{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:44:45Z","timestamp":1791567885308,"version":"4.3.4"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006156","name":"Sidney Kimmel Foundation for Cancer Research","doi-asserted-by":"publisher","award":["Jennifer Brager Humanitarian Award"],"award-info":[{"award-number":["Jennifer Brager Humanitarian Award"]}],"id":[{"id":"10.13039\/100006156","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017062","name":"Johns Hopkins Hospital","doi-asserted-by":"publisher","award":["Under Armour Women's Health and Beast Cancer Innov"],"award-info":[{"award-number":["Under Armour Women's Health and Beast Cancer Innov"]}],"id":[{"id":"10.13039\/100017062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Integr Cancer Ther"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The study aimed to (1) examine the feasibility of providing a training course on auricular point acupressure (APA) for clinical oncology nurses to integrate APA into real-world nursing care settings, and (2) examine the effectiveness of APA on cancer-related pain (CRP) under usual inpatient oncology ward conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a 2-phase feasibility study. Phase 1, an in-person, 8\u2009hour training program was provided to oncology nurses. Phase 2, a prospective and feasibility study was conducted to evaluate the integration of APA into nursing care activities to manage CRP. Oncology patients were included if their pain was rated at \u22654 on a 0 to 10 numeric rating scale in the past 24\u2009hours. Patients received 1 APA treatment administered by the nurses and were instructed to stimulate the points for 3\u2009days. Study outcomes (pain intensity, fatigue, and sleep disturbance), pain medication use, and APA practice were measured by a phone survey daily.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ten oncology nurses received APA training in phase 1. APA had been added to the hospital\u2019s electronic health records (EHRs) as a pain treatment. In phase 2, 33 oncology patients received APA treatment with a 100% adherence rate (pressing the seeds 3 times per day, 3\u2009minutes per time based on the suggestion). The side effects of APA were minimal (~8%-12% felt tenderness on the ear). After 3\u2009days of APA, patients reported 38% pain relief, 39% less fatigue, and 45% improvement in sleep disturbance; 24% reduced any type of pain medication use and 19% reduced opioid use (10\u2009mg opioids using milligram morphine equivalent). The major barrier to integrating APA into routine nursing practice was time management (how to include APA in a daily workflow).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It is feasible to provide 8-hour training to oncology nurses for mastering APA skill and then integrating APA into their daily nursing care for patients with CRP. Based on the promising findings (decreased pain, improved fatigue and sleep disturbance, and less opioid use), the next step is to conduct a randomized clinical trial with a larger sample to confirm the efficacy of APA for oncology nurses to treat CRP in real-world practice. ClinicalTrial.gov identifier number: NCT04040140.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15347354231198086","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T12:17:44Z","timestamp":1694693864000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain"],"prefix":"10.1177","volume":"22","author":[{"given":"Barb","family":"Van de Castle","sequence":"first","affiliation":[{"name":"University of Maryland School of Nursing, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3820-1812","authenticated-orcid":false,"given":"Nada","family":"Lukkahatai","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BSN Lynn","family":"Billing","sequence":"additional","affiliation":[{"name":"Johns Hopkins Hospital, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinran","family":"Huang","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hulin","family":"Wu","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salahadin","family":"Abdi","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Kameoka","sequence":"additional","affiliation":[{"name":"Waseda University, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J.","family":"Smith","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,14]]},"reference":[{"key":"bibr1-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-021-01148-0"},{"key":"bibr2-15347354231198086","doi-asserted-by":"publisher","DOI":"10.5888\/pcd17.190367"},{"key":"bibr3-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-81526-4_1"},{"key":"bibr4-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32450"},{"key":"bibr5-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.0979"},{"key":"bibr6-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1200\/jop.2012.000698"},{"key":"bibr7-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2016.68.5206"},{"key":"bibr8-15347354231198086","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21397"},{"key":"bibr9-15347354231198086","unstructured":"National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology (NCCN guidelines): adult cancer pain verion 1. 2020. Accessed November 20, 2020. https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/pain.pdf"},{"key":"bibr10-15347354231198086","volume-title":"AHRQ Comparative Effectiveness Reviews. Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update","author":"Skelly AC","year":"2020"},{"key":"bibr11-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5673-2"},{"key":"bibr12-15347354231198086","unstructured":"Centers for Medicare and Medicaid Services. Decision memo for acupuncture for chronic low back pain (CAG-00452N). 2023. https:\/\/www.cms.gov\/medicare-coverage-database\/details\/nca-decision-memo.aspx?NCAId=295"},{"key":"bibr13-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2014.1035"},{"key":"bibr14-15347354231198086","volume-title":"Auriculotherapy Manual: Chinese and Western Systems of Ear Acupuncture","author":"Oleson T.","year":"2014","edition":"4"},{"key":"bibr15-15347354231198086","volume-title":"Handbook to Auriculotherapy","author":"Nogier P.","year":"1981","edition":"1"},{"key":"bibr16-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usy028"},{"key":"bibr17-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1136\/acupmed-2016-011106"},{"key":"bibr18-15347354231198086","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2018.02.170381"},{"key":"bibr19-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1188\/17.ONF.476-487"},{"key":"bibr20-15347354231198086","first-page":"199","volume":"4","author":"Yeh CH","year":"2015","journal-title":"J Pain Relief"},{"key":"bibr21-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2013.1006"},{"key":"bibr22-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2014.1026"},{"key":"bibr23-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1007\/s11655-019-3063-1"},{"key":"bibr24-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/1618767"},{"key":"bibr25-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1097\/hnp.0000000000000457"},{"key":"bibr26-15347354231198086","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20031705"},{"key":"bibr27-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1177\/2164956120906092"},{"key":"bibr28-15347354231198086","first-page":"1","volume":"2015","author":"Lin WC","year":"2015","journal-title":"Evid Based Complement Alternat Med"},{"key":"bibr29-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2019.04.004"},{"key":"bibr30-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2022.11.004"},{"key":"bibr31-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2017.08.005"},{"key":"bibr32-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-04829-7"},{"key":"bibr33-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1097\/00006223-199301000-00004"},{"key":"bibr34-15347354231198086","first-page":"129","volume":"23","author":"Cleeland CS","year":"1994","journal-title":"Ann Acad Med Singap"},{"key":"bibr35-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1464"},{"key":"bibr36-15347354231198086","volume-title":"Qualitative Data Analysis: An Expanded Sourcebook","author":"Miles MB","year":"1994","edition":"2"},{"key":"bibr37-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7156"},{"key":"bibr38-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2018-001533"},{"key":"bibr39-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4883"},{"key":"bibr40-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2021.106287"},{"key":"bibr41-15347354231198086","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21453"},{"key":"bibr42-15347354231198086","doi-asserted-by":"publisher","DOI":"10.1097\/ppo.0000000000000399"}],"container-title":["Integrative Cancer Therapies"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15347354231198086","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15347354231198086","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15347354231198086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:17:07Z","timestamp":1777454227000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15347354231198086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":42,"alternative-id":["10.1177\/15347354231198086"],"URL":"https:\/\/doi.org\/10.1177\/15347354231198086","relation":{},"ISSN":["1534-7354","1552-695X"],"issn-type":[{"value":"1534-7354","type":"print"},{"value":"1552-695X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"15347354231198086"}}