Does Acupressure Help Reduce Nausea and Vomiting in Palliative Care Patients? Formal Study
Primary Purpose
Nausea, Vomiting
Status
Unknown status
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Acupressure Wrist Bands (Sea-Bands)
Placebo wristbands
Sponsored by
About this trial
This is an interventional treatment trial for Nausea focused on measuring Nausea, Vomiting, Emesis, Palliative, Terminal, Cancer
Eligibility Criteria
Inclusion Criteria:
- Have a diagnosis of advanced cancer with an estimated prognosis of less than 1 year but more than 3 days.
- Describe their nausea as at least moderate on a Likert scale OR at have had at least one vomit per day for the last three days.
- Have an underlying cause for their nausea which is thought to be irreversible OR the patient has made an autonomous choice not to proceed with treatment for any potentially reversible cause (for example surgery for obstruction or drainage of ascites).
- Can be male or female patients but must be over the age of 18.
- Have signed a consent form prior to entering the study.
- If patients are taking corticosteroids the dosage should be stable for 3 days before and during the trial.
- Be thought to be well enough to complete the 3 day trial.
Exclusion criteria:
- Arm lymphoedema.
- Weakness, fatigue or confusion sufficient that patient is unable to take part.
- Previous history of acupuncture/acupressure for nausea or vomiting, or history of use of acupressure by a close relative.
- History of Parkinsonism or Parkinsonism on examination.
- Patients will not be enrolled if they are sharing a room with another patient taking part in the study.
- Patients who are unable to read or comprehend the questionnaire or Visual Analogue Scale.
Sites / Locations
- Sue Ryder Care Leckhampton Court HospiceRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
Acupressure Bands
Placebo
Arm Description
Elasticated wrist bands with active bead pressing on Pericardium 6 acupressure points bilaterally.
Elasticated wrist bands without active bead.
Outcomes
Primary Outcome Measures
Number of PRN Doses of anti-emetics needed
Secondary Outcome Measures
Visual Analogue Scale of nausea; duration of perceived nausea; number of vomits per 24 hours; volume of vomit per 24 hours; adverse effects of acupressure; measure of whether the patient felt the intervention helped.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00550251
Brief Title
Does Acupressure Help Reduce Nausea and Vomiting in Palliative Care Patients? Formal Study
Official Title
Does Acupressure Help Reduce Nausea and Vomiting in Palliative Care Patients? Formal Study
Study Type
Interventional
2. Study Status
Record Verification Date
May 2018
Overall Recruitment Status
Unknown status
Study Start Date
July 2010 (undefined)
Primary Completion Date
July 2018 (Anticipated)
Study Completion Date
July 2018 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Sue Ryder Care
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Pilot study completed - power calculation performed. Now formal double blind randomized study comparing active with placebo wristbands for nausea in palliative care patients to be carried out.
Detailed Description
Terminally ill hospice in-patients suffering with nausea will be randomized to active or placebo acupressure bands. The study will last 3 days and they will be allowed to continue regular or have PRN anti-emetics during the study.
Assessors and patients will both be blinded to whether they patients are receiving active or placebo bands.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nausea, Vomiting
Keywords
Nausea, Vomiting, Emesis, Palliative, Terminal, Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
58 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Acupressure Bands
Arm Type
Active Comparator
Arm Description
Elasticated wrist bands with active bead pressing on Pericardium 6 acupressure points bilaterally.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Elasticated wrist bands without active bead.
Intervention Type
Device
Intervention Name(s)
Acupressure Wrist Bands (Sea-Bands)
Other Intervention Name(s)
Sea-Bands
Intervention Description
Elasticated wrist bands with active bead pressing on Pericardium 6 acupressure points bilaterally.
Intervention Type
Device
Intervention Name(s)
Placebo wristbands
Other Intervention Name(s)
Seaband Placebo
Intervention Description
Elasticated wrist bands without active bead.
Primary Outcome Measure Information:
Title
Number of PRN Doses of anti-emetics needed
Time Frame
3 days
Secondary Outcome Measure Information:
Title
Visual Analogue Scale of nausea; duration of perceived nausea; number of vomits per 24 hours; volume of vomit per 24 hours; adverse effects of acupressure; measure of whether the patient felt the intervention helped.
Time Frame
3 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Have a diagnosis of advanced cancer with an estimated prognosis of less than 1 year but more than 3 days.
Describe their nausea as at least moderate on a Likert scale OR at have had at least one vomit per day for the last three days.
Have an underlying cause for their nausea which is thought to be irreversible OR the patient has made an autonomous choice not to proceed with treatment for any potentially reversible cause (for example surgery for obstruction or drainage of ascites).
Can be male or female patients but must be over the age of 18.
Have signed a consent form prior to entering the study.
If patients are taking corticosteroids the dosage should be stable for 3 days before and during the trial.
Be thought to be well enough to complete the 3 day trial.
Exclusion criteria:
Arm lymphoedema.
Weakness, fatigue or confusion sufficient that patient is unable to take part.
Previous history of acupuncture/acupressure for nausea or vomiting, or history of use of acupressure by a close relative.
History of Parkinsonism or Parkinsonism on examination.
Patients will not be enrolled if they are sharing a room with another patient taking part in the study.
Patients who are unable to read or comprehend the questionnaire or Visual Analogue Scale.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Paul Perkins, MB BCh MRCP
Phone
+44 1242 230199
Email
paul.perkins@suerydercare.org
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Perkins, MB Bch MRCP
Organizational Affiliation
Sue Ryder Care Leckhampton Court Hospice
Official's Role
Study Director
Facility Information:
Facility Name
Sue Ryder Care Leckhampton Court Hospice
City
Cheltenham
State/Province
Gloucestershire
ZIP/Postal Code
GL53 0QJ
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Paul Perkins, MB BCh MRCP
Phone
+441242230199
Email
paul.perkins@suerydercare.org
First Name & Middle Initial & Last Name & Degree
Paul Perkins, MB BCh MRCP
12. IPD Sharing Statement
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Does Acupressure Help Reduce Nausea and Vomiting in Palliative Care Patients? Formal Study
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