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Implementation and outcomes of complementary therapies in hospice care: an integrative review
Open accessAbstract
Complementary therapies are increasingly integrated into hospice care, emphasizing the need to examine the evidence regarding implementation and effects on end-of-life outcomes. This review synthesizes the evidence regarding the implementation of complementary therapies and effects on end-of-life outcomes in hospice care. Whittemore and Knafl’s five-step integrative review process was applied. Using predefined search terms, research-based articles between 2006 and 2020 were reviewed. Twenty-three quantitative/mixed method studies conducted across eight countries met the final review criteria. Most commonly used complementary therapies were music, biofield therapies (reiki, therapeutic touch), and massage therapy. Most studies reported significant findings on physical symptoms (pain, dyspnea, fatigue, gastrointestinal symptoms, agitation) and/or psychosocial/spiritual symptoms (anxiety, depression, spirituality, well-being, quality of life); 40% of studies had both significant and nonsignificant findings. Methodological limitations included study design (few randomized controlled trials), small sample size, high attrition rate, lack of racial/ethnic diversity, unstandardized intervention implementation, and multiple outcome measurement instruments. Complementary therapies are promising components of hospice care; however, rigorous studies are needed to validate the effect on end-of-life outcomes and determine the most efficacious implementation. Complementary therapy studies face challenges consistent with end-of-life research; however, efforts to design rigorous trials and address methodological issues are required to enhance the state of the science.
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“Twenty-three quantitative or mixed-method studies across eight countries were included.”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Dingley et al. 2021
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“but although there were a few adequately powered RCTs, overall study quality was not very high.”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Dingley et al. 2021
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“This literature was summarized in a 2021 review, which synthesized the evidence regarding the implementation of complementary therapies on end-of-life outcomes in hospice care”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Dingley et al. 2021
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“Most studies reported significant findings on physical symptoms (pain, dyspnea, fatigue, gastrointestinal symptoms, agitation) and/or psychosocial/spiritual symptoms (anxiety, depression, spirituality, well-being, QL)”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Dingley et al. 2021
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“Most commonly used complementary therapies were music, biofield therapies (reiki, therapeutic touch), and massage therapy.”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Dingley et al. 2021
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Cites
A Pilot Study on Effectiveness of Music Therapy in Hospice in Japan
Nakayama, H., Kikuta, F., & Takeda, H. (2009) · Journal of Music Therapy · doi:10.1093/jmt/46.2.160 · Cited by 67
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Cited by
Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory.
Carlson, L. E. (2023) · Annual Review of Psychology · doi:10.1146/annurev-psych-032620-031757 · Cited by 56
Metadata
- Authors
- Dingley, C., Ruckdeschel, A., Kotula, K., & Lekhak, N.
- Affiliations
- University of Nevada, Las Vegas (US)
- University of Mississippi (US)
- Corresponding author
- Dingley, Catherine
- Venue
- Palliative Care and Social Practice
- Publisher
- SAGE Publications
- Published
- 2021-01
- Volume
- 15
- Pages
- 26323524211051753-26323524211051753
- ISSN
- 2632-3524 (ISSN-L)
- PMC
- PMC8552400
- OpenAlex
- W3209995685
- Cited by
- 16
- References
- 1
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 3 · 2023: 2 · 2022: 1
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Palliative Care and Social Practice (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Digital Scholarship - UNLV (University of Nevada Reno) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Keywords
- complementary therapy, hospice care, end-of-life care, music therapy, biofield energy healing, Reiki, therapeutic touch, massage, symptom management, pain, dyspnea, fatigue, gastrointestinal symptoms, agitation, anxiety, depression, spirituality, quality of life, implementation
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
