Reflexology on Advanced Breast Cancer 256 cases

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Expectancy and Utilisation of Reflexology among Women with Advanced Breast Cancer


Objective: Little is understood about patient expectations and use of complementary therapies (CT) during cancer treatment. A secondary analysis of an 11-week reflexology trial among women with breast cancer was conducted. We examined factors that predicted women’s expectations about reflexology for symptom relief, factors that predicted utilisation of reflexology, and whether by the end of the trial they believed that reflexology had helped with symptom management.

Methods: Women (N = 256) were interviewed at baseline and week 11. Friend or family caregivers in the reflexology group were trained to deliver standardised sessions to patients at least once a week for 4 weeks. Baseline and week-11 reflexology expectations were analysed using general linear models. Reflexology utilisation was analysed with generalised linear mixed effects models.

Results: Patients who expected benefits from reflexology (“higher expectancy”) at baseline were younger, had lower anxiety, higher education, higher spirituality, and greater CT use. Worsening symptoms over time were associated with greater utilisation of reflexology, but only when baseline expectancy was low. At week 11, expectancy was higher for those with greater symptom improvement.

Conclusions: Assessing patterns of patient factors, expectancy, and change in symptoms can help determine who is likely to use reflexology, and when.

Keywords: cancer; expectancy; reflexology; self-care; self-management; spirituality; symptoms.


Rottman BM, Wyatt G, Crane TE, Sikorskii A. Expectancy and Utilisation of Reflexology among Women with Advanced Breast Cancer. Appl Psychol Health Well Being. 2020 Jul;12(2):493-512. doi: 10.1111/aphw.12194. Epub 2020 Feb 5. PMID: 32022470.

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 αξιολόγηση των προτύπων που αφορούν τους παράγοντες του ασθενούς, του προσδόκιμου και της αλλαγής των συμπτωμάτων μπορεί να βοηθήσει στον προσδιορισμό του ποιος είναι πιθανό να χρησιμοποιήσει ρεφλεξολογία και πότε.

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