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Date of download: 9/20/2016 From: Massage Therapy versus Simple Touch to Improve Pain and Mood in Patients with Advanced Cancer: A Randomized Trial Ann.

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Presentation on theme: "Date of download: 9/20/2016 From: Massage Therapy versus Simple Touch to Improve Pain and Mood in Patients with Advanced Cancer: A Randomized Trial Ann."— Presentation transcript:

1 Date of download: 9/20/2016 From: Massage Therapy versus Simple Touch to Improve Pain and Mood in Patients with Advanced Cancer: A Randomized Trial Ann Intern Med. 2008;149(6):369-379. doi:10.7326/0003-4819-149-6-200809160-00003 Study overview: timing of study procedures. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

2 Date of download: 9/20/2016 From: Massage Therapy versus Simple Touch to Improve Pain and Mood in Patients with Advanced Cancer: A Randomized Trial Ann Intern Med. 2008;149(6):369-379. doi:10.7326/0003-4819-149-6-200809160-00003 Study flow diagram.Assessments refer to the weekly or sustained outcomes. Immediate outcome data collection occurred in conjunction with every treatment session. IQR = interquartile range; max = maximum; min = minimum. * Number who had any treatment: 113 + 38 for massage therapy and 93 + 54 for control. † Number with baseline or any sustained outcome assessments: 188 − 17 for massage therapy and 192 − 15 for control. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

3 Date of download: 9/20/2016 From: Massage Therapy versus Simple Touch to Improve Pain and Mood in Patients with Advanced Cancer: A Randomized Trial Ann Intern Med. 2008;149(6):369-379. doi:10.7326/0003-4819-149-6-200809160-00003 Immediate and sustained pain outcomes.We obtained estimates and 95% CIs from a mixed-effects model adjusted for age, comorbid conditions, sex, experience with massage therapy, worst pain in past week at study entry, and functional status (Karnofsky Performance Scale score). Top. Immediate outcomes: mean change in pain before and after treatment, according to treatment number and group. We measured pain before and after treatment for immediate outcomes with the Memorial Pain Assessment Card (MPAC) (0- to 10-point scale; 10 = worst pain). Mean pain changes for immediate outcomes are the mean changes in pain before and after assessments at each treatment visit. The number of participants (massage therapy/control) with treatments at each visit is noted below the graph. Bottom. Sustained outcomes: mean pain, according to assessment number and treatment group. We measured the sustained outcome of pain with the Brief Pain Inventory (BPI) (0- to 10-point scale; 10 = worst pain). The number of participants (massage therapy/control) with sustained assessments at each visit is noted below the graph. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

4 Date of download: 9/20/2016 From: Massage Therapy versus Simple Touch to Improve Pain and Mood in Patients with Advanced Cancer: A Randomized Trial Ann Intern Med. 2008;149(6):369-379. doi:10.7326/0003-4819-149-6-200809160-00003 Immediate and sustained effects.Effect sizes with 95% CIs and P values shown for study outcomes according to massage therapy (squares) and control (circles) groups. Data represent improvement if greater than 0 and worsening if less than 0. Effect sizes adjusted for age, comorbid conditions, sex, experience with massage therapy, worst pain in past week at study entry, and functional status (Karnofsky Performance Scale score). BPI = Brief Pain Inventory; MPAC = Memorial Pain Assessment Card; MQOL = McGill Quality of Life Questionnaire; MSAS = Memorial Symptom Assessment Scale. * Primary end points. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

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