A rapid evidence assessment of recent therapeutic touch research.
Bernie Garrett, Marliss Riou
PMID 33742792WHAT IT FOUND
No good-quality evidence supports therapeutic touch as a clinical treatment.
Most included studies reported benefits, but they were low quality and heavily biased. The better studies found no effect, and nurses should not rely on it for pain, anxiety, nausea, or vital signs.
Key findings
01No good quality evidence supports therapeutic touch as an evidence-based clinical intervention.
02Seventeen of the 21 included studies reported positive results, but overall evidence quality was low.
03Three studies with medium weight of evidence found no effect.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review was rapid, so it did not search as broadly or deeply as a full systematic review. It only covered English-language studies from January 2009 to March 2020. The included studies were too varied in patients, conditions, and treatment methods to combine into one reliable estimate. Most studies had serious design problems, including small groups, unclear allocation, and high risk of bias. Many studies were published in journals that supported alternative therapy, and some researchers were therapeutic touch practitioners. Because therapeutic touch cannot be blinded or measured, it is hard to tell whether any reported benefit came from the intervention, attention, belief, or placebo. Some studies combined therapeutic touch with other treatments, so the effect of therapeutic touch alone cannot be separated.
Declared interests
The authors declared no competing interests or conflicts of interest.
The easy way to misread this
Do not read the 17 positive studies as proof that therapeutic touch works. The review found those studies were low quality and heavily biased, and the studies with medium weight of evidence showed no effect.