A rapid evidence assessment of recent therapeutic touch research

AIM

To synthesize the most recent evidence investigating the effectiveness and safety of therapeutic touch as a complementary therapy in clinical health applications.

DESIGN

A rapid evidence assessment (REA) approach was used to review recent TT research adopting PRISMA 2009 guidelines.

METHODS

CINAHL, PubMed, MEDLINE, Cochrane databases, Web of Science, PsychINFO and Google Scholar were screened between January 2009-March 2020 for studies exploring TT therapies as an intervention. The main outcome measures were for pain, anxiety, sleep, nausea and functional improvement.

RESULTS

Twenty-one studies covering a range of clinical issues were identified, including 15 randomized-controlled trials, four quasi-experimental studies, one chart review study and one mixed methods study including 1,302 patients. Eighteen of the studies reported positive outcomes. Only four exhibited a low risk of bias. All others had serious methodological flaws, bias issues, were statistically underpowered and scored as low-quality studies. No high-quality evidence was found for any of the benefits claimed.

Exploring Co-Meditation as a Means of Reducing Anxiety and Facilitating Relaxation in a Nursing School Setting

The purpose of this pilot study was to explore whether co-meditation, shared or cross-breathing, could reduce anxiety and enhance relaxation in a nursing school setting. The specific outcomes to be assessed in the quantitative component were blood pressure, pulse, respirations, and anxiety, both state and trait. A qualitative component explored participants’ experiences with co-meditation following 1 month of practice. Rogers’s Science of Unitary Human Beings formed the theoretical basis for this study. The study employed a pretest/posttest design with participants as their own controls. Quantitative data were collected from a convenience sample of 26 students, faculty, and staff aged 19 to 51 years, male and female. Fourteen participants returned for the qualitative component. Findings suggest that co-meditation may be useful in reducing anxiety, as measured by vital signs and the anxiety inventory forms. Participants reported feeling calmer and more relaxed, balanced, and centered following 1 month of practice. Findings suggest that co-meditation has potential to help transform a nursing educational environment from one that is potentially anxiety provoking to a calmer, more caring one.