This pilot study investigates the acceptability and effects of traditional Chinese medicine (TCM) body acupuncture on stress and exhaustion among healthcare professionals working in an acute care hospital. Participants will receive acupuncture twice a week for four weeks, with a total of eight treatment sessions. Stress, burnout, sleep quality, and general wellbeing will be assessed before and after the intervention and at follow-up. The study will also assess participants' satisfaction with the intervention and their willingness to participate again or recommend acupuncture to others. In addition, the feasibility of conducting the study will be evaluated, including recruitment, adherence to the treatment schedule, organizational feasibility, and completeness and quality of the collected data. The findings will help determine whether a larger clinical study of TCM body acupuncture in healthcare professionals is feasible and warranted.
This pilot study evaluates the acceptability, effects, and feasibility of traditional Chinese medicine (TCM) body acupuncture in healthcare professionals working in an acute care hospital. Participants who meet the eligibility criteria and provide informed consent will receive a structured TCM body acupuncture intervention consisting of two 45-minute sessions per week for four consecutive weeks, for a total of eight sessions. The acupuncture treatment will be provided by qualified TCM therapists using sterile, disposable needles. Participants will complete standardized questionnaires at baseline (T0), after the four-week intervention (T1), and at the end of a four-week follow-up period (T2). The assessments will include perceived stress, burnout/exhaustion, sleep quality, and general wellbeing. A TCM anamnesis and pulse assessment will be conducted at baseline. At follow-up assessments, participants will additionally report their satisfaction with the intervention and their willingness to participate in a similar intervention again or recommend it to others. The feasibility of the study will be assessed using predefined criteria covering recruitment, adherence to the intervention, organizational feasibility, and completeness and quality of the collected data. Safety will be monitored throughout the study by recording adverse events and serious adverse events. The study is designed as a pilot study and is intended primarily to assess whether the intervention and study procedures are acceptable and feasible and to provide preliminary information on changes in stress, exhaustion, sleep quality, and wellbeing. The results will inform the design and implementation of a potential larger controlled clinical study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
20
Participants are assigned to one of two predefined treatment pathways based on standardized TCM syndrome differentiation, primarily using pulse diagnosis and TCM history, with tongue diagnosis when required. Participants with predominantly stress-related symptoms receive a stress-oriented dispersing protocol, while those with predominantly exhaustion-related symptoms receive an exhaustion-oriented tonifying protocol. In mixed presentations, assignment follows predefined diagnostic criteria, primarily based on pulse findings. Both pathways use predefined acupuncture point combinations, with individualized adjustments permitted within the assigned pathway. Switching between pathways is not planned. The stress-oriented pathway uses 17 needles and the exhaustion-oriented pathway 16 needles.
Spital Uster AG
Uster, Uster, Switzerland
Time to Target Recruitment
Time required to recruit the predefined target sample size.
Time frame: From study start until the target sample size of 20 participants is reached, assessed up to 12 weeks.
Treatment Adherence
Proportion of participants completing the predefined acupuncture treatment schedule, including attendance and dropout rates.
Time frame: During the 4-week intervention period.
Organizational Feasibility
Proportion of scheduled acupuncture sessions that are missed or cannot be performed as planned.
Time frame: During the 4-week intervention period.
Data Completeness and Quality
Proportion of participants with complete and evaluable study data according to predefined data-quality criteria.
Time frame: Baseline, end of intervention (Week 4), and end of follow-up (Week 8).
Participant Acceptability of the Acupuncture Intervention
Participants' subjective assessment of the acceptability of the acupuncture intervention using a 0-to-10 Visual Analogue Scale, with 0 indicating not at all acceptable and 10 indicating completely acceptable. Higher scores indicate greater acceptability
Time frame: End of intervention (Week 4), and end of follow-up (Week 8).
Change in Perceived Stress
Change in perceived stress measured using the Perceived Stress Scale (PSS-10).
Time frame: From baseline to end of intervention (Week 4) and end of follow-up (Week 8)
Change in Burnout and Exhaustion
Change in burnout and exhaustion measured using the Copenhagen Burnout Inventory (CBI).
Time frame: From baseline to end of intervention (Week 4) and end of follow-up (Week 8)
Change in Sleep Quality
Change in sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI).
Time frame: From baseline to end of intervention (Week 4) and end of follow-up (Week 8)
Change in Wellbeing
Change in subjective wellbeing measured using a visual analogue scale (VAS).
Time frame: From baseline to end of intervention (Week 4) and end of follow-up (Week 8)
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