Teaching Caregivers of Hospice Patients to Administer Reiki for Symptom Management and Caregiver Support: A Feasibility Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 1
- 主要终点
- Establish successful enrollment of patient-caregiver dyads
研究概览
简要总结
Being a family caregiver for a patient at the end of life is both rewarding and stressful. When the end of life is nearing, caregivers may be unsure of how to help their family member. Reiki, a light touch energy therapy has been shown to increase relaxation and improve sleep quality, and decrease pain, anxiety, depressive symptoms, and medication use in both hospitalized and community-dwelling adults. This feasibility study is designed to evaluate whether teaching caregivers is feasible in addition to evaluating any benefit to FCGs and patients.
详细描述
The time a patient and family caregiver (FCG) spend together in a patient's final days is filled with emotion. Patients may turn inward and be filled with peace, or they may be bothered by symptoms. Caregivers often experience feelings of helplessness and anticipatory grief. Learning and providing a skill such as Reiki may give caregivers a way to help the patient with symptoms while at the same time feeling useful. Patient and caregiver closeness may be enhanced. Reiki has been shown to be helpful with symptoms such as pain, anxiety, depression, fatigue, and others. However, teaching caregivers of terminal hospice patients, Reiki has not been studied. The knowledge gained from this feasibility study will guide future interventions aimed at the comfort of hospice patients and FCGs.
Approximately 1.49 million Medicare beneficiaries received hospice care during 2017, and most had a FCG. During the final days or weeks, FCGs are unsure of what do or how to best help the patient when everyday caregiving actives such as physical care or nutrition are not required or no longer desired by the patient. Caregiver symptoms of depression, anxiety, or anticipatory grief increase toward the end of life along with increased patient symptoms. Having a specific skill to help the patient with symptoms or simply to show care and provide touch may empower FCGs and improve the quality of life for both caregivers and patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients will be eligible for the study if they are
- •≥ 18 years old
- •receiving hospice at home.
- •Caregivers will be eligible if they are
- •≥ 18 years old,
- •willing to complete measures, and if they are randomized to the Reiki group
- •willing to learn Reiki therapy, provide at least two Reiki therapy sessions with the patient of at least 10 minutes twice per day with at least two hours between sessions and complete one 10-minute self-Reiki session per day. Two caregivers may participate in the study.
排除标准
- •Patients will be excluded if:
- •they have a diagnosis of atrial fibrillation
- •they have an active pacemaker, or
- •death is expected in less than two weeks.
- •Caregivers will be excluded if they
- •cannot understand or speak English
- •have severe, uncorrected hearing loss
- •have self-reported uncontrolled atrial fibrillation
- •have a self-reported diagnosis of dementia
- •have a self-reported psychiatric disorder (bipolar disorder, schizophrenia)
- •are unwilling or unable to complete measures (both groups) or perform Reiki and self-Reiki (intervention cohort).
研究组 & 干预措施
Reiki teaching
Reiki Master will perform the teaching and attunement process for Level 1 Reiki and teach the caregiver(s) how to complete a simple 10-minute Reiki session with the patient and a 10-minute self-Reiki session for the caregiver(s). The Reiki Master will explain that Reiki sessions can be given whenever the patient and caregiver feel it is appropriate, but sessions should be at minimum twice per 24-hour period for at least 10 minutes with at least two hours between sessions. Reiki sessions may be more frequent than twice per day and/or longer than 10 minutes. Self-Reiki sessions should be performed daily for at least 10 minutes but maybe more frequent and/or longer in length. Each family caregiver will receive a copy of the book. The patient and caregiver will wear a Holter monitor continuously for 48 hours beginning when the caregiver(s) are trained in Reiki to measure HRV, a valid measure for stress.
干预措施: Reiki therapy (Other)
Usual care
Patients and caregivers will complete all measures expected of the intervention cohort including daily symptom checklist for 10 days. The patient and caregiver will wear a Holter monitor for the first 48 hours of study participation to measure heart rate variability (HRV), a valid measure for stress. The patient and/or caregiver may opt out of the Holter monitor if requested and still participate in the rest of the study.
结局指标
主要结局
Establish successful enrollment of patient-caregiver dyads
时间窗: 10 days
Successful enrollment will be measured by the number of dyads enrolled versus those approached
Establish successful completion of patent-caregiver dyad data collection
时间窗: 10 days
Successful completion of data collection will be measured by the number of dyads who complete all data collection surveys from dyads enrolled
次要结局
- Explore family caregiver feelings related to Reiki through the System usability Scale (modified)(Day 11)
- Compare symptoms between patients in the intervention and usual care group(Days 0 and 11)
- Compare symptoms between caregivers in the intervention and usual care group using the Rotterdam Symptom Checklist(Days 0 and 11)
- Change in caregiver symptom profile as measured by the Rotterdam Symptom Checklist.(Days 0 and 11)
- Change in heart rate variability measured using a heart rate monitor(Day 1 and 2)
- Compare daily symptoms between caregivers in the intervention and usual care group(Days 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10)
- Change in patient symptom profile as measured by the Rotterdam Symptom Checklist.(Days 0 and 11)
- Change in caregiver symptom profile as measured by PROMIS-43.(Days 0 and 11)
- Explore family caregiver feelings related to Reiki through the Reiki Experience Questionnaire (Reiki-EQ)(Day 11)
- Compare daily symptoms between patients in the intervention and usual care group(Days 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10)
- Compare symptoms between caregivers in the intervention and usual care group using the PROMIS-43 Symptom Profile(Days 0 and 11)
- Change in caregiver daily symptoms as measured by the daily Symptom Severity Assessment.(Days 1, 2, 3, 4, 5, 6, 7, 8, 9, 10)
- Change in daily patient symptoms as measured by the daily Symptom Severity Assessment.(Days 1, 2, 3, 4, 5, 6, 7, 8, 9, 10)