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Randomized Controlled Trial
. 2013 May;21(5):1405-14.
doi: 10.1007/s00520-012-1682-6. Epub 2012 Dec 21.

Touch, Caring, and Cancer: Randomized Controlled Trial of a Multimedia Caregiver Education Program

Free PMC article
Randomized Controlled Trial

Touch, Caring, and Cancer: Randomized Controlled Trial of a Multimedia Caregiver Education Program

William Collinge et al. Support Care Cancer. .
Free PMC article


Purpose: A randomized controlled trial was conducted to evaluate outcomes of a multimedia instructional program for family caregivers in simple touch-based techniques to provide comfort to cancer patients at home.

Methods: A multilingual 78-min DVD and 66-page manual were produced for homebased instruction. Content addresses attitudes and communication about touch in cancer, psychological preparation for giving and receiving touch, safety precautions, massage techniques for comfort and relaxation, acupressure for specific cancer-related symptoms, and practice in the home setting. Materials were produced in English, Spanish, and Chinese versions. A community-based multiethnic sample of 97 adult patient/caregiver dyads was randomized to experimental (massage) or attention control (reading) groups for 4 weeks. Massage dyads received the program and instructions to practice at least three times per week, while control caregivers read to their patients for the same frequency. Self-report instruments assessed change in symptom severity, quality of life, perceived stress, and caregiver attitudes.

Results: Significant reductions in all symptoms occurred for patients after both activities: 12-28 % reductions after reading vs. 29-44 % after massage. Massage caregivers showed significant gains in confidence, comfort, and self-efficacy using touch and massage as forms of caregiving.

Conclusions: Multimedia instruction in touch and massage methods may offer family members a viable means of enhancing self-efficacy and satisfaction in caregiving while decreasing patient pain, depression, and other symptoms. Family members may be able to learn and apply safe and simple methods that increase patient comfort and reduce distress.


Fig. 1
Fig. 1
CONSORT flow diagram
Fig. 2
Fig. 2
CTA model: cancer stage and reported duration of massage sessions predict improvement in PSS-10 at follow-up

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    1. Listing M, Krohn M, Liezmann C, Kim I, Reisshauer A, Peters E, Klapp BF, Rauchfuss M. The efficacy of classical massage on stress perception and cortisol following primary treatment of breast cancer. Arch Womens Ment Health. 2010;13(2):165–173. doi: 10.1007/s00737-009-0143-9. - DOI - PubMed
    1. Stringer J, Swindell R, Dennis M. Massage in patients undergoing intensive chemotherapy reduces serum cortisol and prolactin. Psychooncology. 2008;17(10):1024–1031. doi: 10.1002/pon.1331. - DOI - PubMed
    1. Sharp DM, Walker MB, Chaturvedi A, Upadhyay S, Hamid A, Walker AA, Bateman JS, Braid F, Ellwood K, Hebblewhite C, Hope T, Lines M, Walker LG. A randomised, controlled trial of the psychological effects of reflexology in early breast cancer. Eur J Cancer. 2010;46(2):312–322. doi: 10.1016/j.ejca.2009.10.006. - DOI - PubMed
    1. Sturgeon M, Wetta-Hall R, Hart T, Good M, Dakhil S. Effects of therapeutic massage on the quality of life among patients with breast cancer during treatment. J Altern Complement Med. 2009;15(4):373–380. doi: 10.1089/acm.2008.0399. - DOI - PubMed
    1. Billhult A, Stener-Victorin E, Bergbom I. The experience of massage during chemotherapy treatment in breast cancer patients. Clin Nurs Res. 2007;16(2):85–99. doi: 10.1177/1054773806298488. - DOI - PubMed

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