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Randomised controlled trial of the effectiveness of using foot reflexology to improve quality of sleep amongst Taiwanese postpartum women

Authors: Li Chia-Yen, Chen Su-Chiu, Li Chung-Yi, Gau Meei-Ling, Huang Chiu-MiehJournal: MidwiferyPublished: April 1, 2011DOI: 10.1016/j.midw.2009.04.005
Q1 JournalSJR: 1h-index: 87SCImago
Strong EvidenceRandomized Controlled Trialn=65 participants

In Plain Language: reflexology for sleep, explained

to examine the effectiveness of using foot reflexology to improve sleep quality in postpartum women. randomised controlled trial, conducted at two postpartum centres in northern Taiwan. 65 postpartum women reporting poor quality of sleep were recruited from July 2007 to December 2007. participants were assigned randomly to either an intervention or a control group. Participants in both groups received the same care except for reflexology therapy. The intervention group received a single 30-minute foot reflexology session at the same time each evening for five consecutive days. Sessions were administered by a certified nurse reflexologist. MEASURES AND FINDINGS: the outcome measure was the Pittsburgh sleep quality index (PSQI), and this was performed at baseline and post test. Mean PQSI scores for both groups declined over time between baseline and post test. Using a generalised estimation equation to control several confounding variables, the changes in mean PSQI were found to be significantly lower in the intervention group (β=-2.24, standard error=0.38, p<0.001) than in the control group. an intervention involving foot reflexology in the postnatal period significantly improved the quality of sleep. midwives should evaluate maternal sleep quality and design early intervention programmes to improve quality of sleep in order to increase maternal biopsychosocial well-being. Midwives interested in complementary therapies should be encouraged to obtain training in reflexology and to apply it in clinical settings if it is allowed.

Key Findings: what this randomised trial found about sleep

  • ✓A single 30-minute foot reflexology session administered for five consecutive evenings was tested as an intervention to improve sleep quality in postpartum women with poor sleep.
  • ✓Both the intervention group receiving foot reflexology and the control group showed declining Pittsburgh Sleep Quality Index (PSQI) scores over time, indicating improved sleep quality in both groups.
  • ✓When controlling for confounding variables using generalized estimation equations, the changes in mean PSQI scores between the intervention and control groups were found to be statistically significant.

What This Means for You

If you're a postpartum woman struggling with sleep, this research suggests foot reflexology may help—though it's based on a relatively small study of Taiwanese women, so results may vary for different populations.

What This Means for Practitioners

This RCT provides strong evidence that five consecutive 30-minute evening reflexology sessions can significantly improve sleep quality in postpartum women, supporting reflexology as a viable complementary intervention in postnatal care.

Study Design: how this randomised trial was run

Sample Size
65 participants
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Reflexology for sleep: common questions

Does reflexology help with sleep?

If you're a postpartum woman struggling with sleep, this research suggests foot reflexology may help—though it's based on a relatively small study of Taiwanese women, so results may vary for different populations.

What did this study find?

A single 30-minute foot reflexology session administered for five consecutive evenings was tested as an intervention to improve sleep quality in postpartum women with poor sleep. Both the intervention group receiving foot reflexology and the control group showed declining Pittsburgh Sleep Quality Index (PSQI) scores over time, indicating improved sleep quality in both groups. When controlling for confounding variables using generalized estimation equations, the changes in mean PSQI scores between the intervention and control groups were found to be statistically significant.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 65 participants. It was published in Midwifery, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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