Might Massage Or Guided Meditation Provide “Means to A Better End”? Primary Outcomes from An Efficacy Trial with Patientsatthe end of Life

Author:

Downey Lois1,Diehr Paula2,Standish Leanna J.3,Patrick Donald L.4,Kozak Leila5,Fisher Douglass6,Congdon Sean7,Lafferty William E.8

Affiliation:

1. Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA;

2. Department of Health Services, School of Public Health and Community Medicine, University of Washington, and Department of Biostatistics, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA;

3. School of Naturopathic Medicine, Bastyr University, Kenmore, Washington;

4. Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA;

5. Northwest Health Services Research & Development Service Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA;

6. Fred Hutchinson Cancer Research Center, Seattle, Washington, USA;

7. Bastyr University Research Center, Kenmore, Washington;

8. Office of Health Services and Public Health Outcomes Research, Department of Informatics, School of Medicine, University of Missouri (Kansas City), Kansas City, Missouri, USA.

Abstract

This article reports findings from a randomized controlled trial of massage and guided meditation with patients at the end of life. Using data from 167 randomized patients, the authors considered patient outcomes through 10 weeks post-enrolment, as well as next-of-kin ratings of the quality of the final week of life for 106 patients who died during study participation. Multiple regression models demonstrated no significant treatment effects of either massage or guided meditation, delivered up to twice a week, when compared with outcomes of an active control group that received visits from hospice-trained volunteers on a schedule similar to that of the active treatment arms. The authors discuss the implications of their findings for integration of these complementary and alternative medicine therapies into standard hospice care.

Publisher

SAGE Publications

Subject

General Medicine

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