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Effect of an integrated support programme on the concerns and wellbeing of women with breast cancer: a national service evaluation

Authors: Harrington J E, Baker B S, Hoffman C JJournal: Complementary therapies in clinical practicePublished: February 1, 2012DOI: 10.1016/j.ctcp.2011.05.002
Q2 JournalSJR: 0.65h-index: 72SCImago
Moderate EvidenceObservationaln=402 participants

In Plain Language: cancer pain, explained

To carry out a national service evaluation of the integrated cancer support programme offered by The Haven using the Measure Yourself Concerns and Wellbeing (MYCaW) outcome questionnaire. Breast cancer survivors who visited one of three Haven centres in the UK completed the MYCaW questionnaire before and after 6 one-hour complementary therapy sessions. Statistically significant decreases in mean baseline scores (indicating improvement) for concerns and wellbeing were observed after treatment: concern 1 (5.09 ± 1.04 vs 3.17 ± 1.60, p < 0.0001, n = 402), concern 2 (4.69 ± 1.08 vs 3.08 ± 1.56, p < 0.0001, n = 372), and wellbeing (3.30 ± 1.41 vs 2.63 ± 1.28, p < 0.0001, n = 402). The therapies most commonly used were acupuncture, nutrition, massage and aromatherapy, shiatsu, counselling and reflexology. After therapy, 91% of reported scores (n = 328) rated the concern as being a little better, much better or gone. These findings suggest that women with breast cancer find the Haven integrated support programme valuable for addressing their main concerns and improving their feeling of wellbeing.

Key Findings: what this observational study found about cancer pain

  • ✓Breast cancer survivors who completed six one-hour complementary therapy sessions showed statistically significant improvements in both concerns and wellbeing scores (p < 0.0001).
  • ✓Mean concern scores decreased from 5.09 to 3.17 for concern 1 and from 4.69 to 3.08 for concern 2, indicating substantial reductions in patient concerns following treatment.
  • ✓The integrated support programme utilized multiple complementary therapies including acupuncture, nutrition, massage, aromatherapy, shiatsu, counselling, and reflexology, with 91% of participants reporting improved scores after therapy.

What This Means for You

If you're a breast cancer survivor, this moderate-quality study suggests complementary therapies like reflexology as part of an integrated programme may help improve your wellbeing and concerns, though results may vary individually.

What This Means for Practitioners

This service evaluation demonstrates that reflexology, when offered as part of a multi-therapy integrated support programme for breast cancer survivors, contributes to meaningful improvements in patient-reported concerns and wellbeing.

Study Design: how this observational study was run

Sample Size
402 participants
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Cancer pain: common questions

What does this study say about cancer pain?

If you're a breast cancer survivor, this moderate-quality study suggests complementary therapies like reflexology as part of an integrated programme may help improve your wellbeing and concerns, though results may vary individually.

What did this study find?

Breast cancer survivors who completed six one-hour complementary therapy sessions showed statistically significant improvements in both concerns and wellbeing scores (p < 0.0001). Mean concern scores decreased from 5.09 to 3.17 for concern 1 and from 4.69 to 3.08 for concern 2, indicating substantial reductions in patient concerns following treatment. The integrated support programme utilized multiple complementary therapies including acupuncture, nutrition, massage, aromatherapy, shiatsu, counselling, and reflexology, with 91% of participants reporting improved scores after therapy.

How strong is this evidence?

This is a observational study and we rate its evidence moderate. It covers 402 participants. It was published in Complementary therapies in clinical practice, a Q2 journal. This study is indexed here for context; it did not test reflexology itself.

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