Electro-acupuncture (EA) and Chronic Pelvic Pain (CPP)

NCT ID: NCT02295111

Last Updated: 2015-11-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2015-07-31

Brief Summary

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Chronic pelvic pain (CPP) is a debilitating condition that affects over 1 million women in the United Kingdom. The annual healthcare costs are estimated at over £150 million. Proven interventions which include the use of analgesics or hormonal treatments are unsatisfactory in many cases.

The investigators believe that the meridian balance method (BM) electro-acupuncture (EA) treatment (which includes a Traditional Chinese Medicine Health Consultation \[TCM HC\]) may be helpful in the management of CPP. Studies on the mechanisms of EA have demonstrated an analgesic effect. A recent individual patient data meta-analysis on the use of acupuncture for four chronic pain conditions found a small statistically significant effect size when compared to sham acupuncture. The effect size was larger and statistically significant when compared to usual care controls. This meta-analysis, and other large studies, suggests that, in addition to this analgesic effect, the interaction between the patient and the healthcare provider also plays a role in its effect on painful symptoms.

Our hypothesis is that the meridian BMEA treatment alleviates pain, and improves physical and emotional functioning, in women with CPP.

The investigators plan to undertake a single centre pilot study to assess the feasibility of performing a future three-armed randomised controlled, parallel group design trial to determine the efficacy of the meridian balance method electro-acupuncture (BMEA) treatment in the management of women with CPP.

The primary objective is to determine whether it is possible to achieve acceptable recruitment and retention rates within defined inclusion/exclusion criteria.

The secondary objectives are to determine the effectiveness and acceptability to patients of the proposed methods of recruitment, randomisation, interventions and assessment tools.

The investigators aim to recruit 30 women with CPP in NHS Lothian over a 12-month period and randomise them to BMEA treatment, TCM HC or standard care (SC). Response to the intervention will be monitored by validated pain, physical and emotional functioning questionnaires at weeks 0 (baseline), 4 (end of study) 8 and 12. Focus group discussion to gain feedback on study experience will be conducted at the completion of the study.

Detailed Description

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Conditions

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Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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EA treatment and TCM health consult

Participants randomized to the EA treatment will receive 2 EA +TCM health consult once a week x 4 weeks (8 total)

Group Type ACTIVE_COMPARATOR

EA treatment

Intervention Type DEVICE

Electro acupuncture and traditional Chinese Medicine Health consult

TCM health consult

Participants randomized to TCM health consult will receive 2 TCM health consult once a week x 4 weeks ( 8 total)

Group Type EXPERIMENTAL

TCM health consult

Intervention Type BEHAVIORAL

Traditional Chinese Medicine Health Consult without needling

Usual care

Participants randomized to usual care will continue with their usual care

Group Type ACTIVE_COMPARATOR

Usual Care

Intervention Type OTHER

Standard NHS care

Interventions

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EA treatment

Electro acupuncture and traditional Chinese Medicine Health consult

Intervention Type DEVICE

TCM health consult

Traditional Chinese Medicine Health Consult without needling

Intervention Type BEHAVIORAL

Usual Care

Standard NHS care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Chronic pelvic pain longer than 6 months duration
* Average numerical pain score of at least 4 out of 10 in the previous week
* Able and willing to comply with intervention
* Women aged 18 and above

Exclusion Criteria

* Pregnancy
* Malignancy
* Severe bleeding disorders (e.g. Type 2, 3 Von Willebrand disease)
* Severe needle phobia
* Taking anti-coagulants
* A history of seizure
* A pace-maker in situ
* Moderate to severe psychiatric illness (currently under the care of a psychiatrist)
* Had received electro-acupuncture and meridian balanced method within the last 6 months
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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NHS Lothian

OTHER_GOV

Sponsor Role collaborator

University of Edinburgh

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marie Fallon, MD PhD

Role: PRINCIPAL_INVESTIGATOR

University of University

Locations

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Ooi Thye Chong

Edinburgh, City of Edinburgh, United Kingdom

Site Status

Countries

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United Kingdom

References

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Chong OT, Critchley HO, Horne AW, Elton R, Haraldsdottir E, Fallon M. The BMEA study: the impact of meridian balanced method electroacupuncture on women with chronic pelvic pain-a three-arm randomised controlled pilot study using a mixed-methods approach. BMJ Open. 2015 Nov 17;5(11):e008621. doi: 10.1136/bmjopen-2015-008621.

Reference Type DERIVED
PMID: 26576808 (View on PubMed)

Other Identifiers

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14/SS/1022

Identifier Type: -

Identifier Source: org_study_id

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