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

Inclusion Criteria:

• women with histologically confirmed stage 0, I, II, or III breast cancer

• > 18 years of old

• who have completed their primary cancer treatment (e.g., surgery, radiotherapy,chemotherapy) in the past 1 month and currently taking endocrine therapy

• are able to read and speak English

• with self-reported pain, fatigue, sleep disturbance, depression, hot flashes and/oranxiety in the last month and their average severity rating ≥ 3 (0-10 numeric ratingscale) 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 theinterventional phase of the study

• Psychiatric or medical disorders which would affect study assessments, such as,dementia, Alzheimer's disease, a history of any neurological condition, traumaticbrain injury, stroke, and the use of psychotropic medication

• Breastfeeding, pregnant or are planning get pregnant during the study period