Ali Ather, Rosenberger Lisa, Weiss Theresa R, Milak Carl, Perlman Adam I
Yale School of Medicine, New Haven, Connecticut.
Yale-Griffin Prevention Research Center, Yale School of Public Health, Derby, Connecticut.
Pain Med. 2017 Jun 1;18(6):1168-1175. doi: 10.1093/pm/pnw217.
We hypothesized that participants receiving Swedish massage would experience benefits such as stress reduction and enhanced quality of life, in addition to the osteoarthritis-specific effects assessed in a randomized controlled clinical trial.
Qualitative methods were used to explore a deeper contextual understanding of participants' experiences with massage and osteoarthritis, in addition to the quantitative data collected from primary and secondary outcome measures of the dose-finding study.
Two community hospitals affiliated with academic health centers in Connecticut and New Jersey.
Eighteen adults who previously participated in a dose-finding clinical trial of massage therapy for osteoarthritis of the knee.
Face-to-face and telephone interviews using a standardized interview guide. Triangulation of qualitative and quantitative data allowed for a more thorough understanding of the effects of massage therapy.
Three salient themes emerged from our analysis. Participants discussed 1) relaxation effects, 2) improved quality of life associated with receiving massage therapy, and 3) the accessibility of massage therapy in treating osteoarthritis.
Participant responses noted empowerment with an improved ability to perform activities of daily living after experiencing massage therapy. The majority of statements were consistent with their quantitative changes on standard osteoarthritis measures. Future research in pain conditions should include health-related quality of life assessments as well as outcomes related to perceived well-being, along with greater exploration of the concept of salutogenic side effects of an intervention in the context of complementary and integrative therapies.
我们假设，接受瑞典式按摩的参与者除了在一项随机对照临床试验中评估的骨关节炎特定效果外，还会体验到诸如减轻压力和提高生活质量等益处。
除了从剂量探索研究的主要和次要结局指标收集的定量数据外，还采用定性方法来更深入地了解参与者对按摩和骨关节炎的体验背景。
康涅狄格州和新泽西州与学术健康中心相关的两家社区医院。
18名曾参与膝关节骨关节炎按摩治疗剂量探索临床试验的成年人。
使用标准化访谈指南进行面对面和电话访谈。定性和定量数据的三角测量有助于更全面地了解按摩治疗的效果。
我们的分析得出了三个突出主题。参与者讨论了1）放松效果，2）接受按摩治疗带来的生活质量改善，以及3）按摩治疗在治疗骨关节炎方面的可及性。
参与者的反馈表明，在体验按摩治疗后，他们在进行日常生活活动方面的能力有所增强，从而获得了力量感。大多数陈述与他们在标准骨关节炎测量指标上的定量变化一致。未来关于疼痛病症的研究应包括与健康相关的生活质量评估以及与感知幸福感相关的结局，同时在补充和综合疗法的背景下，进一步探索干预措施的健康促进副作用概念。
