[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100606704":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":34,"centralContacts":38,"locations":47,"responsibleParty":104,"collaborators":30,"id":107,"slug":30,"hasResults":108,"nctId":109,"briefTitle":110,"officialTitle":111,"acronym":30,"eligibilityCriteria":112,"healthyVolunteers":108,"sex":113,"minAge":114,"maxAge":115,"enrollmentInfo":116,"targetDuration":30,"studyType":119,"phases":120,"briefSummary":122,"conditions":123,"keywords":128,"overallStatus":50,"whyStopped":30,"lastUpdateSubmitDate":134,"lastUpdatePostDateStruct":135,"startDateStruct":138,"completionDateStruct":140,"leadSponsor":142,"locationsCount":143},{"fullName":5,"class":6},"The University of Texas Health Science Center, Houston","OTHER",[8,14,18],{"label":9,"type":10,"description":11,"interventionNames":12},"Remote APA-SM Training","EXPERIMENTAL","APA-SM self-guided with remote training",[13],"Behavioral: Auricular Point Acupressure (APA) - Self Management (SM)",{"label":15,"type":10,"description":16,"interventionNames":17},"In-person APA-SM Training","APA-SM with in-person training",[13],{"label":19,"type":20,"description":21,"interventionNames":22},"Pain Education","ACTIVE_COMPARATOR","Education Control",[23],"Behavioral: Education Control",[25,31],{"type":26,"name":27,"description":28,"armGroupLabels":29,"otherNames":30},"BEHAVIORAL","Auricular Point Acupressure (APA) - Self Management (SM)","APA is a noninvasive and needle-free pain management therapy based on the principles of acupuncture. The APA-SM intervention program is aimed to manage chronic musculoskeletal pain leveraging a mobile app containing APA videos and remote vs in-person guidance or coaching to practice APA based on APA study assignment.",[15,9],null,{"type":26,"name":21,"description":32,"armGroupLabels":33,"otherNames":30},"Education Control group receive an app but the content will be specific to pain and self-management (no APA content) and they practice pain self-management skills (no APA practice).",[19],[35],{"name":36,"affiliation":5,"role":37},"Jennifer Kawi, PhD, MSN, FNP-BC, CNE, FAAN","PRINCIPAL_INVESTIGATOR",[39,43],{"name":36,"role":40,"phone":41,"phoneExt":30,"email":42},"CONTACT","713-500-2293","Jennifer.Kawi@uth.tmc.edu",{"name":44,"role":40,"phone":45,"phoneExt":30,"email":46},"Jungkyung Min, PhD, MS, RN","979-450-2091","Jungkyung.Min@uth.tmc.edu",[48,69,89],{"facility":49,"status":50,"city":51,"state":52,"zip":53,"country":54,"cosmosGeoPoint":55,"geoPoint":60,"contacts":61},"University of South Carolina","RECRUITING","Columbia","South Carolina","29208","United States",{"type":56,"coordinates":57},"Point",[58,59],-81.03481,34.00071,{"lat":59,"lon":58},[62,65],{"name":63,"role":40,"phone":41,"phoneExt":30,"email":64},"Jennifer Kawi, PhD, MSN, FNP-BC, FAAN","jennifer.kawi@uth.tmc.edu",{"name":66,"role":40,"phone":67,"phoneExt":30,"email":68},"Sarah Pace, PhD","803-220-5294","PACE3@email.sc.edu",{"facility":70,"status":71,"city":72,"state":73,"zip":74,"country":54,"cosmosGeoPoint":75,"geoPoint":79,"contacts":80},"University of North Texas Health Science Center at Fort Worth","NOT_YET_RECRUITING","Fort Worth","Texas","76107",{"type":56,"coordinates":76},[77,78],-97.32085,32.72541,{"lat":78,"lon":77},[81,85],{"name":82,"role":40,"phone":83,"phoneExt":30,"email":84},"Jane Bolin, PhD, JD, BSN","979-571-6536","Jane.Bolin@unthsc.edu",{"name":86,"role":40,"phone":87,"phoneExt":30,"email":88},"Tonychris Nnaka, PhD, MPH, RN, CPH","817-735-5877","tonychris.nnaka@unthsc.edu",{"facility":90,"status":71,"city":91,"state":73,"zip":92,"country":54,"cosmosGeoPoint":93,"geoPoint":97,"contacts":98},"The University of Texas Health science Center at Houston","Houston","77030",{"type":56,"coordinates":94},[95,96],-95.36327,29.76328,{"lat":96,"lon":95},[99,101,103],{"name":36,"role":40,"phone":100,"phoneExt":30,"email":42},"702-544-8426",{"name":44,"role":40,"phone":102,"phoneExt":30,"email":46},"9794502091",{"name":36,"role":37,"phone":30,"phoneExt":30,"email":30},{"type":37,"investigatorFullName":105,"investigatorTitle":106,"investigatorAffiliation":5,"oldNameTitle":30,"oldOrganization":30},"Jennifer Kawi","Distinguished Professor","100606704",false,"NCT07179016","Evaluating the Auricular Point Acupressure-Self Management Program for Chronic Musculoskeletal Pain Among Rural Populations","A Pragmatic, Randomized Controlled Trial of a Auricular Point Acupressure - Self-Management (APA-SM) Program for Chronic Musculoskeletal Pain Among Rural Populations.","Inclusion Criteria:\n\n* Receive any pain management for CMP (neck, back, shoulder, hands, hips, knees, feet)\n* Have CMP ≥ 4 on a scale of 0-10 that has persisted for at least 3 months or has resulted in pain on at least half the days in the past 6 months\n\nExclusion Criteria:\n\n* Severe ear skin disorder (Diagnosed with conditions e.g., eczema, lupus with skin involvement) which often require medical intervention and severe allergy to tape\n* Inability or unwillingness to provide informed consent\n* Use of some type of hearing aid where size may obstruct seed placement\n* Not living in rural area","ALL","18 Years","85 Years",{"count":117,"type":118},693,"ESTIMATED","INTERVENTIONAL",[121],"NA","The investigators will test an Auricular Point Acupressure Self-Management (APA-SM) program integrated into rural primary and specialty care and rural communities for chronic musculoskeletal pain (CMP). To maximize self-management of pain, the investigators developed a smartphone app which will allow the participants to learn to self-administer APA. The investigators will have 3 arms (APA-SM self-guided with remote training, APA-SM with in-person training, and Education Control) with 231 participants per arm (total=693 for 3 arms). The investigators will evaluate the clinical effectiveness of our 4-week APA-SM intervention compared to control in primary outcomes (pain intensity, pain interference, activity), secondary outcomes (HEAL Clinical Pain Core common data elements), and analgesic use up to 6 months follow-up.",[124,125,126,127],"Chronic Pain (Back \u002F Neck)","Chronic Pain Management","Chronic Knee Pain","Joint Pain",[129,130,131,132,133],"Chronic Pain","Rural population","Self-management","Chronic musculoskeletal pain","Auricular point acupressure","2025-09-24",{"date":136,"type":137},"2025-10-01","ACTUAL",{"date":139,"type":137},"2025-09-11",{"date":141,"type":118},"2029-08-31",{"name":5,"class":6},3]