Abstract
The National Acupuncture Detoxification Association protocol (NADA) is an adjunctive therapy using 1 to 5 invariant ear acupuncture/acupressure points. This is a randomized prospective study to determine if NADA plus traditional treatment enhance outcomes: quality of life, depression, anxiety and abstinence from substance abuse. There were 100 patients enrolled in the Keystone Substance Abuse Services-Winthrop University Department of Sociology and Anthropology NADA study. All patients completed Generalized Anxiety Disorder scale (GAD-7), Patient Health Questionnaire (PHQ-9), Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES) prior to starting the program and at program completion. Patients self-reported alcohol, tobacco, and drug use prior to starting the program at program completion and at 3 and 6 month follow- up. Patient characteristics are predictive of completion versus non-completion when race, criminal history and initial drug test is considered. Those identified as nonwhite, (p < 0.05) and patients with positive initial drug test, (p < 0.01) were more likely to complete treatment in the NADA group. Also, among patients with criminal history a higher percentage failed to complete the program in the control group (p < 0.05). Participation in NADA positively associated with Q-LES score (p < 0.05), feeling better about oneself and improved energy (p < 0.05), likelihood of employment upon discharge (p < 0.05), and decreased alcohol use at 3 month follow up (p < 0.05) and 6-month follow-up (p < 0.01). NADA group reported less tobacco use at 6 months (p < 0.05).
Highlights
The National Acupuncture Association protocol (NADA) is one of the most commonly used forms of acupuncture treatment in the United States
The main findings from this study support the hypothesis that National Acupuncture Detoxification Association protocol (NADA) protocol when combined with traditional treatment improves QLES, feeling better about oneself and improved energy, likelihood of employment upon discharge, and decreased alcohol use at 3 month and 6 month follow
NADA treatment may advance the learning curve required for the psychosocial rehabilitation aspects of a comprehensive treatment program such as KSS by helping patients to be better able to learn skills required for successful recovery earlier in the recovery process
Summary
The National Acupuncture Association protocol (NADA) is one of the most commonly used forms of acupuncture treatment in the United States. Multiple studies published in peer reviewed journals support the adjunctive use of NADA for the treatment of heroin, alcohol, and cocaine addiction [4,5,6,7,8,9,10,11,12,13]. It can be used in the acute and chronic phases of substance use treatment. Of these 13 were included for meta-analysis [16] In these studies, ear acupuncture provided significant pain relief when compared to a sham or control group [16]. Establishing an animal model of NADA can provide another tool for investigating the efficacy and cellular mechanisms of NADA treatment [17]
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