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Trial Title: Self-acupressure and Zhan Zhuang for Symptom Cluster Management

NCT ID: NCT06497582

Condition: Breast Cancer Female
Survivorship

Conditions: Official terms:
Breast Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Supportive Care

Masking: Single (Outcomes Assessor)

Intervention:

Intervention type: Other
Intervention name: zhan-zhuang
Description: zhan-zhuang as a fundamental type of qigong
Arm group label: Zhan-zhuang group

Intervention type: Other
Intervention name: self-acupressure
Description: Self-acupressure as a common type of traditional Chinese medicine therapies
Arm group label: Self-acupressure group

Summary: The proposed study will be a 3-arm, parallel-group randomized controlled trial on the effects of self-acupressure and Zhan-Zhuang for alleviating pain, fatigue, and sleep disturbance in breast cancer survivors. Subjects will include 54 breast cancer survivors who have experienced a moderate level of pain, fatigue and sleep disturbance. All eligible subjects will be randomized into one of the three groups in a 1:1:1 ratio: Zhan Zhuang group, or self-acupressure group, or wait list control group. Subjects in the Zhan-Zhuang group will receive up to 8 weeks of the intervention consisting of a training course over two weeks followed by self-practice for 6 weeks. Those in the self-acupressure group will attend an acupressure training course for two weeks and then, will be asked to practice self-acupressure for 6 weeks. The wait list control group will be provided with delayed self-acupressure or Zhan Zhuang at the end of the study. Outcome assessment will be conducted at baseline, week 8 (post-intervention) and week 12 (4 week follow-up). Primary outcomes include pain, fatigue and sleep disturbance. Secondary outcomes include psychological distress and health-related quality of life. Qualitative data will be collected from selected participants who have received the intervention.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - a female adult aged 18 and older; - a diagnosis of early-stage (Stage I, II, or III) breast cancer; - completion of surgery, and/or chemotherapy and/or radiotherapy; - have at least a moderate level of pain, fatigue and sleep disturbance as measured on 0-10 numerical rating scales, with a score of ≥ 3 for each symptom during the past one month; - willing to use WhatsApp messenger for follow-ups; - being able to communicate in Chinese Exclusion Criteria: - prior use of acupuncture, acupressure, Zhan Zhuang, or other types of Zhan Zhuang within the past three months; - currently receiving progressive muscle relaxation, mindfulness-based stress reduction, and other body mind exercise (e.g. yoga) for the treatment of pain, fatigue, and sleep disturbance; - mentally incapable of participating in the study as indicated by the Hong Kong version of Montreal Cognitive Assessment score; - inability to perform self-care as indicated by the Karnofsky Performance Scale score<70

Gender: Female

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: The Hong Kong Polytechnic University (posters, Facebook, WhatsApp groups etc.)

Address:
City: Hong Kong
Country: China

Status: Recruiting

Contact:
Last name: Huilin Cheng

Phone: (852)27664771

Start date: June 15, 2024

Completion date: October 14, 2025

Lead sponsor:
Agency: The Hong Kong Polytechnic University
Agency class: Other

Source: The Hong Kong Polytechnic University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06497582

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