Z-VAD-FMK br value of the service
value of the service to the patients. As such, a study was carried out to determine whether reflexology shows a significant improvement in concerns and well-being. At the same time, it was done to identify areas where the reflexology treatment would be useful.
Patients and Methods
Patients underwent 6 sessions of reflexology, each lasting 45 minutes. The patients were invited to relax on a reclining chair or treatment couch, or to put their feet up on a footstool. The feet
Figure 2 Distribution of Patients With Breast Cancer and Patients Without Breast Cancer Patients Participating in Study. Of the 57 Patients Who Completed the Questionnaire, 57.7% (30) Were Patients With Breast Cancer and 42.3% (22) Were Patients Without Breast cancer
Ayush K. Kapila et al
Figure 3 Categories of Concerns Raised by Patients Without
Figure 4 Categories of Concerns Raised by Patients With
Breast Cancer. Patients in the Non-breast Cancer
Breast Cancer. Patients in the Breast Cancer Group
Group Expressed Concerns that Could be Divided Into
Expressed Concerns that Could be Divided Into 4
2 GroupsePsychological and Emotional Concerns
GroupsePsychological and Emotional Concerns
Treatment Concerns (7%), and Concerns About Well-
were then cleansed at the start of the treatment, after which the reflexology zones on the feet were stimulated as per standard pro-tocol by a single reflexologist.
The ‘Measure Yourself Concerns and Wellbeing’ (MYCaW) questionnaire was deemed to be the most suitable tool of evaluating the service. It is an established and valid tool (an Z-VAD-FMK of MYMOPeMeasure Yourself Medical Outcome Profile) specifically used to evaluate complementary therapies in cancer care.8,9 Following registration of the MYCaW evaluation, the questionnaire was given to patients attending between March 2015 and January 2016, and 57 questionnaires were completed for 52 patients, as 4 patients of the group completed 2 questionnaires each for different concerns raised. The concerns filled on the questionnaire were not shared with the reflexologist to prevent pretreatment bias; however, the reflexologist was free to provide a personalized service depending on the patient’s verbal feedback during the treatment corresponding with routine practice. Referral forms to the reflexology service for each of these patients and referral pathways and reasons were reviewed and matched to patients’ MYCaW evaluation forms.
MYCaW results were differentiated into groups of ‘breast cancer’ and ‘non-breast cancer (NBC)’, to gain clarity in the results and be able to distinguish how reflexology addresses the needs of each group and thereby improve reflexology referral pathways. The breast cancer group included patients who had previously been diagnosed with breast cancer at the time of their reflexology and who were undergoing or had completed standard cancer treatment as deter-mined by the MDT. The NBC group consisted of patients referred from other pathways; these included breast pain, other cancers (ovarian and Hodgkin lymphoma), pneumonia, and anxiety (stress caused by partner’s diagnosis). Of the 52 patients who completed their questionnaires, 30 (57.7%) were patients with breast cancer and 22 (42.3%) were in the NBC group (Figure 2). Data was also collated on the referral pathway for the reflexology service in order to investigate and inform genetic drift process. The results were analyzed using Graphpad Prism version 7. Paired parametric t tests were used to compare preintervention and postintervention groups for MYCaW scores, well-being, and
concerns raised by patients. One researcher further subdivided the patients into super categories as per MYCaW guidelines. Analysis was then done by a different researcher to assess which categories showed the most improvement.