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| Name | Class |
|---|---|
| TriService Nursing Research Program | OTHER |
| University of California, San Francisco | OTHER |
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The goal of this is to investigate the effect of a Manual Standardized Stress Acupuncture (MSSA) protocol as an adjunct treatment to a short-term mindfulness therapy for perceived stress and general health in service members (i.e., active duty military personnel and veterans).
The specific aims of this study are Aim 1) To evaluate the effectiveness of a brief MSSA as an adjunct treatment with a short-term Mindfulness-Based Stress Reduction (MBSR) compared with MBSR alone for perceived stress and general health in service members. Aim 2) To describe any perceived benefits of MSSA as an adjunct treatment with MBSR compared with MBSR alone for perceived stress and general health.
Participants will be asked to complete an informed consent if eligible for the study and randomized into two groups: 1) Participants in the experimental group will receive MSSA in addition to MBSR. 2) Participants in the control group will receive MBSR only. Researchers will compare experimental and control groups to see if the interventions mitigated perceived stress and improved the health of the participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Manual Standardized Stress Acupuncture (MSSA) and Mindfulness-Based Stress Reduction (MBSR) | Experimental |
| |
| Mindfulness-Based Stress Reduction (MBSR) | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Manual Standardized Stress Acupuncture (MSSA) | Procedure | Participants in the experimental group will receive 4 weekly sessions of MSSA, which consists of 8 acupuncture points: bilateral auricular (ear) shen men, GV- 20, GV-24.5 (Yin Tang), bilateral LI-4, and bilateral LR-3. Needles are left in situ for 30 minutes per session. |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived Stress Scale (PSS) | The PSS is a 10-item scale used to evaluate perceived stress experience in adults. Perceived general stress is rated on a 5-point Likert-type scale ranging from never to very often. The total possible scores for PSS range from 0 to 56, with higher scores indicating higher stress. | At baseline, at two weeks post interventions, and at four weeks post interventions |
| Measure | Description | Time Frame |
|---|---|---|
| Insomnia Severity Index | The ISI is a seven-item standardized self-report questionnaire that measures the subjective symptoms of insomnia. These subjective symptoms include the respondents' concerns and distress because of problems with sleep. The ISI measure contains seven items: perceived difficulty with sleep-onset, sleep maintenance, and early morning awakenings; satisfaction with sleep patterns; interference of sleep problems with daily functioning; impairment because of a sleep problem; and degree of distress or concern with the sleep problem. Each item in the ISI is rated from 0 to 4 whereby the higher number indicates more difficulty. The scores are added to yield a range of total scores from 0 to 28 in which a higher score suggests more severe insomnia. |
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure (systolic and diastolic) | Blood pressures will be measured using a vital signs measuring device | Prior to each acupuncture session (experimental group only) |
| Heart Rate | Heart rate will be measured using a vital signs measuring device |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Naval Medical Center, San Diego | San Diego | California | 92134 | United States |
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| ID | Term |
|---|---|
| D000099024 | Mindfulness-Based Stress Reduction |
| ID | Term |
|---|---|
| D064866 | Mindfulness |
| D015928 | Cognitive Behavioral Therapy |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
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| Mindfulness-Based Stress Reduction (MBSR) | Behavioral | Participants will receive four sessions of MBSR group psychotherapy (no more than 10 participants per group session) via Microsoft Teams. The first session will be 90 minutes followed by three 60-minute weekly sessions. |
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| At baseline, at two weeks post interventions, and at four weeks post interventions |
| The Short Form (SF) Health Survey | The 20-Item Short Form Health Survey (SF-20) measures the multidimensional concept of health including perceptions about general health, physical health, mental health, and social functioning. Scores are transformed to a scale of 0 to 100 wherein high scores indicate better functioning. | At baseline, at two weeks post interventions, and at four weeks post interventions |
| Journal Log | Journal entries will include five open-ended questions about the participants' perceived benefits of treatment. | At weeks 2 and 4 after treatments have been completed. |
| Prior to each acupuncture session (experimental group only) |
| Defense and Veterans Pain Rating Scale (DVPRS) | The DVPRS measures pain from 0 (no pain) to 10 (as bad as it could be) | Prior to each acupuncture session and at the end of each acupuncture session (experimental group only) |
| D004191 |
| Behavioral Disciplines and Activities |