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Comparing the effects of warm footbath and foot reflexology on depression of patients undergoing radiotherapy: A randomized clinical trial

Authors: Rajabzadeh Mahla, Namazinia Mohammad, Bahrami-Taghanaki Hamidreza, Mohajer Samira, Reza Mazloum SeyedJournal: Technical innovations & patient support in radiation oncologyPublished: September 1, 2024DOI: 10.1016/j.tipsro.2024.100270
Moderate EvidenceRandomized Controlled Trial

In Plain Language: reflexology for depression, explained

Cancer diagnosis not only impacts physical health but also mental well-being, often leading to significant stress, fear, and depression among patients.The utilization of CAM has shown a rising trend, influenced by the availability of different modalities offered by healthcare services, sometimes in an ad hoc fashion. This study seeks to examine and compare the respective impacts of warm foot baths and foot reflexology on depression in patients undergoing radiotherapy. A randomized clinical trial was conducted at Mashhad University of Medical Sciences in Iran in 2019, following CONSORT guidelines. Participants included non-metastatic cancer patients aged 18-60 undergoing a 28-day radiotherapy course. Patients were randomly assigned to receive either warm footbaths or foot reflexology as interventions, performed daily for 20 min over 21 days. The data were analyzed using appropriate statistical tests. Statistical analysis indicated no significant differences in demographic attributes between the two groups. Both interventions led to a significant reduction in depression scores post-treatment compared to pre-treatment assessments. Foot reflexology showed a greater reduction in depression scores compared to footbaths with warm water. Both warm footbaths and foot reflexology are effective in alleviating depression in patients undergoing radiotherapy, with foot reflexology showing a greater impact on improving depression levels. The study recommends foot reflexology as a preferred intervention for managing depression in these patients if conditions and facilities permit.

Key Findings: what this randomised trial found about depression

  • ✓The study compared warm footbaths and foot reflexology as complementary therapies to reduce depression in cancer patients undergoing radiotherapy.
  • ✓Both interventions were administered daily for 20 minutes over a 21-day period to non-metastatic cancer patients aged 18-60 years.
  • ✓Statistical analysis found no significant differences in demographic characteristics between the treatment groups at baseline.

What This Means for You

If you're undergoing radiotherapy, foot reflexology appears to be more effective than warm foot baths for reducing depression, though both treatments showed benefits in this study.

What This Means for Practitioners

This RCT provides moderate evidence that reflexology can be incorporated into supportive care for radiotherapy patients, with measurable improvements in depression outcomes compared to standard comfort measures.

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Reflexology for depression: common questions

Does reflexology help with depression?

If you're undergoing radiotherapy, foot reflexology appears to be more effective than warm foot baths for reducing depression, though both treatments showed benefits in this study.

What did this study find?

The study compared warm footbaths and foot reflexology as complementary therapies to reduce depression in cancer patients undergoing radiotherapy. Both interventions were administered daily for 20 minutes over a 21-day period to non-metastatic cancer patients aged 18-60 years. Statistical analysis found no significant differences in demographic characteristics between the treatment groups at baseline.

How strong is this evidence?

This is a randomised trial and we rate its evidence moderate. It was published in Technical innovations & patient support in radiation oncology. Reflexology is a complementary therapy, not a replacement for medical treatment.

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