The Effect of Therapeutic Touch on Behavioral Symptoms and Cortisol in Persons with Dementia
Background: Between 75–90% of nursing home (NH) residents with dementia develop behavioral symptoms (BSD) which may be associated with a stress response. Therapeutic touch has been shown to decrease restlessness in NH residents, however the mechanism is unknown. The purpose of this randomized contro...
Gespeichert in:
| Veröffentlicht in: | Complementary medicine research 2009-06, Vol.16 (3), p.181-189 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 189 |
|---|---|
| container_issue | 3 |
| container_start_page | 181 |
| container_title | Complementary medicine research |
| container_volume | 16 |
| creator | Woods, Diana Lynn Beck, Cornelia Sinha, Karabi |
| description | Background: Between 75–90% of nursing home (NH) residents with dementia develop behavioral symptoms (BSD) which may be associated with a stress response. Therapeutic touch has been shown to decrease restlessness in NH residents, however the mechanism is unknown. The purpose of this randomized controlled trial (RCT) was to examine the effect of therapeutic touch on BSD and basal cortisol levels among NH residents with dementia. Participants and Methods: Using a double blind experimental interrupted time series ABAB design, 65 participants were assigned to one of three groups. The experimental group received therapeutic touch with contact on the neck and shoulders delivered twice daily for 3 days (administered over 2 separate treatment periods); the placebo group received a mimic treatment identical in appearance, and the control group received routine care. Study outcomes were BSD, measured by the modified Agitated Behavior Rating Scale (mABRS), and salivary cortisol levels, measured by enzyme-linked immunosorbent assay (ELISA). Results: 64 residents, aged 67–93 years (M = 85.5, SD = 5.50), completed the study. Restlessness was significantly reduced in the experimental group compared to the control group (p = 0.03). There was a significant difference in morning cortisol variability among groups across time periods ( |
| doi_str_mv | 10.1159/000220479 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_karge</sourceid><recordid>TN_cdi_karger_primary_220479</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67559198</sourcerecordid><originalsourceid>FETCH-LOGICAL-c304t-49721fc8fc17cf0d114a98fb0c1c7c24071b3c458b96edd2bcc4ad2b10febd2b3</originalsourceid><addsrcrecordid>eNpF0M9LwzAUB_AgihtzB-8iOQkeqkmaNs1R5_wBAwXnTShpmtho29QkVfbfW1mdp-978Hnv8AXgGKMLjBN-iRAiBFHG98CUJIhGBKN0_29GnEzA3Pv3geGMYJaiQzDBPE0YQfEUvK4rBZdaKxmg1XDYnOhUH4yEa9vLCtoWXqtKfBnrRA2fN00XbOOhaEu4sC4Yb2toWviknLeth98mVPBGNaoNRhyBAy1qr-ZjzsDL7XK9uI9Wj3cPi6tVJGNEQ0Q5I1jLTEvMpEYlxlTwTBdIYskkoYjhIpY0yQqeqrIkhZRUDIGRVsWQ8Qycbf92zn72yoe8MV6quhatsr3PU5YkHPNsgOdbKJ313imdd840wm1yjPLfNvNdm4M9HZ_2RaPKfzl2N4CTLfgQ7k25HRjvfwDpHHhy</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67559198</pqid></control><display><type>article</type><title>The Effect of Therapeutic Touch on Behavioral Symptoms and Cortisol in Persons with Dementia</title><source>MEDLINE</source><source>Karger Journals Complete</source><source>Alma/SFX Local Collection</source><creator>Woods, Diana Lynn ; Beck, Cornelia ; Sinha, Karabi</creator><creatorcontrib>Woods, Diana Lynn ; Beck, Cornelia ; Sinha, Karabi</creatorcontrib><description>Background: Between 75–90% of nursing home (NH) residents with dementia develop behavioral symptoms (BSD) which may be associated with a stress response. Therapeutic touch has been shown to decrease restlessness in NH residents, however the mechanism is unknown. The purpose of this randomized controlled trial (RCT) was to examine the effect of therapeutic touch on BSD and basal cortisol levels among NH residents with dementia. Participants and Methods: Using a double blind experimental interrupted time series ABAB design, 65 participants were assigned to one of three groups. The experimental group received therapeutic touch with contact on the neck and shoulders delivered twice daily for 3 days (administered over 2 separate treatment periods); the placebo group received a mimic treatment identical in appearance, and the control group received routine care. Study outcomes were BSD, measured by the modified Agitated Behavior Rating Scale (mABRS), and salivary cortisol levels, measured by enzyme-linked immunosorbent assay (ELISA). Results: 64 residents, aged 67–93 years (M = 85.5, SD = 5.50), completed the study. Restlessness was significantly reduced in the experimental group compared to the control group (p = 0.03). There was a significant difference in morning cortisol variability among groups across time periods (<0.0001). Findings suggest that therapeutic touch may be effective for management of symptoms like restlessness coupled with stress reduction. At a time when cost containment is a consideration in health care, therapeutic touch is an intervention that is non-invasive, readily learned, and can provide a non-pharmacologic alternative for selected persons with BSD.</description><identifier>ISSN: 2504-2092</identifier><identifier>ISSN: 1661-4119</identifier><identifier>EISSN: 2504-2106</identifier><identifier>EISSN: 1661-4127</identifier><identifier>DOI: 10.1159/000220479</identifier><identifier>PMID: 19657203</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Aged ; Aged, 80 and over ; Alzheimer Disease - blood ; Alzheimer Disease - psychology ; Alzheimer Disease - therapy ; Circadian Rhythm - physiology ; Double-Blind Method ; Female ; Homes for the Aged ; Humans ; Hydrocortisone - blood ; Male ; Nursing Homes ; Original Article · Originalarbeit ; Psychomotor Agitation - blood ; Psychomotor Agitation - psychology ; Psychomotor Agitation - therapy ; Therapeutic Touch</subject><ispartof>Complementary medicine research, 2009-06, Vol.16 (3), p.181-189</ispartof><rights>2009 S. Karger AG, Basel</rights><rights>Copyright 2009 S. Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c304t-49721fc8fc17cf0d114a98fb0c1c7c24071b3c458b96edd2bcc4ad2b10febd2b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19657203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woods, Diana Lynn</creatorcontrib><creatorcontrib>Beck, Cornelia</creatorcontrib><creatorcontrib>Sinha, Karabi</creatorcontrib><title>The Effect of Therapeutic Touch on Behavioral Symptoms and Cortisol in Persons with Dementia</title><title>Complementary medicine research</title><addtitle>Complement Med Res</addtitle><description>Background: Between 75–90% of nursing home (NH) residents with dementia develop behavioral symptoms (BSD) which may be associated with a stress response. Therapeutic touch has been shown to decrease restlessness in NH residents, however the mechanism is unknown. The purpose of this randomized controlled trial (RCT) was to examine the effect of therapeutic touch on BSD and basal cortisol levels among NH residents with dementia. Participants and Methods: Using a double blind experimental interrupted time series ABAB design, 65 participants were assigned to one of three groups. The experimental group received therapeutic touch with contact on the neck and shoulders delivered twice daily for 3 days (administered over 2 separate treatment periods); the placebo group received a mimic treatment identical in appearance, and the control group received routine care. Study outcomes were BSD, measured by the modified Agitated Behavior Rating Scale (mABRS), and salivary cortisol levels, measured by enzyme-linked immunosorbent assay (ELISA). Results: 64 residents, aged 67–93 years (M = 85.5, SD = 5.50), completed the study. Restlessness was significantly reduced in the experimental group compared to the control group (p = 0.03). There was a significant difference in morning cortisol variability among groups across time periods (<0.0001). Findings suggest that therapeutic touch may be effective for management of symptoms like restlessness coupled with stress reduction. At a time when cost containment is a consideration in health care, therapeutic touch is an intervention that is non-invasive, readily learned, and can provide a non-pharmacologic alternative for selected persons with BSD.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - blood</subject><subject>Alzheimer Disease - psychology</subject><subject>Alzheimer Disease - therapy</subject><subject>Circadian Rhythm - physiology</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Homes for the Aged</subject><subject>Humans</subject><subject>Hydrocortisone - blood</subject><subject>Male</subject><subject>Nursing Homes</subject><subject>Original Article · Originalarbeit</subject><subject>Psychomotor Agitation - blood</subject><subject>Psychomotor Agitation - psychology</subject><subject>Psychomotor Agitation - therapy</subject><subject>Therapeutic Touch</subject><issn>2504-2092</issn><issn>1661-4119</issn><issn>2504-2106</issn><issn>1661-4127</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0M9LwzAUB_AgihtzB-8iOQkeqkmaNs1R5_wBAwXnTShpmtho29QkVfbfW1mdp-978Hnv8AXgGKMLjBN-iRAiBFHG98CUJIhGBKN0_29GnEzA3Pv3geGMYJaiQzDBPE0YQfEUvK4rBZdaKxmg1XDYnOhUH4yEa9vLCtoWXqtKfBnrRA2fN00XbOOhaEu4sC4Yb2toWviknLeth98mVPBGNaoNRhyBAy1qr-ZjzsDL7XK9uI9Wj3cPi6tVJGNEQ0Q5I1jLTEvMpEYlxlTwTBdIYskkoYjhIpY0yQqeqrIkhZRUDIGRVsWQ8Qycbf92zn72yoe8MV6quhatsr3PU5YkHPNsgOdbKJ313imdd840wm1yjPLfNvNdm4M9HZ_2RaPKfzl2N4CTLfgQ7k25HRjvfwDpHHhy</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Woods, Diana Lynn</creator><creator>Beck, Cornelia</creator><creator>Sinha, Karabi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200906</creationdate><title>The Effect of Therapeutic Touch on Behavioral Symptoms and Cortisol in Persons with Dementia</title><author>Woods, Diana Lynn ; Beck, Cornelia ; Sinha, Karabi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c304t-49721fc8fc17cf0d114a98fb0c1c7c24071b3c458b96edd2bcc4ad2b10febd2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alzheimer Disease - blood</topic><topic>Alzheimer Disease - psychology</topic><topic>Alzheimer Disease - therapy</topic><topic>Circadian Rhythm - physiology</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Homes for the Aged</topic><topic>Humans</topic><topic>Hydrocortisone - blood</topic><topic>Male</topic><topic>Nursing Homes</topic><topic>Original Article · Originalarbeit</topic><topic>Psychomotor Agitation - blood</topic><topic>Psychomotor Agitation - psychology</topic><topic>Psychomotor Agitation - therapy</topic><topic>Therapeutic Touch</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Woods, Diana Lynn</creatorcontrib><creatorcontrib>Beck, Cornelia</creatorcontrib><creatorcontrib>Sinha, Karabi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Complementary medicine research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woods, Diana Lynn</au><au>Beck, Cornelia</au><au>Sinha, Karabi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Therapeutic Touch on Behavioral Symptoms and Cortisol in Persons with Dementia</atitle><jtitle>Complementary medicine research</jtitle><addtitle>Complement Med Res</addtitle><date>2009-06</date><risdate>2009</risdate><volume>16</volume><issue>3</issue><spage>181</spage><epage>189</epage><pages>181-189</pages><issn>2504-2092</issn><issn>1661-4119</issn><eissn>2504-2106</eissn><eissn>1661-4127</eissn><abstract>Background: Between 75–90% of nursing home (NH) residents with dementia develop behavioral symptoms (BSD) which may be associated with a stress response. Therapeutic touch has been shown to decrease restlessness in NH residents, however the mechanism is unknown. The purpose of this randomized controlled trial (RCT) was to examine the effect of therapeutic touch on BSD and basal cortisol levels among NH residents with dementia. Participants and Methods: Using a double blind experimental interrupted time series ABAB design, 65 participants were assigned to one of three groups. The experimental group received therapeutic touch with contact on the neck and shoulders delivered twice daily for 3 days (administered over 2 separate treatment periods); the placebo group received a mimic treatment identical in appearance, and the control group received routine care. Study outcomes were BSD, measured by the modified Agitated Behavior Rating Scale (mABRS), and salivary cortisol levels, measured by enzyme-linked immunosorbent assay (ELISA). Results: 64 residents, aged 67–93 years (M = 85.5, SD = 5.50), completed the study. Restlessness was significantly reduced in the experimental group compared to the control group (p = 0.03). There was a significant difference in morning cortisol variability among groups across time periods (<0.0001). Findings suggest that therapeutic touch may be effective for management of symptoms like restlessness coupled with stress reduction. At a time when cost containment is a consideration in health care, therapeutic touch is an intervention that is non-invasive, readily learned, and can provide a non-pharmacologic alternative for selected persons with BSD.</abstract><cop>Basel, Switzerland</cop><pmid>19657203</pmid><doi>10.1159/000220479</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2504-2092 |
| ispartof | Complementary medicine research, 2009-06, Vol.16 (3), p.181-189 |
| issn | 2504-2092 1661-4119 2504-2106 1661-4127 |
| language | eng |
| recordid | cdi_karger_primary_220479 |
| source | MEDLINE; Karger Journals Complete; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Alzheimer Disease - blood Alzheimer Disease - psychology Alzheimer Disease - therapy Circadian Rhythm - physiology Double-Blind Method Female Homes for the Aged Humans Hydrocortisone - blood Male Nursing Homes Original Article · Originalarbeit Psychomotor Agitation - blood Psychomotor Agitation - psychology Psychomotor Agitation - therapy Therapeutic Touch |
| title | The Effect of Therapeutic Touch on Behavioral Symptoms and Cortisol in Persons with Dementia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-19T16%3A00%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_karge&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Effect%20of%20Therapeutic%20Touch%20on%20Behavioral%20Symptoms%20and%20Cortisol%20in%20Persons%20with%20Dementia&rft.jtitle=Complementary%20medicine%20research&rft.au=Woods,%20Diana%20Lynn&rft.date=2009-06&rft.volume=16&rft.issue=3&rft.spage=181&rft.epage=189&rft.pages=181-189&rft.issn=2504-2092&rft.eissn=2504-2106&rft_id=info:doi/10.1159/000220479&rft_dat=%3Cproquest_karge%3E67559198%3C/proquest_karge%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=67559198&rft_id=info:pmid/19657203&rfr_iscdi=true |