Efficacy of Wrist Acupressure Band on Sleep Quality in Medical Trainees

Официальное название

Efficacy of Wrist Acupressure Band on Sleep Quality in Medical Trainees: A Single-Blinded Cross-Over Randomized Clinical Trial

Обзор

Background: Medical trainees frequently experience sleep disturbances, with shift work being a major contributing factor impacting their performance and overall wellbeing. Traditional treatments for sleep disorders often involve medications and hypnotics with potential side effects, highlighting the need for alternative strategies. Acupressure, particularly at the P6 (Neiguan) point, has shown promise in improving sleep and reducing anxiety. Objective: This study aimed to evaluate the efficacy of wristband acupressure applied to the P6 point in improving sleep quality, anxiety levels, and overall well-being among medical trainees. Methods: A single-blinded, cross-over randomized controlled trial was conducted at the American University of Beirut Medical Center (AUBMC), involving 10 medical trainees. Participants were randomized in blocks to either the intervention group, receiving wristband acupressure at the P6 point, or the control group, receiving acupressure at a sham point. Standardized, validated questionnaires were used to assess sleep quality (PSQI), anxiety (GAD-7), and well-being (WHO-5) before and after each intervention period. Ethical approval was obtained from the Institutional Review Board, and participant confidentiality was maintained

Вмешательства

• Устройство Wrist band acupressure application to P6 point
  The intervention group received standardized instructions for applying the wristband to the P6 acupressure point on their wrist, with daily application scheduled from 8 pm to 8 am. Those who have night shifts will be asked to apply the wrist band for 12 hours after the end of their shift the intervention was applied for 30 days. At the end of the first phase the participants will be asked to avoid applying the wrist band for 7 days, to allow a washout period before crossing over.
• Устройство Wrist band acupressure application to sham point
  the control group will receive standardized instructions to apply the wristband to a sham point, with daily application from 8 pm to 8 am. Those who have night shifts will be asked to apply the wrist band for 12 hours after the end of their shift. This will occur for 30 days. At the end of the first phase the participants will be asked to avoid applying the wrist band for 7 days, to allow a washout period before crossing over.

Первичные конечные точки

• Pittsburgh Sleep Quality Index [Срок оценки: 1 month]

Вторичные конечные точки (2)

• Generalized Anxiety Disorder-7 [Срок оценки: 1 month]
• World Health Organization Well-Being Index (WHO-5) [Срок оценки: 1 month]

Критерии участия

Критерии включения

Residents, Fellows and Med-4 students at AUB.

Критерии исключения

• Being enrolled in another sleep study
• Currently on Sleep Medications: Benzodiazepines, antihistamines, muscle relaxants, magnesium supplements, herbal supplements that help with sleep including Chamomile, Ashwaghanda and Melatonin
• Daily alcohol consumers

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Перекрёстный дизайн

Маскирование

Простое слепое

Основная цель

Оценка устройства

Центры проведения

Ливан · 1 центр

• American university of Beirut — Beirut

Идентификаторы

NCT: NCT06978855 · SBS-2024-0323

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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