time frame: 1 day