title: Might massage or guided meditation provide "means to a better end"? Primary outcomes from an efficacy trial with patients at the end of life.
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-enrollment, 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.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
authors.forename: Lois
authors.initials: L
authors.lastname: Downey
authors.forename: Paula
authors.initials: P
authors.lastname: Diehr
authors.forename: Leanna J
authors.initials: LJ
authors.lastname: Standish
authors.forename: Donald L
authors.initials: DL
authors.lastname: Patrick
authors.forename: Leila
authors.initials: L
authors.lastname: Kozak
authors.forename: Douglass
authors.initials: D
authors.lastname: Fisher
authors.forename: Sean
authors.initials: S
authors.lastname: Congdon
authors.forename: William E
authors.initials: WE
authors.lastname: Lafferty
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D017051:Hospice Care / Q000379:methods*; D006801:Humans; D016018:Least-Squares Analysis; D008297:Male; D008405:Massage; D019122:Meditation; D008875:Middle Aged; D015999:Multivariate Analysis; D010146:Pain / Q000517:prevention & control; D011788:Quality of Life; D012944:Social Support; D016019:Survival Analysis; D013727:Terminal Care / Q000379:methods*; D014861:Washington
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