Feasibility of Implementing Acupuncture into a Federally Qualified Health Center to Alleviate Multiple Symptoms Among Breast Cancer Survivors Receiving Endocrine therapy

在联邦合格的健康中心实施针灸以减轻接受内分泌治疗的乳腺癌幸存者的多种症状的可行性

• 批准号: 10689313
• 负责人: Hongjin Li
• 金额: $ 27.98万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-23 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10689313
• 关键词: Acupuncture Therapy; Address; Adherence; Affect; Agreement; Anxiety; Arthralgia; Attention; Breast Cancer survivor; Cancer Survivor; Caring; Clinic; Complementary Health; Consolidated Framework for Implementation Research; Data; Diagnosis; Distress; Ensure; Evidence based intervention; Evidence based treatment; Face; Fatigue; Federally Qualified Health Center; Foundations; Goals; Health Insurance; Health Services Accessibility; Hormonal; Hot flushes; Income; Individual; Insurance Coverage; Integrative Medicine; Integrative Therapy; Intervention; Interview; Low Back Pain; Malignant Neoplasms; Measures; Medicaid; Medicare; Mental Depression; Mental Health; Methods; Neighborhoods; Oncology; Output; Pain; Participant; Patients; Persons; Polypharmacy; Primary Care; Privatization; Quality of life; Randomized; Randomized, Controlled Trials; Regimen; Reporting; Research; Risk; Services; Site; Sleep disturbances; Socioeconomic Status; Structure; Surveys; Symptoms; Tamoxifen; Testing; Transportation; Treatment Efficacy; United States; Woman; Work; acceptability and feasibility; adjuvant endocrine therapy; anastrozole; associated symptom; barrier to care; chemotherapy; chronic pain management; common symptom; cost; effectiveness testing; effectiveness/implementation trial; efficacy evaluation; ethnic discrimination; evidence base; experience; feasibility testing; functional status; health care availability; health disparity; hormone therapy; implementation process; improved; malignant breast neoplasm; medically underserved; negative affect; primary outcome; racial discrimination; recruit; research study; satisfaction; side effect; social health determinants; stem; symptom cluster; symptom management; targeted therapy trials; treatment as usual; underserved community

PROJECT SUMMARY Nearly 94% of breast cancer survivors experience one or more symptoms during or after endocrine therapy. Joint pain, hot flashes, sleep disturbance, fatigue, depression, and anxiety are the most common concurrent symptoms, some of which can persist for 5 to 10 years. These symptoms negatively affect adherence to treatment and compromise people’s functional status, quality of life, and work functioning. Acupuncture is a single therapy with few side effects that holistically addresses multiple symptoms. The effect of acupuncture on multiple symptoms among breast cancer survivors receiving endocrine therapy has not been investigated. Further, implementation-focused acupuncture research focuses on privately insured clinic settings and ignores social determinants of health. There is an urgent need to remove barriers and ensure equal access to this evidence-based treatment among breast cancer survivors with limited access to acupuncture. Federally qualified health centers (FQHC) provide care to people who experience significant barriers to health care access. To date, limited data exist about the use of acupuncture among cancer survivors attending FQHCs. This research study has 2 aims: (1) to test the feasibility and acceptability of implementing acupuncture within an FQHC oncology clinic as a way to manage multiple symptoms (pain, hot flashes, fatigue, sleep disturbance, depression, anxiety) among breast cancer survivors receiving endocrine therapy, and (2) to use a mixed methods approach to identify barriers and facilitators associated with the implementation of acupuncture within an FQHC. The long-term goal is to facilitate the widespread implementation, dissemination, and sustained utilization of acupuncture for symptom management among medically underserved breast cancer survivors receiving endocrine therapy in FQHCs nationwide, and ultimately to promote broader insurance coverage for acupuncture. The proposed research is significant because of its potential to ensure equal access acupuncture, an evidence-based intervention. Results will provide the foundation for a larger multi-site hybrid effectiveness-implementation trial of integrating acupuncture into services provided at FQHCs for breast cancer survivors.

项目概要 近 94% 的乳腺癌幸存者在内分泌治疗期间或之后会出现一种或多种症状。 关节疼痛、潮热、睡眠障碍、疲劳、抑郁和焦虑是最常见的并发症状 症状，其中一些可持续 5 至 10 年，这些症状会对依从性产生负面影响。 针灸治疗并损害人们的功能状态、生活质量和工作功能。 单一疗法副作用少，可整体解决多种症状。 尚未对接受内分泌治疗的乳腺癌幸存者的多种症状进行调查。 此外，以实施为重点的针灸研究侧重于私人保险诊所环境和 忽视健康的社会决定因素 迫切需要消除障碍并确保健康。 机会有限的乳腺癌幸存者平等获得这种循证治疗 联邦合格的健康中心 (FQHC) 为有严重症状的人提供护理。 迄今为止，有关针灸治疗癌症的数据有限。 参加 FQHC 的幸存者这项研究有 2 个目的：(1) 测试可行性和可接受性。 在 FQHC 肿瘤诊所内实施针灸治疗多种症状（疼痛、热 接受内分泌治疗的乳腺癌幸存者中出现闪光、疲劳、睡眠障碍、抑郁、焦虑等症状 治疗，以及（2）使用混合方法来识别与治疗相关的障碍和促进因素 在 FQHC 内实施针灸疗法的长期目标是促进广泛普及。 针灸治疗症状的实施、传播和持续利用 医疗服务不足的乳腺癌幸存者在全国 FQHC 接受内分泌治疗，以及 最终促进更广泛的针灸保险覆盖范围。拟议的研究意义重大。 由于其具有确保平等获得针灸的潜力，基于证据的干预措施将产生结果。 为更大规模的多站点混合有效性实施整合试验提供基础 将针灸纳入 FQHC 为乳腺癌幸存者提供的服务。

项目成果

Feasibility of implementing acupuncture in medically underserved breast cancer survivors (FAB): A protocol.

在医疗服务不足的乳腺癌幸存者（FAB）中实施针灸的可行性：一项方案。

• 发表时间: 2024-01
• 影响因子: 2.2
• 作者: Li, Hongjin;Schlaeger, Judith M;Patil, Crystal L;Danciu, Oana;Chen, Zhengjia;Lif, Natalie;Gao, Shuang;Doorenbos, Ardith Z
• 通讯作者: Doorenbos, Ardith Z