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Table 1: An analysis of acupressure based on FAME criteria.  

Items Criteria for a better intervention Related to acupressure project Grades of recommendation
Feasibility ·     What is the cost effectiveness of the practice?

 

·     Dependent on the instrument used

 

Acupressure is likely to be cost-effective. No cost-effectiveness analysis has been conducted in acupuncture or acupressure for PONV.
·     Is the resource/practice available?

 

·     Either form of acupressure requires training; instrument can be easily bought, but the price depends on the instrument Moderate support that warrants consideration of application
·     Are there sufficient experience/levels of competency available? ·     Both require some  training; and one may require more. Strong support that merits application
Appropriate-ness

 

·     Is it culturally acceptable?

 

·     Yes. A previous Australian Survey supports this. Strong support that merits application
·     Is it transferable /applicable to the majority of the population?

 

·     Yes. Very few conditions are contraindicated for acupressure. Strong support that merits application
·     Is it easily adaptable to a variety of circumstances ·     Yes. Can be applied to emergency or Intensive Care Unit (ICU) patients. Strong support that merits application
Meaningful-ness

 

·     Is it associated with positive experiences?

 

·     Yes, Improved patients’ experience

 

Moderate support that warrants consideration of application
·     Is it not associated with negative experiences? ·     Yes. Mild, but tolerable discomfort was reported by some patients. Moderate support that warrants consideration of application
Effective-ness

 

·     Was there a beneficial effect Yes, evidence supports this. Acupressure. Strong support that merits application
·     Is it safe? i.e. is there a lack of harm associated with the practice?

 

Yes, evidence supports this. Strong support that merits application
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