Healthcare service utilization and work-related productivity in reflexology intervention for advanced breast cancer women

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Healthcare service utilization and work-related productivity in reflexology intervention for advanced breast cancer women

Abstract

Purpose: This project’s purpose was to determine the effects of a home-based reflexology intervention on symptom-related use of health services and work-related productivity during the 11-week study.

Methods: A total of 256 patients were randomized to four weekly reflexology sessions (each lasting 30 min, delivered by lay caregivers who received two training sessions by a professional reflexologist) or attention control. The Conventional Health Service and Productivity Costs Form was used to collect information on health service utilization and out-of-pocket expenditure of symptom management. The Health and Work Performance Questionnaire was used to measure workplace performance for patients during the study period. We used weighted and unweighted logistic and linear regression analyses.

Results: Patients in the reflexology group were less likely to have hospital visits compared to the control group in the weighted unadjusted (odds ratio [OR] = 0.49; 95% confidence interval [CI] = [0.25, 0.97]), unweighted adjusted (OR = 0.35; 95% CI = [0.16, 0.75]), and weighted adjusted (OR = 0.30, 95% CI = [0.13, 0.66]) logistic regressions. Compared to attention control, patients in the reflexology group had lower relative absenteeism in the unweighted adjusted (- 0.32; 95% CI = [- 0.60, – 0.03]) linear regressions and less absolute presenteeism (15.42, 95% CI = [0.87, 29.98]) in the weighted unadjusted analysis.

Conclusion: The reflexology intervention delivered by lay caregivers reduced hospital visits and increased workplace productivity in a short-term period, which has potential for cost saving for health care systems and employers.

Trial registration: NCT01582971.

Keywords: Breast cancer; Health service expenditure, absenteeism, presenteeism; Health service utilization; Reflexology.

Citation:

Luo Z, Wang L, Sikorskii A, Wyatt G. Healthcare service utilization and work-related productivity in reflexology intervention for advanced breast cancer women. Support Care Cancer. 2019 Aug;27(8):2837-2847. doi: 10.1007/s00520-018-4592-4. Epub 2018 Dec 14. PMID: 30552595; PMCID: PMC6570585.

The conclusion of this research paper in Greek

The purpose of this section is to make this research paper useful to Greek speaking reflexologists. This is a tool developed by the Center of Reflexology and Research (Κέντρο Ρεφλεξολογίας και Έρευνας) in Greece and supervised volunteers from across the world.

Μετάφραση των συμπερασμάτων της συγκεκριμένης έρευνας:

Η παρέμβαση ρεφλεξολογίας που παρέχεται από τους νοσηλευτές μείωσε τις επισκέψεις στο νοσοκομείο και αύξησε την παραγωγικότητα στο χώρο εργασίας βραχυπρόθεσμα, γεγονός που παρέχει δυνατότητες εξοικονόμησης κόστους για τα συστήματα υγειονομικής περίθαλψης και τους εργοδότες.

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