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Acupuncture for Nausea in HIV

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NYU Langone Health

关键词

抽象

The subjects in this research study will be 159 men and women with HIV infection who have a history of chronic nausea for three months or greater and show evidence of two or more episodes of nausea and/or report a duration of two hours or more (per day) in baseline symptom diaries. Subjects will be randomized (by chance) to one of three conditions: Condition 1, subjects receive Standard acupuncture (active treatment); Condition 2, subjects receive Individualized acupuncture based on Traditional Chinese Medical Diagnosis (active treatment); Condition 3, (Control Group), subjects receive Sham acupuncture. Subjects in Conditions 1, 2, & 3 will attend scheduled sessions over 24 weeks.

描述

The subjects in the proposed experiment will be 159 men and women with HIV infection who have a history of chronic nausea for three months or greater and show evidence of two or more episodes of nausea and/or report a duration of 2 hours or greater (per day) in prospective baseline symptom diaries. Subjects will be randomized to one of three experimental intervention conditions: Condition 1, subjects receive Standard acupuncture; Condition 2, subjects receive Individualized acupuncture based on Traditional Chinese Medical Diagnosis; Condition 3, (Control Group), subjects receive Sham acupuncture. Subjects in Conditions 1, 2, & 3 will attend 16 scheduled sessions over 24 weeks. All subjects will: be assessed by a diagnostic acupuncturist (blinded to treatment assignments); be administered the same instruments; and submit their symptom diaries for data entry and analysis. After a screening/intake session, randomization and treatment sessions will follow. There will be four weeks of twice weekly treatment sessions, four weekly treatment sessions and three follow-up sessions. All conditions will be identical in duration and be administered by licensed acupuncturists trained in Traditional Chinese Medicine. This study is a prospective, randomized, controlled, blinded (subject and evaluator), parallel groups clinical trial aimed at reducing chronic nausea and improving quality of life in persons with HIV/AIDS.

日期

最后验证: 05/31/2012
首次提交: 02/18/2008
提交的预估入学人数: 02/18/2008
首次发布: 02/26/2008
上次提交的更新: 06/20/2012
最近更新发布: 06/21/2012
实际学习开始日期: 04/30/2005
预计主要完成日期: 10/31/2011
预计完成日期: 11/30/2011

状况或疾病

HIV Infections

干预/治疗

Other: I. Standard

Other: 2. Individualized

Other: 3

相 2

手臂组

干预/治疗
Experimental: I. Standard
Standard - Formula Acup Protocol
Other: I. Standard
Standard Acup point protocol for treating nausea
Experimental: 2. Individualized
Individualized Acup protocol based on TCM diagnosis
Other: 2. Individualized
Acup
Sham Comparator: 3
(Control Group) Sham acupuncture
Other: 3
Sham Acup - Non-Active

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Men and women HIV positive or CDC AIDS diagnosed

- History of chronic nausea for three months or greater

- Experience an average of two or more episodes of nausea and/or who experience an average duration of 2 hours or more (of nausea) per day

- Verification from Primary provider of subject's: HIV status, knowledge of patient's nausea and their agreement that their patient is clinically suitable for the study.

- Individuals able to successfully complete a mini-mental status exam

- Individuals who understand and agree to complete daily symptom diaries for the duration of the study.

- Individuals taking antiretroviral combinations must have completed an initial 8 weeks of a stable regime (same drug(s), dose & frequency) prior to entry into the study.

- Individuals taking anti-emetic medications must be on a stable regime (same drug, dose & frequency) for at least fourteen days prior to entry into the study.

- Individuals on all other medications which may have nausea listed as a side effect must be on a stable regime (same drug(s), dose & frequency) for at least fourteen (14) days prior to entry in the study

Exclusion Criteria:

- Individuals with an acute medical condition, i.e. pneumocystis carinii pneumonia, tuberculosis and or other opportunistic infections or conditions that would require medical attention.

- Pregnant women

- Individuals receiving acupuncture currently and less than 6 months prior to enrollment.

- Individuals currently receiving other types of complementary therapies such as herbs, massage, acupressure wrist bands, reiki etc.

- Individuals with plans for travel, lifestyle change, or other activity that would preclude attending all of the planned study sessions and/or recording daily diary information.

结果

主要结果指标

1. INVR - symptom diary Clinical Global Impression Scales [Baseline, treatment and follow-ups sessions]

次要成果指标

1. QOL scale MOS-SF-36 subscales [Baseline, treatment and follow-up session]

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