Objectives: Evaluate a digital health intervention using Auricular Point Acupressure (APA) for chronic musculoskeletal pain in terms of participant retention, adherence, acceptability, and satisfaction. Chronic musculoskeletal pain is a global concern and there are persistent challenges in pain management. Despite the value of digital health interventions, these interventions need to be fully evaluated for feasibility.
Methods: We conducted a 3-group, longitudinal, randomized controlled trial (RCT). After Institutional Review Board approval, we posted recruitment flyers in a university, healthcare clinics, and community settings. Participants were randomized into an in-person + app group (n = 8), virtual + app group (n = 7), and a wait-list, education-enhanced control group (n = 8), evaluating our outcomes using standard feasibility measures. The 4-week intervention consisted of virtual sessions, telecommunications, and our APA app, followed by a 3-month follow-up.
Results: Data from 22 participants were subsequently analyzed (95.7%). All app participants adhered to the study protocol and used APA at the minimum recommended frequency and duration. The virtual + app group used APA more during the intervention and follow-up periods. All app participants found the intervention to be acceptable and at least 80% overall were satisfied with APA at the 3-month follow-up. There were no adverse events reported.
Conclusions: Our digital health intervention was found to be acceptable and sustainable; participants adhered to and were satisfied with the intervention providing support for a larger RCT.
Clinical Trial: #: NCT05020470.
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http://dx.doi.org/10.1016/j.ctim.2024.103030 | DOI Listing |
Am J Med Genet B Neuropsychiatr Genet
January 2025
Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Externalizing traits and behaviors are broadly defined by impairments in self-regulation and impulse control that typically begin in childhood and adolescence. Externalizing behaviors, traits, and symptoms span a range of traditional psychiatric diagnostic categories. In this study, we sought to generate an algorithm that could reliably identify transdiagnostic childhood-onset externalizing cases and controls within a university hospital electronic health record (EHR) database.
View Article and Find Full Text PDFCancer Med
January 2025
College of Health Sciences, University of Bordeaux, Bordeaux, France.
Background: Prostate cancer is an example of the undervaluation of clinical examinations in care of patients. After external radiotherapy, cancer recurrence is primarily determined biologically by measuring prostate-specific antigen concentration. Consequently, there is no systematic requirement for the digital rectal examination (DRE).
View Article and Find Full Text PDFImaging Sci Dent
December 2024
Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea.
Purpose: The study was performed to examine the error associated with image superimposition when computed tomography (CT) images of the dental region are substituted with dental scan data, according to the block-out material used in dental impressions.
Materials And Methods: A typodont model was created by bonding orthodontic brackets to teeth on plaster dental stones using melted dental base-plate wax. In the experiment, 2 groups were compared: one using wax and the other using putty as the block-out material to prevent tearing of the impression material during the acquisition of dental impressions.
Cureus
December 2024
Psychology, University of Bath, Bath, GBR.
Artificial intelligence (AI) and mixed reality (MR), within human-computer interaction (HCI), are rapidly redefining areas of healthcare by introducing new approaches to patient care and clinical education. This editorial explores how these technologies, through Extended Mind Theory, enhance mental health treatment and medical training. AI-powered virtual therapists, using natural language processing and predictive analytics, provide accessible, personalized mental health support, allowing for remote and immersive therapy.
View Article and Find Full Text PDFBackground: The mid-upper arm circumference (MUAC) is an anthropometric screening tool used to assess the nutritional status of individuals, offering a practical and feasible option in low-resource settings. However, the potential of MUAC as a screening tool for identifying thinness among adolescents remains underexplored.
Objective: This study aimed to evaluate the accuracy of MUAC in identifying all forms of thinness among adolescent girls enrolled in selected schools in Addis Ababa, Ethiopia.
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