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Investigation of Standard Care Versus Sham Reiki Placebo Versus Actual Reiki Therapy to Enhance Comfort and Well-Being in a Chemotherapy Infusion Center

Anita Catlin
Rebecca L. Taylor-Ford
ONF 2011, 38(3), E212-E220 DOI: 10.1188/11.ONF.E212-E220

Purpose/Objectives: To determine whether provision of Reiki therapy during outpatient chemotherapy is associated with increased comfort and well-being.

Design: Double-blind, randomized clinical controlled trial.

Setting: Outpatient chemotherapy center.

Sample: 189 participants were randomized to actual Reiki, sham Reiki placebo, or standard care.

Methods: Patients receiving chemotherapy were randomly placed into one of three groups. Patients received either standard care, a placebo, or an actual Reiki therapy treatment. A demographic tool and pre- and post-tests were given before and after chemotherapy infusion.

Main Research Variables: Reiki therapy, sham Reiki placebo therapy, standard care, and self-reported levels of comfort and well-being pre- and postintervention.

Findings: Although Reiki therapy was statistically significant in raising the comfort and well-being of patients post-therapy, the sham Reiki placebo also was statistically significant. Patients in the standard care group did not experience changes in comfort and well-being during their infusion session.

Conclusions: The findings indicate that the presence of an RN providing one-on-one support during chemotherapy was influential in raising comfort and well-being levels, with or without an attempted healing energy field.

Implications for Nursing: An attempt by clinic nurses to provide more designated one-to-one presence and support for patients while receiving their chemotherapy infusions could increase patient comfort and well-being.

References 

Berry, S. R. (2004). For purposes of research, palliative care patients should not be considered a vulnerable population. <i>Clinics in Oncology, 16</i>, 223-224. http://dx.doi.org/10.1016/j.clon.2004.02.003

Bossi, L. M., Ott, M. J., & DeCristofaro, S. (2008). Reiki as a clinical intervention in oncology nursing practice. <i>Clinical Journal of Oncology Nursing, 12</i>, 489-494. http://dx.doi.org/10.1188/08.CJON.489-494

Bruera, E., Kuehn, N., Miller, M. J., Selmser, P., & MacMillan, K. (1991). The Edmonton Symptom Assessment System: A simple method for the assessment of palliative care patients. <i>Journal of Palliative Care, 7</i>, 6-9.

Burden, B. H., Herron-Marx, S., & Clifford, C. (2005). The increasing use of Reiki as a complementary therapy in specialist palliative care. <i>International Journal of Palliative Nursing, 11</i>, 248-253.

Chang, V. T., Hwang, S. S., & Feuerman, M. (2000). Validation of the Edmonton Symptom Assessment Scale. <i>Cancer, 88</i>, 2164-2171. http://dx.doi.org/10.1002/(SICI)1097-0142(20000501)88:9<2164AID-CNCR24>3...

Chong, O. T. (2006). An integrative approach to addressing clinical issues in complementary and alternative medicine in an outpatient oncology center. <i>Clinical Journal of Oncology Nursing, 10</i>, 83-88. http://dx.doi.org/10.1188/06.CJON.83-88

Demmer, C. (2004). A survey of complementary therapy services provided by hospices. <i>Journal of Palliative Medicine, 7</i>, 510-516. http://dx.doi.org/10.1089/jpm.2004.7.510

DiNucci, E. M. (2005). Energy healing: A complementary treatment for orthopaedic and other conditions. <i>Orthopaedic Nursing, 24</i>, 259-269.

Dowd, T., Kolcaba, K., & Steiner, R. (2006). Development of the healing touch comfort questionnaire. <i>Holistic Nursing Practice, 20</i>, 122-129.

Dowd, T., Kolcaba, K., Steiner, R., & Fashinpaur, D. (2007). Comparison of a healing touch, coaching, and a combined intervention on comfort and stress in younger college students. <i>Holistic Nursing Practice, 21</i>, 194-202.

Engebretson, J., & Wardell, D. W. (2002). Experience of a Reiki session. <i>Alternative Therapies, 8</i>, 48-53.

Giasson, M., & Bouchard, L. (1998). Effect of therapeutic touch on the well-being of persons with terminal cancer. <i>Journal of Holistic Nursing, 16</i>, 383-398. http://dx.doi.org/10.1177/089801019801600307

Institute of Medicine. (2005). <i>Use of complementary and alternative medicine (CAM) by the American public.</i> Retrieved from <a target="_blank" href='http://www.iom.edu/CMS/3793/4829.aspx'>http://www.iom.edu/CMS/3793/4829....

Kayl, A. E., & Meyers, C. A. (2006). Side effects of chemotherapy and quality of life in ovarian and breast cancer patients. <i>Current Opinions in Obstetrics and Gynecology, 18</i>, 24-28. http://dx.doi.org/10.1097/01.gco.0000192996.20040.24

King, C. R. (2006a). Advances in how clinical nurses can evaluate and improve quality of life for individuals with cancer. <i>Oncology Nursing Forum, 33</i>(1, Suppl.), 5-12. http://dx.doi.org/10.1188/06.ONF.S1.5-12

King, C. R. (2006b). Introduction: Improving oncology nursing through advances in quality-of-life issues. <i>Oncology Nursing Forum, 33</i>(1, Suppl.), 3. http://dx.doi.org/10.1188/06.ONF.S1.3

Kolcaba, K. (2001). Evolution of the mid-range theory of comfort for outcomes. <i>Nursing Outlook, 49</i>, 86-92. http://dx.doi.org/10.1067/mno.2001.110268

Kolcaba, K. (2011). Comfort line. Retrieved from <a target="_blank" href='http://www.comfortline.com'>www.comfortline.com</a>

Kolcaba, K., Dowd, T., Steiner, R., & Mitzel, A. (2006). Efficacy of hand massage for enhancing the comfort of hospice patients. <i>Journal of Hospital and Palliative Nursing, 6</i>, 91-102. http://dx.doi.org/10.1097/00129191-200404000-00012

Kolcaba, K., & Fox, C. (1999). The effects of guided imagery on comfort of women with early-stage breast cancer going through radiation therapy. <i>Oncology Nursing Forum, 26</i>, 67-71.

Kolcaba, K., & Steiner, R. (2000). Empirical evidence for the nature of holistic comfort. <i>Journal of Holistic Nursing, 18</i>, 46-62. http://dx.doi.org/10.1177/089801010001800106

Kozachik, S. L., Wyatt, G., Given C. W., & Given, B. A. (2006). Patterns of use of complementary therapies among cancer patients and their family caregivers. <i>Cancer Nursing, 29</i>, 84-94. http://dx.doi.org/10.1097/00002820-200603000-00002

Lee, C. O. (2004). Biomedical, complementary, and alternative medicine: Significant issues. <i>Clinical Journal of Oncology Nursing, 8</i>, 670-674. http://dx.doi.org/10.1188/04.CJON.670-674

Lipinski, K. (2010). Enhancing nursing practice with Reiki. Retrieved from <a target="_blank" href='http://www.reiki.org/healing/nursingandreiki/html'>www.reiki.org/healing...

Mackay, N., Hansen, S., & McFarlane, O. (2004). Autonomic nervous system changes during Reiki treatment: A preliminary study. <i>Journal of Alternative and Complementary Medicine, 10</i>, 1077-1081. http://dx.doi.org/10.1089/acm.2004.10.1077

Mansour, A. A., Laing, G., Leis, A., Nurse, J., & Denilkewich, A. (1998). The experience of Reiki: 5 middle-aged women in the Midwest. <i>Alternative and Complementary Therapies</i>, 21-28.

Miaskowski, C., Cooper, B. A., Paul, S. M., Dodd, M., Lee, K., Aouizerat, B. E., … Bank, A. (2006). Subgroups of patients with cancer with different symptom experiences and quality-of-life outcomes: A cluster analysis [Online exclusive]. <i>Oncology Nursing Forum, 33</i>, E79-E89. http://dx.doi.org/10.1188/06.ONF.E79-E89

Miles, P., & True, G. (2003). Reiki-A review of a biofield therapy history, theory, practice, and research. <i>Alternative Therapies in Health and Medicine, 9</i>, 62-72.

Nowak, A. K., Stockler, M. R., & Byrne, M. J. (2004). Assessing quality of life during chemotherapy for pleural mesothelioma: Feasibility, validity, and results using the European Organisation for Research and Treatment of Cancer Core Quality-of-Life Questionnaire and Lung Cancer Module. <i>Journal of Clinical Oncology, 22</i>, 3172-3180. http://dx.doi.org/10.1200/JCO.2004.09.147

Olson, K., & Hanson, J. (1997). Using Reiki to manage pain: A preliminary report. <i>Cancer Prevention and Control, 1</i>, 108-113.

Olson, K. H., Hanson, J., & Michaud, M. A. (2003). Phase II trial of Reiki for the management of pain in advanced cancer patients. <i>Journal of Pain and Symptom Management, 26</i>, 990-997. http://dx.doi.org/10.1016/S0885-3924(03)00334-8

Oncology Nursing Society. (2005a). <i>ONS research agenda (2005-2009).</i> Retrieved from <a target="_blank" href='http://www.ons.org/research/information/documents/pdfs/ONSResAgendaFinal...

Oncology Nursing Society. (2005b). Year 2004 Oncology Nursing Society research priorities survey. <i>Oncology Nursing Forum, 32</i>, 281-290.

Paule, L. (2000). Reiki, the alternative health therapy. Retrieved from <a target="_blank" href='http://www.nyu.edu/classes/keefer/nature/Paule.html'>http://www.nyu.edu/...

Polit, D. F., & Hungler, B. P. (1997). <i>Nursing research: Principles and methods.</i> Philadelphia, PA: Lippincott Williams and Wilkins.

Post-White, J., Kinney, M. E., Savik, K., Gau, J. B., Wilcox, C., & Lerner, I. (2003). Therapeutic massage and healing touch improve symptoms in cancer. <i>Integrative Cancer Therapies, 2</i>, 332-344. http://dx.doi.org/10.1177/1534735403259064

Rand, W. L. (1998). <i>Reiki: The healing touch first and second degree manual.</i> Fort St. John, British Columbia, Canada: Vision Publications.

Ring, M. E. (2009). Reiki and changes in pattern manifestations. <i>Nursing Science Quarterly, 22</i>, 250-258. http://dx.doi.org/10.1177/0894318409337014

Rogers, M. (1970). <i>The theoretical basis of nursing.</i> Philadelphia, PA: F. A. Davis.

Rothman, K. (1990). No adjustments are needed for multiple comparisons. <i>Epidemiology (Cambridge, Mass.), 1</i>, 43-46. http://dx.doi.org/10.1097/00001648-199001000-00010

Ruggle, M. (2005). Mainstreaming complementary therapies: New directions in health care. <i>Health Affairs, 24</i>, 980-990. http://dx.doi.org/10.1377/hlthaff.24.4.980

Shifflett, S. C., Nayak, S., Bid, C., Miles, P., & Agostinelli, S. (2002). Effect of Reiki treatments on functional recovery in patients in post-stroke rehabilitation. <i>Journal of Alternative and Complementary Medicine, 8</i>, 755-756. http://dx.doi.org/10.1089/10755530260511766

Shore, A. G. (2004). Long-term effects of energetic healing on symptoms of psychological depression and self-perceived stress. <i>Alternative Therapies in Health and Medicine, 10</i>, 42-48.

So, P. S., Jiang, Y., & Qin, Y. (2008). Intervention review: Touch therapies for pain relief in adults. <i>Cochrane Database of Systematic Reviews, 4</i>, CD006535. http://dx.doi.org/10.1002/14651858.CD006535.pub2

Swanson, K. M. (1993). Nursing as informed caring for the well-being of others. <i>IMAGE: Journal of Nursing Scholarship, 25</i>, 352-357. http://dx.doi.org/10.1111/j.1547-5069.1993.tb00271.x

Swanson, K. M., & Wojnar, D. (2004). Optimal healing environments in nursing. <i>Journal of Alternative and Complementary Medicine, 10</i>(Suppl. 1), S43-S48. http://dx.doi.org/10.1089/1075553042245935

Thomas, R., & Wilson, D. (2005). Randomized controlled trials in nonmedical and nonsurgical therapies for palliative care: Literature review. <i>Alternative Medicine Review, 10</i>, 204-215.

Thomas, T. M. (2005, Fall). Reiki adds a new dimension to the term "quality of life" in the nursing home community. <i>American Journal of Recreation Therapy</i>, 43-48.

Townsley, C. A., Selby, R., & Siu, L. L. (2005). Systematic review of barriers to the recruitment of older patients with cancer onto clinical trials. <i>Journal of Clinical Oncology, 23</i>, 3112-3124. http://dx.doi.org/10.1200/JCO.2005.00.141

Varricchio, C. G. (2006). Measurement issues in quality-of-life assessments. <i>Oncology Nursing Forum, 33</i>(1, Suppl.), 13-21. http://dx.doi.org/10.1188/06.ONF.S1.13-21

Vendura, G. S., Alaimo, S., Borzi, R., Fazio, M., & Scavo, V. (2005). Trying to listen: Needs of patients treated with chemotherapy. <i>Supportive and Palliative Cancer Care, 2</i>, 15-20.

Vitale, A. (2006). The use of selected energy touch modalities as supportive nursing interventions: Are we there yet? <i>Holistic Nursing Practice, 20</i>(4), 191-196.

Warber, S. L. (2004). Reiki effects on pain and quality of life in advanced cancer patients. <i>Focus on Alternative and Complementary Therapies, 9</i>, 138-140.

Warber, S. L., Gordon, A., Gillespie, B. W., Olson, M., & Assefi, N. (2003). Standards for biofield healing research. <i>Alternative Therapies, 9</i>, A54-A64.

Wardell, D. W., & Engebretson, J. (2001). Biological correlates of Reiki touch healing. <i>Journal of Advanced Nursing, 33</i>, 439-445. http://dx.doi.org/10.1046/j.1365-2648.2001.01691.x

Wetzel, W. (1989). Reiki healing: A physiologic perspective. <i>Journal of Holistic Nursing, 7</i>, 47-54. http://dx.doi.org/10.1177/089801018900700109

Whelan, K. M., & Wishnia, G. S. (2003). Reiki therapy: The benefits to a nurse/Reiki practitioner. <i>Holistic Nursing Practice, 17</i>, 209-217.

Winstead-Fry, P., & Kijek, P. (1999). An integrative review and meta-analysis of therapeutic touch research. <i>Alternative Therapies in Health and Medicine, 5</i>(6), 58-67.

Wittes, D., & Dundes, L. (2001). Harnessing life energy or wishful thinking: Reiki, placebo Reiki, meditation, and music. <i>Alternative and Complementary Therapies, 7</i>, 304-309. http://dx.doi.org/10.1089/107628001753312158