A self-administered moxibustion-cum-massage intervention for older adults with chronic pain in the community: A randomized controlled trial.
Study Goal
To determine the effectiveness of a self-administrable moxibustion-cum-massage intervention for relieving chronic pain and improving psychological well-being in older adults.
Results Summary
The intervention significantly improved subjective well-being, reduced pain levels (small effect size), and enhanced sleep quality and depression (large effect sizes) immediately post-intervention, but maintenance effects were not significant at follow-up. The control group showed no significant changes.
Population
Older adults (78 participants) with chronic pain in a community setting.
Effective Dosage
Two moxa sticks per day for five consecutive days.
Duration
Five days.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
moxibustion-cum-massage intervention | decrease | subjective pain level | older adults in the community | small effect size | significantly reduced | #1 |
moxibustion-cum-massage intervention | increase | sleep quality | older adults in the community | large effect size | significantly improved | #2 |
moxibustion-cum-massage intervention | increase | depression | older adults in the community | large effect size | significantly improved | #3 |
moxibustion-cum-massage intervention | increase | subjective well-being | older adults in the community | medium effect size | showed a significant group × time interaction effect | #4 |
moxibustion-cum-massage intervention | no change | pain level, sleep quality, depression, subjective well-being | older adults in the community | not significant | maintenance effects were not significant | #5 |
waitlist control | no change | pain level, sleep quality, depression, subjective well-being | older adults in the community | no significant change | showed no significant within-group effects | #6 |
OBJECTIVES: To determine the effectiveness of a simple, self-administrable moxibustion-cum-massage intervention for relieving chronic pain and improving psychological well-being for older adults in the community. DESIGN: A randomized controlled trial. SETTING: Seventy-eight participants with chronic pain were randomly assigned to the intervention and waitlist control groups. INTERVENTIONS: Participants received two moxa sticks a day to use the moxibustion-cum-massage procedure with the help of trained volunteers or caregivers for five consecutive days. MAIN OUTCOME MEASURES: Participates' pain level, sleep quality, depression and subjective well-being were measured before the intervention (T0), immediately after the intervention (T1), and one week after the intervention (T2). RESULTS: Repeated measures ANOVA revealed a significant group × time interaction effect in subjective well-being with a medium effect size. Regarding within-group effects in the intervention group at post-intervention (T1), the subjective pain level was significantly reduced with a small effect size, while sleep quality and depression significantly improved with large effect sizes. The control group showed no significant within-group effects in these variables. Maintenance effects at follow-up (T2) were not significant. CONCLUSION: Despite the short intervention timeframe of five days, the study revealed preliminary evidence that the moxibustion-cum-massage intervention can be an effective, self-administrable pain relief regime for older adults. A longer period of intervention time is suggested for future studies.