A randomised controlled trial on evaluation of the clinical efficacy of massage therapy in a multisensory environment for residents with severe and profound intellectual disabilities: a pilot study

Chan, Joanne; Chien, Wai Tong

doi:10.1111/jir.12377

Cited by 13 publications

(32 citation statements)

References 31 publications

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“…After submission, a nutritional expert assessed the photos in terms of food diversity, vegetable consumption and intervention compliance. Chan & Chien (2017) noted that, due to the poor cognitive and communication skills of their participants, the use of self-reported data would be 'inappropriate' and so they relied upon staff-reported observational measures.…”

Section: Improving Quality and Validity Of Datamentioning

confidence: 99%

A systematic review of the methodological and practical challenges of undertaking randomised-controlled trials with cognitive disability populations

Mulhall

Taggart

Coates

et al. 2018

Social Science & Medicine

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Approximately 10% of the world's population have a cognitive disability. Cognitive disabilities can have a profound impact on a person's social, cognitive or mental functioning, requiring high levels of costly health and social support. Therefore, it is imperative that interventions and services received are based upon a sound evidence-base. For many interventions for this population, this evidence-base does not yet exist and there is a need for more Randomised Controlled Trials (RCTs). The process of conducting RCTs with disabled populations is fraught with methodological challenges. We need a better understanding of these methodological barriers if the evidence-bases are to be developed. The purpose of this study was to explore the methodological and practical barriers to conducting trials with adults with cognitive disabilities. As a case example, the literature regarding RCTs for people with intellectual disabilities (ID) was used to highlight these pertinent issues. A systematic literature review was conducted of RCTs with adults with ID, published from 2000 to 2017. A total of 53 papers met the inclusion criteria and were reviewed. Some of the barriers reported were specific to the RCT methodology and others specific to people with disabilities. Notable barriers included; difficulties recruiting; obtaining consent; resistance to the use of control groups; engaging with carers, staff and stakeholders; the need to adapt interventions and resources to be disability-accessible; and staff turnover. Conducting RCTs with people with cognitive disabilities can be challenging, however with reasonable adjustments, many of these barriers can be overcome. Researchers are not maximising the sharing of their experience-base. As a result, the development of evidence-bases remains slow and the health inequities of people with disabilities will continue to grow. The importance of the MRC guidelines on process evaluations, together with implications for the dissemination of 'evidence-base' and 'experience-base' are discussed.

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Section: Improving Quality and Validity Of Datamentioning

confidence: 99%

A systematic review of the methodological and practical challenges of undertaking randomised-controlled trials with cognitive disability populations

Mulhall

Taggart

Coates

et al. 2018

Social Science & Medicine

View full text Add to dashboard Cite

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“…Mom feels energized on the pit of the heart and nausea appears as much as 7 times or more so it is very disturbing activity takes a lot of time to rest. Nausea on this weight scale comes up suddenly -Arrive without triggering factors or unwelcome aromas (5,17,19) .…”

Section: Discussionmentioning

confidence: 99%

“…Vitamin B6 is frequently used as a first line treatment for pregnant women experiencing nausea and vomiting. However, a large number of pregnant women require additional drugs, such as dimenhydrinate and promethazine (5,6) .The cortisol levels in primiparaous postpartum women who receive treatment massage, aromatherapy, aromatherapy massage and control group was significanly different before and after the treatment. These drugs may cause side effects such as sedation, mouth dryness, motor weakness and visual disturbance.…”

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confidence: 99%

Aromatherapy Cajuput Oil for Emesis Gravidarum

Kusparlina¹

2019

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Emesis Gravidarum can be very disturbing activity and impact on the maternal and fetal maternal obstacles. The incidence of emesis gravidarum in the world is 70-80% of the number of pregnant women, one non-pharmacological method that can reduce the intensity of nausea vomiting by cajuput oil. This research purposes to determine whether there is an influence of aromatherapy cajuput oil on emesis gravidarum in the first trimester pregnant women. This research used cross sectional approach. Population in this research is the first trimester pregnant woman which amounted to 17 pregnant women taken by using total sampling. The data were analyzed by univariate analysis with independent variable frequency distribution and dependent and bivariate analysis using Wilcoxon sign rank test. P-value value: 0.000 and alpha 0.005 Statistical test results show that cajuput oil has a significant effect on emesis gravidarum intensity. It can be concluded that there is an effect of Aromatherapy cajuput oil on emesisgravidarum in the first trimester pregnant woman, so it is expected that cajuput oil can be one of alternative non pharmacological method that can help to reduce the intensity of emesis gravidarum. Keywords: Pregnancy, Emesis gravidarum, Cajuput oil

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“…One of these trials was a cluster randomised trial of the effectiveness of nidotherapy (an intervention aiming to address environmental factors that may be related to aggressive challenging behaviour) (Tyrer et al 2017), while the other examined the clinical efficacy of a combination of multisensory environment and massage therapy for challenging behaviour in adults with severe intellectual disability (Chan & Chien 2017). Both these trials showed some evidence of potential efficacy for these interventions.…”

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confidence: 99%

“…The second trial was a pilot randomised controlled trial with four arms and thus not powered to demonstrate efficacy (Chan & Chien 2017). Indeed, there was no effect for any of the interventions (multisensory environment, massage therapy or its combination) on the primary outcome measures of challenging behaviour in individuals with severe intellectual disabilities after 10 weeks of intervention, but the authors reported that ratings on a secondary measure of 'alertness' showed that individuals in two of the treatment arms (multisensory environment or combination intervention) experienced a significant change from active to inactive states during the interventions.…”

mentioning

confidence: 99%

New horizons for mental health research in intellectual disabilities

Strydom

Melville²

2017

J intellect Disabil Res

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A randomised controlled trial on evaluation of the clinical efficacy of massage therapy in a multisensory environment for residents with severe and profound intellectual disabilities: a pilot study

Abstract: Participants of MT in multisensory environment acquired more inactive state than the other study groups. This inactive state indicates a state of 'passive alertness', which is more likely in a relaxing manner.

Cited by 13 publications

References 31 publications

A systematic review of the methodological and practical challenges of undertaking randomised-controlled trials with cognitive disability populations

A systematic review of the methodological and practical challenges of undertaking randomised-controlled trials with cognitive disability populations

Aromatherapy Cajuput Oil for Emesis Gravidarum

New horizons for mental health research in intellectual disabilities

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