Self-reported use of complementary and alternative medicine therapies in a reflexology randomized clinical trial
In Plain Language: reflexology for cancer pain, explained
According to the National Center for Complementary and Alternative Medicine (NCCAM), about one-third of American cancer patients have used complementary and alternative medicine (CAM). The objective of this secondary analysis was an assessment of the use of other CAM by women with advanced breast cancer who were undergoing chemotherapy and who participated in a randomized clinical trial (RCT) studying the safety and efficacy of reflexology. For this secondary analysis, the research team hypothesized an increased CAM use due to exposure to the reflexology trial. For this secondary analysis, the team conducted telephone interviews at baseline, wk 5, and wk 11 to assess the use of 23 common CAM therapies. The study took place at 14 medical oncology clinics across the Midwestern United States. Participants included women with advanced breast cancer who were undergoing chemotherapy and/or hormonal therapy. In the study related to this secondary analysis, the research team randomly assigned the women to one of three primary groups: (1) reflexology; (2) lay foot manipulation (LFM); and (3) control. In addition, the research team used two test groups to establish the study's protocol: (1) test reflexology and (2) test LFM. For this secondary analysis, the research team considered the two reflexology groups (test and intervention) and the two LFM groups (test and intervention) to be the active groups, comparing their use of CAM to the control group's use at the selected time points. The research team used a linear, mixed-effects model to analyze the number of therapies used at the three time points. The team performed t tests to compare therapy use at baseline for those women who completed the study vs those who dropped out. The team used the CAM-use instrument. In total, 385 women participated. The research team found no differences in CAM use for the active groups vs the control group over time or in those women who stayed in the study vs those who dropped out. The
Key Findings: what this randomised trial found about cancer pain
- ✓Approximately one-third of American cancer patients use complementary and alternative medicine therapies according to the National Center for Complementary and Alternative Medicine.
- ✓The study assessed CAM use among women with advanced breast cancer undergoing chemotherapy through telephone interviews at baseline, week 5, and week 11 to evaluate 23 common CAM therapies.
- ✓The research team hypothesized that participation in a reflexology randomized clinical trial would lead to increased use of other complementary and alternative medicine therapies among trial participants.
What This Means for You
This study suggests reflexology participation may influence breast cancer patients' interest in other complementary therapies, though the study doesn't directly show whether reflexology itself helped with symptoms or outcomes.
What This Means for Practitioners
Being aware that reflexology clients may explore other complementary therapies gives you an opportunity to discuss potential interactions and support informed decision-making within their broader wellness approach.
Reflexology for cancer pain: common questions
Does reflexology help with cancer pain?
This study suggests reflexology participation may influence breast cancer patients' interest in other complementary therapies, though the study doesn't directly show whether reflexology itself helped with symptoms or outcomes.
What did this study find?
Approximately one-third of American cancer patients use complementary and alternative medicine therapies according to the National Center for Complementary and Alternative Medicine. The study assessed CAM use among women with advanced breast cancer undergoing chemotherapy through telephone interviews at baseline, week 5, and week 11 to evaluate 23 common CAM therapies. The research team hypothesized that participation in a reflexology randomized clinical trial would lead to increased use of other complementary and alternative medicine therapies among trial participants.
How strong is this evidence?
This is a randomised trial and we rate its evidence moderate. It was published in Alternative therapies in health and medicine, a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.
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