Background: Preliminary studies support the clinical effect of acupressure in managing
neuropsychiatric diseases. However, procedures for the selection of intervention and Tele-acupressure
self-practice implementation techniques are lacking. This lack of information hinders further studies
on the effect of Tele-acupressure self-practice and its subsequent clinical uses.
Objective: The aim of this study was to assess the effect of Tele-acupressure self-practice on the improvement
of mental health as well as depression, anxiety and well-being during COVID-19 in Malaysia.
Methods: The goal of this work was to manage Tele-acupressure self-practice for mental health during
COVID-19. All the participants (N=80) enrolled in this study were staying at one of the same communities.
The participants were randomly allocated to one of the two groups; 40 participants were involved
in the Tele-acupressure self-practice group, and 40 participants were involved in the Nonacupressure
group. Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, and personal
well-being (using the four Office for National Statistics personal well-being questions, ONS-4) were
used to assess measurement. Data were collected at baseline and after four weeks of treatment.
Results: The Hamilton Depression Rating Scale (6.29±1.65), Hamilton Anxiety Rating Scale
(7.20±0.65), anxiety score in well-being ONS-4 (3.34±0.38) were significantly lower; the happiness
score in well-being ONS-4 (8.82±0.86) was significantly higher in the Tele-acupressure self-practice
group compared with the Non-acupressure group in the after four week’s assessments. The two groups
were not statistically different regarding satisfaction with life and sorthwhile in the well-being ONS-4
Conclusions: Tele-acupressure self-practice had an effect than Non-acupressure in participants during
COVID-19 pandemic. But, satisfaction with life and worthwhile in the well-being was better in both
of the groups, which proved the participants became more relaxed. Tele-acupressure self-practice being
used for the COVID-19 pandemic period facilitates the development of Malaysian public mental