Use of Complementary and Alternative Medicine (CAM) by Washington State Hospices

Kozak, Leila; Kayes, Lucy; McCarty, Rachelle L.; Walkinshaw, Catharine; Congdon, Sean; Kleinberger, Janis; Hartman, Valerie L.; Standish, Leanna J.

doi:10.1177/1049909108322292

Cited by 50 publications

(78 citation statements)

References 7 publications

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“…12 This study found that 55% of hospices had one or more salaried persons providing complementary therapies; however, the survey response rate was only 56%, the study was conducted more than a decade ago, and there is no information regarding the type of therapists employed. Smaller, regional studies found that the prevalence of CAM services in the hospice setting varied, with a range of 56% of hospices in Texas 12 to 86% and 90% percent in Washington 13 and Illinois, 14 respectively. In addition, a national report found that an estimated 42% of hospices nationally offered CAM services.…”

Section: Introductionmentioning

confidence: 99%

Massage, Music, and Art Therapy in Hospice: Results of a National Survey

Dain

Bradley

Hurzeler³

et al. 2015

Journal of Pain and Symptom Management

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Context Complementary and alternative medicine (CAM) provides clinical benefits to hospice patients, including decreased pain and improved quality of life. Yet little is known about the extent to which U.S. hospices employ CAM therapists. Objectives To report the most recent national data regarding the inclusion of art, massage, and music therapists on hospice interdisciplinary teams and how CAM therapist staffing varies by hospice characteristics. Methods A national cross-sectional survey of a random sample of hospices (n=591; 84% response rate) from September 2008 to November 2009. Results Twenty-nine percent of hospices (169 of 591) reported employing an art, massage, or music therapist. Of those hospices, 74% employed a massage therapist, 53% a music therapist, and 22% an art therapist, and 42% expected the therapist to attend interdisciplinary staff meetings, indicating a significant role for these therapists on the patient’s care team. In adjusted analyses, larger hospices compared with smaller hospices had significantly higher odds of employing a CAM therapist (adjusted odds ratio (AOR) = 6.38, 95% CI 3.40, 11.99) and forprofit hospices had lower odds of employing a CAM therapist compared with nonprofit hospices (AOR = 0.52, 95% CI 0.32, 0.85). Forty-four percent of hospices in the Mountain/Pacific region reported employing a CAM therapist versus 17% in the South Central region. Conclusion Less than one-third of U.S. hospices employ art, massage, or music therapists despite the benefits these services may provide to patients and families. A higher proportion of large hospices, nonprofit hospices and hospices in the Mountain/Pacific region employ CAM therapists, indicating differential access to these important services.

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Section: Introductionmentioning

confidence: 99%

Massage, Music, and Art Therapy in Hospice: Results of a National Survey

Dain

Bradley

Hurzeler³

et al. 2015

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

show abstract

“…One example is Washington State, where 86% of the hospices offered CAM to their patients. The therapies were offered by volunteers and were not covered under hospice benefits [14]. Interest from the patients and improvement in quality of life in end-of-life care, was the main reason for the high number of hospices offering CAM [14].…”

Section: Introductionmentioning

confidence: 99%

Use of Complementary and Alternative Medicine in Norwegian Hospitals

JacobsenRenate¹,

KristoffersenAgnete²

2014

The Journal of Alternative and Complementary Medicine

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“…Massage may be used as an adjunct or standalone therapy by a number of health care providers such as nurses (14,15) , physiotherapists (physical therapists) (16,17) , other complementary and alternative medicine (CAM) providers (18,19) , and massage therapists (20) . In some countries, including the United States, employment opportunities for MT exist within the sports, wellness, corporate, and health care settings (4,21) ; MT is also increasingly common in hospitals (22,23) and hospices (24) .…”

Section: Introductionmentioning

confidence: 99%

A Descriptive Study of the Practice Patterns of Massage New Zealand Massage Therapists

Smith

Sullivan²,

Baxter³

2011

IJTMB

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Background: Massage therapy has grown in popularity, yet little is known globally or in New Zealand about massage therapists and their practices.Purpose and Setting: The aims of this study were to describe the practice patterns of trained Massage New Zealand massage therapists in New Zealand private practice, with regard to therapist characteristics; practice modes and settings, and therapy characteristics; referral patterns; and massage therapy as an occupation.Research Design and Participants: A survey questionnaire was mailed to 66 trained massage therapist members of Massage New Zealand who were recruiting massage clients for a concurrent study of massage therapy culture.Results: Most massage therapists were women (83%), NZ European (76%), and holders of a massage diploma qualification (89%). Massage therapy was both a full-(58%) and part-time (42%) occupation, with the practice of massage therapy being the only source of employment for 70% of therapists. Nearly all therapists (94%) practiced massage for more than 40 weeks in the year, providing a median of 16 -20 hours of direct client care per week. Most massage therapists worked in a "solo practice" (58%) and used a wide and active referral network. Almost all therapists treated musculoskeletal symptoms: the most common client issues or conditions treated were back pain/problem (99%), neck/shoulder pain/problem (99%), headache or migraine (99%), relaxation and stress reduction (96%), and regular recovery or maintenance massage (89%). The most frequent client fee per treatment was NZ$60 per hour in a clinic and NZ$1 per minute at a sports event or in the workplace. Therapeutic massage, relaxation massage, sports massage, and trigger-point therapy were the most common styles of massage therapy offered. Nearly all massage therapists (99%) undertook client assessment; 95% typically provided self-care recommendations; and 32% combined other complementary and alternative medicine therapies with their massage consultations.Conclusions: This study provides new information about the practice of massage therapy by trained massage therapists. It will help to inform the massage industry and other health care providers, potential funders, and policymakers about the provision of massage therapy in the NZ health care system.

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Use of Complementary and Alternative Medicine (CAM) by Washington State Hospices

Cited by 50 publications

References 7 publications

Massage, Music, and Art Therapy in Hospice: Results of a National Survey

Massage, Music, and Art Therapy in Hospice: Results of a National Survey

Use of Complementary and Alternative Medicine in Norwegian Hospitals

A Descriptive Study of the Practice Patterns of Massage New Zealand Massage Therapists

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