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AnxietyNCT06128512

Auricular Acupuncture Efficacy for Medical Students' Examination Anxiety

A study testing Auricular acupuncture in people with Anxiety and Anxiety, Exam, run by University of Medicine and Pharmacy at Ho Chi Minh City at 1 site in Vietnam.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Anxiety is a natural human response when facing challenging circumstances or threats to oneself. It is highly prevalent, estimated to range from 3.8% to 25%. Anxiety significantly impacts daily life and the overall quality of life. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Anxiety, Anxiety, Exam
What is being tested?
Auricular acupuncture
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
1 siteVietnam
Study dates
15 Nov 2023to 28 Apr 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Medical students preparing to take an examination for a course experience anxiety with a STAI-Y1 score of 40 or higher.
  • Voluntary informed consent.

Who cannot join

  • Currently experiencing additional anxiety alongside the impending examination anxiety.
  • Using stimulants within 24 hours prior.
  • Recent use of any drugs impacting intervention outcomes including psychotropic medications, blood pressure, and heart rate-affecting medications.
  • History of alcohol or substance addiction.
  • History of cardiac and neuropsychiatric disorders.
  • Prior experience with auricular acupuncture.
Show all 11Show fewer
  • History of hypersensitivity reactions to any form of acupuncture with needles.
  • Existing injuries or lesions at the acupoints being investigated in this study.
  • Presence of severe medical conditions (e.g., cardiovascular, hepatic, renal, or others) that could potentially influence treatment outcomes as assessed by researchers.
  • Currently enrolled in another intervention study.
  • Pregnancy or lactating.

Trial locations and contacts

1 site in 1 country.

Vietnam1 site
  • Faculty of Traditional medicine, University of Medicine and Pharmacy at Ho Chi Minh City

    Ho Chi Minh City, 700000

Other trials in Vietnam

About this study

Official title: Evaluating the Efficacy of Auricular Acupuncture in Reducing Examination Anxiety Among Medical Students

Anxiety is a natural human response when facing challenging circumstances or threats to oneself. It is highly prevalent, estimated to range from 3.8% to 25%. Anxiety significantly impacts daily life and the overall quality of life. Of particular concern is the potential for anxiety to increase cardiovascular risk factors such as hypertension, a higher incidence of heart disease, and premature mortality.

Anxiety occurs in nearly everyone, but university students are particularly prone to experiencing anxiety and higher levels of mental stress compared to the general population. This trend is notably pronounced among medical students, a group with a significantly higher prevalence of anxiety that can reach as high as 90%. Multiple factors contribute to this anxiety and stress, notably the pressure of academic examinations.

Several studies suggest that acupuncture not only positively affects anxiety but also has fewer side effects compared to pharmacological treatments. Among these, a form of acupuncture known as auricular acupuncture (AA) is considered safe and has demonstrated effectiveness in reducing pre-surgical and dental anxiety. However, evidence supporting its effectiveness in reducing examination anxiety among medical students remains insufficient. Hence, in this study, we have designed a randomized controlled trial, including a placebo arm, to establish the efficacy and safety of AA in addressing this issue.

Read the detailed description

Medical students with examination anxiety, identified by a score equal to 40 or more on the STAI-Y1 scale, will be selected and randomly allocated into two groups: the intervention group (AA group) and the placebo group (Sham-AA), at a 1:1 allocation ratio.

The intervention will be carried out 24 hours before the examination and will be monitored until the students complete the test. In the AA group, AA devices will be utilized, while adhesive patches without needles will be used in the Sham-AA group.

Data regarding anxiety levels will be recorded through scores obtained from the STAI-Y1 questionnaire and VAS-100; heart rate, diastolic blood pressure, systolic blood pressure, examination scores, and adverse events will also be evaluated at various intervals.

Being tested
Auricular acupuncture, Sham Auricular acupuncture
Keywords
anxiety, examination anxiety, acupuncture, auricular acupuncture, traditional medicine
Medical subject headings
Anxiety Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Auricular acupunctureOther

    Auricular acupuncture is administered 24 hours before the examination using patches, each possessing a square shape with a side length of 10 mm, coupled with a sterilized needle measuring 0.25 x 1.3 mm. Four acupoints are selected on one ear, including the Master cerebral point, Tranquilizer point, Relaxation point, and Heart point (CO15). The patch containing the needle will remain in place until the student completes the examination.

  • Sham Auricular acupunctureOther

    Sham Auricular acupuncture is administered 24 hours before the examination using patches, each possessing a square shape with a side length of 10 mm, without a needle. Four acupoints are selected on one ear, including the Master cerebral point, Tranquilizer point, Relaxation point, and Heart point (CO15). The patch will remain in place until the student completes the examination.

Study groups in NCT06128512
Study groupRoleWhat they receive
AAExperimentalAuricular acupuncture (AA) 24 hours before the examination.
Receives: Other: Auricular acupuncture
Sham-AASham comparatorSham Auricular acupuncture (Sham-AA) 24 hours before the examination.
Receives: Other: Sham Auricular acupuncture

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in the State-Trait Anxiety Inventory Form Y1 (STAI-Y1) score

    The STAI-Y1 comprises 20 questions, each rated on a 4-point scale from 1 "not at all" to 4 "very much so". Therefore, the STAI-Y1 score ranges from 20 to 80, with higher scores indicating increased levels of anxiety.

    Measured: immediately pre-intervention (T0), 30 minutes (T1), 24 hours (T2)

Secondary outcomes (6)
  1. Changes in Visual Analog Scale (VAS) score for anxiety

    The VAS includes a 100mm line with endpoints labeled from "no anxiety" to "greatest anxiety ever experienced". Participants will mark on the line the point that represents their current level of anxiety. The VAS score ranges from 0 to 100, with higher scores indicating increased levels of anxiety.

    Measured: immediately pre-intervention (T0), 30 minutes (T1), 24 hours (T2)

  2. Changes in Diastolic Blood Pressure

    Diastolic blood pressure is measured using an electronic device, in units of mmHg, conducted by investigators. The higher the value, the higher the diastolic blood pressure.

    Measured: immediately pre-intervention (T0), 30 minutes (T1), 24 hours (T2)

  3. Changes in Systolic Blood Pressure

    Systolic blood pressure is measured using an electronic device, in units of mmHg, conducted by investigators. The higher the value, the higher the systolic blood pressure.

    Measured: immediately pre-intervention (T0), 30 minutes (T1), 24 hours (T2)

  4. Changes in heart rate

    Heart rate is measured using an electronic device, in units of beats per minute, conducted by investigators. The higher the value, the faster the heart rate.

    Measured: immediately pre-intervention (T0), 30 minutes (T1), 24 hours (T2)

  5. The examination score

    The examination scores will be recorded after the students receive their test results. The scoring scale ranges from 0 to 10 points. Higher scores indicate a better performance on the examination.

    Measured: up to 1 month

  6. Proportion of intervention-related adverse effects

    Anticipated adverse events (AEs) from auricular acupuncture (AA) may comprise pain at the insertion site, local discomfort, skin irritation (itching and redness), inflammation, bleeding, chondritis, dizziness, nausea, and hypersensitivity reactions.

    Moreover, any unanticipated AEs related to AA will be recorded and observed.

    Measured: during the intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Nov 2023
  2. Study start15 Nov 2023
  3. Primary completion27 Mar 2024
  4. Study completion28 Apr 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06128512
Sponsor's protocol ID
698/HDDD-DHYD
Status last verified
Apr 2024
First submitted
4 Nov 2023
Last updated
30 Apr 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Remes O, Brayne C, van der Linde R, Lafortune L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain Behav. 2016 Jun 5;6(7):e00497. doi: 10.1002/brb3.497. eCollection 2016 Jul.

    PubMed 27458547
  • Roest AM, Martens EJ, de Jonge P, Denollet J. Anxiety and risk of incident coronary heart disease: a meta-analysis. J Am Coll Cardiol. 2010 Jun 29;56(1):38-46. doi: 10.1016/j.jacc.2010.03.034.

    PubMed 20620715
  • Mboya IB, John B, Kibopile ES, Mhando L, George J, Ngocho JS. Factors associated with mental distress among undergraduate students in northern Tanzania. BMC Psychiatry. 2020 Jan 29;20(1):28. doi: 10.1186/s12888-020-2448-1.

    PubMed 31996200
  • Fares J, Al Tabosh H, Saadeddin Z, El Mouhayyar C, Aridi H. Stress, Burnout and Coping Strategies in Preclinical Medical Students. N Am J Med Sci. 2016 Feb;8(2):75-81. doi: 10.4103/1947-2714.177299.

    PubMed 27042604
  • Li M, Li WQ, Li LMW. Sensitive Periods of Moving on Mental Health and Academic Performance Among University Students. Front Psychol. 2019 Jun 13;10:1289. doi: 10.3389/fpsyg.2019.01289. eCollection 2019.

    PubMed 31263436
  • Bae H, Bae H, Min BI, Cho S. Efficacy of acupuncture in reducing preoperative anxiety: a meta-analysis. Evid Based Complement Alternat Med. 2014;2014:850367. doi: 10.1155/2014/850367. Epub 2014 Sep 2.

    PubMed 25254059
  • Amorim D, Amado J, Brito I, Fiuza SM, Amorim N, Costeira C, Machado J. Acupuncture and electroacupuncture for anxiety disorders: A systematic review of the clinical research. Complement Ther Clin Pract. 2018 May;31:31-37. doi: 10.1016/j.ctcp.2018.01.008. Epub 2018 Jan 31.

    PubMed 29705474
  • Karst M, Winterhalter M, Munte S, Francki B, Hondronikos A, Eckardt A, Hoy L, Buhck H, Bernateck M, Fink M. Auricular acupuncture for dental anxiety: a randomized controlled trial. Anesth Analg. 2007 Feb;104(2):295-300. doi: 10.1213/01.ane.0000242531.12722.fd.

    PubMed 17242083
  • Zanella S, Buccelletti F, Vassiliadis A, De Bortoli R, Visentini S, Pedrotti G, Azzalin L. Preoperative anxiety management: acupuncture vs. pharmacological treatment - A prospective study. Eur Rev Med Pharmacol Sci. 2022 Feb;26(3):900-905. doi: 10.26355/eurrev_202202_27999.

    PubMed 35179756
  • Michalek-Sauberer A, Gusenleitner E, Gleiss A, Tepper G, Deusch E. Auricular acupuncture effectively reduces state anxiety before dental treatment--a randomised controlled trial. Clin Oral Investig. 2012 Dec;16(6):1517-22. doi: 10.1007/s00784-011-0662-4. Epub 2012 Jan 6.

    PubMed 22219023
  • Wang SM, Peloquin C, Kain ZN. The use of auricular acupuncture to reduce preoperative anxiety. Anesth Analg. 2001 Nov;93(5):1178-80, table of contents. doi: 10.1097/00000539-200111000-00024.

    PubMed 11682391
  • Favre-Felix J, Laurent V, Branche P, Huissoud C, Raffin M, Pradat P, Aubrun F, Dziadzko M. Auricular Acupuncture for Preoperative Anxiety in Parturient Women with Scheduled Cesarean Section: A Randomized Placebo-Controlled Blind Study. J Integr Complement Med. 2022 Jul;28(7):569-578. doi: 10.1089/jicm.2021.0346. Epub 2022 Apr 8.

    PubMed 35394895

Questions about this trial

What is this clinical trial studying?

A study testing Auricular acupuncture in people with Anxiety and Anxiety, Exam, run by University of Medicine and Pharmacy at Ho Chi Minh City at 1 site in Vietnam.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Vietnam. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in the State-Trait Anxiety Inventory Form Y1 (STAI-Y1) score (time frame: immediately pre-intervention (T0), 30 minutes (T1), 24 hours (T2)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06128512, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2024.

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