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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

The researchers hypothesized that teaching rural caregivers to<br />

provide gentle massage to chronically ill loved ones is consistent<br />

with their personal characteristics and health beliefs and would<br />

result in benefits that for both the caregiver and care recipient.<br />

However, it was anticipated that recruiting and retaining ruraldwelling<br />

family caregivers for an intervention study could be<br />

challenging because <strong>of</strong> their personal characteristics as well as their<br />

pre-existing stress and time constraints (Carrick 1998).<br />

Aim <strong>of</strong> the Study<br />

The purpose <strong>of</strong> this pilot study was to determine whether a) rural<br />

caregivers would learn and provide gentle massage to their<br />

chronically ill loved ones, b) study participation and protocol<br />

implementation were burdensome for caregivers, and c) study<br />

participants would realize perceived benefits.<br />

Methodology<br />

In this pilot intervention study, volunteers from a Western frontier<br />

state who cared for a chronically ill family member were taught<br />

gentle massage techniques which they administered to their loved<br />

ones over four weeks. The Brief Pr<strong>of</strong>ile <strong>of</strong> Moods State (POMS), a<br />

quickly administered self-report tool consisting <strong>of</strong> 18 items scored<br />

on a 5-point scale from 1 (not at all) to 5 (extremely). This<br />

instrument measures general distress or mood disturbance over the<br />

past seven days and is sensitive to change over short periods. It<br />

has excellent internal consistency (alpha=0.91 – 0.92), is highly<br />

correlated with the longer 65-item POMS (r=0.92 – 0.93), and may<br />

provide a better measure <strong>of</strong> psychological distress than the longer<br />

POMS (Cella et al. 1987).<br />

Following the intervention period, caregivers were interviewed and<br />

their perceptions and responses to the protocol were recorded.<br />

Setting and Sample<br />

Institutional Review Board approval was obtained prior to<br />

recruitment. Participants were recruited from Western frontier state<br />

through newspaper advertisements, word <strong>of</strong> mouth, and through<br />

the social services director at a long term care (LTC) facility. One <strong>of</strong><br />

the researchers, a certified massage therapist, met with interested<br />

persons either individually or in small groups at their home or a<br />

mutually convenient location, such as a conference room at the LTC<br />

facility. During this initial meeting the study was described,<br />

informed consent was obtained. Participants were briefly<br />

interviewed to determine their comfort level and any former<br />

experience providing massage, and they filled out a demographic<br />

data form and completed a pre-intervention Brief POMS. The gentle<br />

massage techniques <strong>of</strong> effleurage and pettrisage were then<br />

demonstrated for the participants and a return demonstration was<br />

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