Acceptability of an Acupuncture Intervention in Painful Elderly

Study Overview
=================
Brief Summary
-----------------
The aim is to investigate the feasibility and efficacy of an acupuncture intervention on persistent MusculoSkeletar pain in a long-term geriatric hospital care ward population. The main issue is the acceptability of this type of complementary and alternative medicine in older people, although the efficacy on pain is assessed too.

Detailed Description
-----------------
The first 60 patients wanting to participate are enrolled. For the impaired patients, family or legal representing is solicited. The Regional Ethic Committee agreement was granted. The intervention consists in 8 acupuncture sessions. Evaluation Acceptability : the proportion of patients who complete the whole treatment ; the acceptability at each acupuncture session is recorded. Pain : Dolorous Scale . The evaluation is based on pre and post treatment variations. As a high proportion of patients have cognitive impairment, the behavioural pain scale dolorous has been chosen after staffs training for all patients, although extra  auto evaluation is used when possible (EVS). Evaluation takes place after 5 sessions and after the end of the intervention as well as 2 and 4 weeks after the interventionProfessional carers' satisfaction is recorded.

Official Title
-----------------
Acceptability of a Strategy Including Acupuncture in the Treatment of MusculoSkeletal Pain in Hospitalised Elderly

Conditions
-----------------
Chronic Pain

Intervention / Treatment
-----------------
* Other: Acupuncture


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: age > 60 years chronic musculoskeletal pain follow up 10 weeks patient or legal representative's agreement to participate and to the informatics treatment of the data Exclusion Criteria: acute pain exclusive neurological pain coagulation disorders or anticoagulant curative treatment

Ages Eligible for Study
-----------------
Minimum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Acupuncture<br>Acupuncture in the Treatment of MUSCULOSKELETAR Pain in Hospitalised Elderly | Other: Acupuncture<br>* Acupuncture in the Treatment of MUSCULOSKELETAR Pain in Hospitalised Elderly<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Taux acceptability of the totality of treatment |  | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participation rate |  | every visit | 
| Motives behind the acceptance or rejection |  | at Visit 0 to 8 | 
| Pain decrease assessment : DOLOPLUS score (observer-assessed evaluation of pain) before/ater intervention, for all the patients Simple descriptive pain intensity scale (VS) (self assessment evaluation of pain) for communicative patients |  | at Visit 0, 6, 9, 10 and 11 | 
| Pain therapeutic's decrease |  | every visit | 
| Patient's benefit - Carers satisfaction (questionnaire) |  | at Visit 0,6, 9, 10 and 11 | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Acupuncture, Chronic Pain > 3 months, Acceptability, Geriatrics