Feasibility of Implementing Acupuncture Into Federally Qualified Health Center Among Breast Cancer Survivors

The purpose of this study is to test the feasibility of implementing acupuncture intervention in federally qualified health centers oncology clinics for breast cancer survivors.

Inclusion Criteria:women with histologically confirmed stage 0, I, II, or III breast cancer> 18 years of oldwho have completed their primary cancer treatment (e.g., surgery, radiotherapy, chemotherapy) in the past 1 month and currently taking endocrine therapyare able to read and speak Englishwith self-reported pain, fatigue, sleep disturbance, depression, hot flashes and/or anxiety in the last month and their average severity rating ≥ 3 (0-10 numeric rating scale) for at least 3 of the 6 symptoms, and experience at least 2 physical symptoms (pain, fatigue, sleep disturbance).Exclusion Criteria:Metastatic breast cancer (stage IV)have a bleeding disorder (e.g. hemophilia, Von Willebrand's disease, thrombocytopenia)failure to comply with weekly visits to the acupuncture clinic during the interventional phase of the studyPsychiatric or medical disorders which would affect study assessments, such as, dementia, Alzheimer's disease, a history of any neurological condition, traumatic brain injury, stroke, and the use of psychotropic medicationBreastfeeding, pregnant or are planning get pregnant during the study period