A Randomized Clinical Trial of Caregiver-Delivered Reflexology for Symptom Management During Breast Cancer Treatment
AffiliationUniv Arizona, Coll Nursing
MetadataShow full item record
PublisherELSEVIER SCIENCE INC
CitationWyatt, G., Sikorskii, A., Tesnjak, I., Frambes, D., Holmstrom, A., Luo, Z., … Tamkus, D. (2017). A randomized clinical trial of caregiver‐delivered reflexology for symptom management during breast cancer treatment. Journal of Pain and Symptom Management. Advance online publication. https://doi.org/10.1016/j.jpainsymman.2017.07.037
Rights© 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
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AbstractPurpose. The objective of this study was to determine the effects of a home-based reflexology intervention delivered by a friend/family caregiver compared with attention control on health-related quality of life of women with advanced breast cancer undergoing chemotherapy, targeted and/or hormonal therapy. Methods. Patient-caregiver dyads (N = 256) were randomized to four weekly reflexology sessions or attention control. Caregivers in the intervention group were trained in a 30-minute protocol. During the four weeks, both groups had telephone symptom assessments, and intervention group had fidelity assessments. The intervention effects were assessed using linear mixed-effects models at weeks 5 and 11 for symptom severity and interference with daily activities, functioning, social support, quality of patient-caregiver relationship, and satisfaction with life. Results. Significant reductions in average symptom severity (P = 0.02) and interference (P < 0.01) over 11 weeks were found in the reflexology group compared with control, with no group differences in functioning, social support, quality of relationship, or satisfaction with life at weeks 5 and 11. Stronger quality of relationship was associated with lower symptom interference in the entire sample (P = 0.02), but controlling for it did not diminish the effect of intervention on symptoms. Significant reductions in symptom severity in the reflexology group compared with attention control were seen during weeks 2-5 but were reduced at Week 11. Discussion. Efficacy findings of caregiver-delivered reflexology with respect to symptom reduction open a new evidencebased avenue for home-based symptom management. J Pain Symptom Manage 2017; 54: 670-679. (C) 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
Note12 month embargo; published online: 23 July 2017
VersionFinal accepted manuscript
SponsorsNCI grant [R01 CA157459]