{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:29:22Z","timestamp":1787509762988,"version":"build-2736575974"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,11,13]],"date-time":"2019-11-13T00:00:00Z","timestamp":1573603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acupunct Med"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To test the acceptability and feasibility of self-administered acupressure as an intervention for knee pain among middle-aged and older adults with knee osteoarthritis (KOA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this pilot randomized controlled trial, 35 participants with KOA were randomized to receive self-administered acupressure (n\u2009=\u200917, two self-administered acupressure training sessions followed by self-practice for 6\u2009weeks) or knee health education (n\u2009=\u200918, two health education sessions about KOA management followed by self-care for 6\u2009weeks). Current pain intensity (primary outcome) was measured using a Numeric Rating Scale (NRS) at baseline and weeks 1, 2, 4 and 6 (post-intervention). Secondary outcome measures included worst and least pain intensity, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion (ROM) of the knee joints and Short-Form Six-Dimension (SF-6D) scores for health-related quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants in both groups attended all training sessions. In the self-administered acupressure group, all subjects mastered the acupressure technique and passed a consistency check. Both groups showed a decreasing trend in current knee pain intensity measured using NRS post-intervention. A medium between-group effect size (0.40) was found, but between-group differences were not statistically significant. The other secondary outcome measures were also comparable between both groups post-intervention (all p\u2009&gt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A two-session self-administered acupressure training was acceptable to and feasible in participants with KOA. The data generated allowed for calculation of a sample size for a definitive randomized controlled trial (RCT) to confirm whether self-acupressure is effective for pain management in KOA. Furthermore trials with adequate power and longer follow-up periods are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0964528419883269","type":"journal-article","created":{"date-parts":[[2019,11,13]],"date-time":"2019-11-13T07:54:36Z","timestamp":1573631676000},"page":"75-85","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Self-administered acupressure for knee osteoarthritis in middle-aged and older adults: a pilot randomized controlled trial"],"prefix":"10.1177","volume":"38","author":[{"given":"Denise Shuk Ting","family":"Cheung","sequence":"first","affiliation":[{"name":"School of Nursing, The University of Hong Kong, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wing-Fai","family":"Yeung","sequence":"additional","affiliation":[{"name":"School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorna Kwai-Ping","family":"Suen","sequence":"additional","affiliation":[{"name":"School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsz Chung","family":"Chong","sequence":"additional","affiliation":[{"name":"TriO Health Sports and Spine Centre Limited, Kowloon, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan-Shan","family":"Ho","sequence":"additional","affiliation":[{"name":"School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Branda Yee-Man","family":"Yu","sequence":"additional","affiliation":[{"name":"School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily Ying-Tung","family":"Chan","sequence":"additional","affiliation":[{"name":"School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai-Yong","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Chinese Medicine, The University of Hong Kong, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Xing","family":"Lao","sequence":"additional","affiliation":[{"name":"School of Chinese Medicine, The University of Hong Kong, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,11,13]]},"reference":[{"key":"bibr1-0964528419883269","author":"Kaplan W","year":"2013","journal-title":"Report, World Health Organization, 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