{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T01:54:11Z","timestamp":1781920451679,"version":"3.54.5"},"reference-count":68,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,12,10]],"date-time":"2018-12-10T00:00:00Z","timestamp":1544400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>This integrative review aimed to synthesize studies that investigated the effects of acupressure on sleep quality, depression, anxiety, and agitation in older people, and to describe the acupressure procedures and techniques applied in the included studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A literature search was conducted using electronic databases including CINAHL, Cochrane Library, EMBASE, and MEDLINE. The inclusion criteria for the review were studies examining the effect of acupressure in older people aged 60\u00a0years and above, measured the outcomes for sleep quality, depression, anxiety or agitation, applied body acupressure, and published in English language. The exclusion criteria were studies using auricular acupoints only, and articles published in any language other than English. Methodological quality of studies was assessed using the critical appraised tools developed by the Joanna Briggs Institute. The information about study design, findings, and description of acupressure intervention were extracted, summarized, and synthesized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 255 articles were identified from the search and as well one article from cross\u2010references. From there, a total of 19 studies were included in this review. Nine studies consistently showed positive effects of acupressure on sleep quality, and four studies consistently showed that acupressure reduced depression. The outcomes of acupressure on anxiety and agitation showed inconsistent findings, in which three studies measured anxiety and five studies measured agitation. There was also variation of acupressure techniques applied in the reviewed studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This review found some emerging evidences that acupressure can be beneficial for older people who suffer from sleep problems and depression. Use of specific acupressure points, with standardized acupressure treatment protocols, may improve sleep quality and possibly psychological wellbeing of older people. Future research with well\u2010designed mixed method studies are required to produce stronger evidence, as well as in\u2010depth understanding of acupressure intervention in aged care context.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.5031","type":"journal-article","created":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T12:18:59Z","timestamp":1542284339000},"page":"381-396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["An integrative review of acupressure interventions for older people: A focus on sleep quality, depression, anxiety, and agitation"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7290-5330","authenticated-orcid":false,"given":"Nant Thin Thin","family":"Hmwe","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery The University of Newcastle  NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2549-0814","authenticated-orcid":false,"given":"Graeme","family":"Browne","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery The University of Newcastle  NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8390-0658","authenticated-orcid":false,"given":"Lyndall","family":"Mollart","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery The University of Newcastle  NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viv","family":"Allanson","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery The University of Newcastle  NSW Australia"},{"name":"Maroba Caring Communities  Waratah NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5484-4645","authenticated-orcid":false,"given":"Sally Wai\u2010Chi","family":"Chan","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery The University of Newcastle  NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2011.03.003"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2012.05.014"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1742395307081504"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsmc.2016.10.008"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2015.07.010"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/28.11.1457"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2007.10.016"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104161021200107X"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2012.12.016"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2009.05.025"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2016.05.015"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurger.2015.07.010"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607860600638511"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1722"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1766"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2007.08.002"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2010.04.001"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6882-11-88"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/HNP.0000000000000165"},{"key":"e_1_2_10_21_1","first-page":"22","article-title":"Acupressure effect on sleep quality: a systematic review and meta\u2010analysis","volume":"22","author":"Waits A","year":"2016","journal-title":"Sleep Med Rev"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.9769\/EPJ.2009.1.1.JRL"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20151218-01"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03576.x"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000475290.20362.77"},{"key":"e_1_2_10_26_1","volume-title":"Complementary and Alternative Therapies in Nursing","author":"Weiss\u2010Farnan P","year":"2010"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.28048"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.01.007"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2014.11.002"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02886.x"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2006.5342"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_10_33_1","unstructured":"TufanaruC MunnZ AromatarisE CampbellJ HoppL.Systematic reviews of effectiveness. In: Aromataris E Munn Z eds. Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute;2017."},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14729"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0b013e3182781524"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/54.8.M389"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2009.07.003"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.12.003"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21738"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-014-0244-9"},{"key":"e_1_2_10_41_1","first-page":"1","article-title":"Acupressure for frail older people in community dwellings\u2014a randomised controlled trial","author":"Chan CWC","year":"2017","journal-title":"Age Ageing"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11726-015-0845-7"},{"issue":"4","key":"e_1_2_10_43_1","first-page":"399","article-title":"The effects of acupressure in older adults with chronic knee pain: depression, pain, activities of daily living and mobility","volume":"3","author":"Tse M","year":"2010","journal-title":"J Pain Manage"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2006.01428.x"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02271.x"},{"issue":"1","key":"e_1_2_10_46_1","first-page":"1","article-title":"Comparison of the efficacy of aroma\u2010acupressure and aromatherapy for the treatment of dementia\u2010associated agitation","volume":"15","author":"Yang MH","year":"2015","journal-title":"BMC Altern Med"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2016.0062"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1159\/000478739"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2011.04.005"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glr172"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(00)00095-7"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00604-9"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2014.12.007"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(82)90033-4"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470479216.corpsy0943"},{"key":"e_1_2_10_58_1","unstructured":"Cohen\u2010MansfieldJ.Instruction manual for the Cohen\u2010Mansfield agitation inventory(CMAI). Research Institute of the Hebrew Home of Greater Washington.1991."},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0132989"},{"key":"e_1_2_10_60_1","volume-title":"Acupressure massage: Tuina Chinese massage techniques","author":"Gach MR","year":"2014"},{"key":"e_1_2_10_61_1","unstructured":"KolsterBC WaskowiakA.The Acupressure Atlas. Healing Arts Press;2007."},{"key":"e_1_2_10_62_1","unstructured":"GachMR HenningBA.Acupressure for Emotional Healing: a Self\u2010Care Guide for Trauma Stress & Common Emotional Imbalances. Bantam;2004."},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.1089\/107555303322524517"},{"key":"e_1_2_10_64_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2017\/7570352","article-title":"The SIESTA trial: a randomized study investigating the efficacy, safety, and tolerability of acupressure versus sham therapy for improving sleep quality in patients with end\u2010stage kidney disease on hemodialysis","author":"Shen K","year":"2017","journal-title":"Evid Based Complement Alternat Med"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2008.04.002"},{"key":"e_1_2_10_66_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2016.0016"},{"key":"e_1_2_10_67_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-1208.82352"},{"issue":"2","key":"e_1_2_10_68_1","first-page":"132","article-title":"Eliminating bias in randomized controlled trials: importance of allocation concealment and masking","volume":"39","author":"Viera AJ","year":"2007","journal-title":"Fam Med"},{"key":"e_1_2_10_69_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-3485.83221"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fgps.5031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.5031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/gps.5031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.5031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T11:42:59Z","timestamp":1694000579000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.5031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,10]]},"references-count":68,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1002\/gps.5031"],"URL":"https:\/\/doi.org\/10.1002\/gps.5031","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,10]]},"assertion":[{"value":"2018-06-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}