Imagery-induced relaxation as a psychological intervention tool in children with cancer

Background: Psychologically-directed therapies have been shown to be effective in reducing stress and enhance well-being. The objective of this study was to develop an imagery-induced relaxation (IIR) audio in Bahasa Malaysia as an interventional psychological tool and pilot test it to a group of pa...

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Main Authors: Taib, Mai Nurul Ashikin, Nasir, Ariffin, Othman, Azizah, Sharifudin, Mohd Ariff
Format: Proceeding Paper
Language:English
English
Published: 2014
Subjects:
Online Access:http://irep.iium.edu.my/39538/
http://irep.iium.edu.my/39538/1/Program_and_Abstract_Book_-_Imagery_Tool.pdf
http://irep.iium.edu.my/39538/2/IHCIIUM_2014_-_ORAL_-_IMAGERY_TOOL.pdf
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author Taib, Mai Nurul Ashikin
Nasir, Ariffin
Othman, Azizah
Sharifudin, Mohd Ariff
author_facet Taib, Mai Nurul Ashikin
Nasir, Ariffin
Othman, Azizah
Sharifudin, Mohd Ariff
author_sort Taib, Mai Nurul Ashikin
building IIUM Repository
collection Online Access
description Background: Psychologically-directed therapies have been shown to be effective in reducing stress and enhance well-being. The objective of this study was to develop an imagery-induced relaxation (IIR) audio in Bahasa Malaysia as an interventional psychological tool and pilot test it to a group of paediatric oncology patients in the hope to improve the patient’s well-being as a whole. Methodology: 18 cancer children were recruited for this study. The imagery-induced relaxation (IIR) tool was developed where face and content validation were obtained via reports from experts. An interventional study was conducted to look at the effect of the IIR audio in modifying the physiological and mood indicators as well as the quality of life score in children with cancer. The quality of life scores were measured using the PedsQL 4.0 Generic Core Scale and PedsQL 3.0 Cancer Module. The physiological relaxation indicators were measured using a self-contructed rating scale. Mood and pain were measured using the Ottawa-Georgia Mood Faces Scale and Wong-Baker Pain analogue scale. Multiple comparisons between the pre and post intervention was analysed with Friedman test with Bonferroni correction to detect the differences in indicators score across over time. Results: There was no significant difference in the quality of life score. However, the differences in all the physiological indicators; calmness of heart beats (χ2 (4) = 21.02, p= <0.001), feeling of comfortness (χ2 (4) = 24.80 , p= <0.001), perception of no pain (χ2 (4) = 16.20, p= 0.003) and feeling of perceived strength (χ2 = 17.50 p= 0.002), mood; stress (χ2 (4) = 17.731, p= 0.001), sad (χ2 (4) = 13.522, p= 0.009), anxiety (χ2 (4) = 12.290, p= 0.015) and anger (χ2 = 16.905, p= 0.002) and pain (χ2 (4) = 9.882, p= 0.042) between time (pre and post intervention) were significant. The mean rank for all the indicators showed improvement with time indicating better physiological response, mood and less pain. Conclusion: This study has successfully become a pioneer in developing an imagery induced audio in Bahasa Malaysia, which is feasible and enjoyable by children. The imagery-induced relaxation audio has also shown potential benefit in inducing positive effects on physiological indicators of relaxation, mood and pain in cancer children. Future randomized controlled trials are needed to confirm our findings.
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institution International Islamic University Malaysia
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language English
English
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spelling iium-395382015-01-08T03:44:15Z http://irep.iium.edu.my/39538/ Imagery-induced relaxation as a psychological intervention tool in children with cancer Taib, Mai Nurul Ashikin Nasir, Ariffin Othman, Azizah Sharifudin, Mohd Ariff RJ101 Child Heatlh. Child health services. Preventive health services for children Background: Psychologically-directed therapies have been shown to be effective in reducing stress and enhance well-being. The objective of this study was to develop an imagery-induced relaxation (IIR) audio in Bahasa Malaysia as an interventional psychological tool and pilot test it to a group of paediatric oncology patients in the hope to improve the patient’s well-being as a whole. Methodology: 18 cancer children were recruited for this study. The imagery-induced relaxation (IIR) tool was developed where face and content validation were obtained via reports from experts. An interventional study was conducted to look at the effect of the IIR audio in modifying the physiological and mood indicators as well as the quality of life score in children with cancer. The quality of life scores were measured using the PedsQL 4.0 Generic Core Scale and PedsQL 3.0 Cancer Module. The physiological relaxation indicators were measured using a self-contructed rating scale. Mood and pain were measured using the Ottawa-Georgia Mood Faces Scale and Wong-Baker Pain analogue scale. Multiple comparisons between the pre and post intervention was analysed with Friedman test with Bonferroni correction to detect the differences in indicators score across over time. Results: There was no significant difference in the quality of life score. However, the differences in all the physiological indicators; calmness of heart beats (χ2 (4) = 21.02, p= <0.001), feeling of comfortness (χ2 (4) = 24.80 , p= <0.001), perception of no pain (χ2 (4) = 16.20, p= 0.003) and feeling of perceived strength (χ2 = 17.50 p= 0.002), mood; stress (χ2 (4) = 17.731, p= 0.001), sad (χ2 (4) = 13.522, p= 0.009), anxiety (χ2 (4) = 12.290, p= 0.015) and anger (χ2 = 16.905, p= 0.002) and pain (χ2 (4) = 9.882, p= 0.042) between time (pre and post intervention) were significant. The mean rank for all the indicators showed improvement with time indicating better physiological response, mood and less pain. Conclusion: This study has successfully become a pioneer in developing an imagery induced audio in Bahasa Malaysia, which is feasible and enjoyable by children. The imagery-induced relaxation audio has also shown potential benefit in inducing positive effects on physiological indicators of relaxation, mood and pain in cancer children. Future randomized controlled trials are needed to confirm our findings. 2014 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/39538/1/Program_and_Abstract_Book_-_Imagery_Tool.pdf application/pdf en http://irep.iium.edu.my/39538/2/IHCIIUM_2014_-_ORAL_-_IMAGERY_TOOL.pdf Taib, Mai Nurul Ashikin and Nasir, Ariffin and Othman, Azizah and Sharifudin, Mohd Ariff (2014) Imagery-induced relaxation as a psychological intervention tool in children with cancer. In: International Health Conference IIUM 2014, 3-4 Dec 2014, Kuantan, Pahang. http://www.iium.edu.my/ihci/
spellingShingle RJ101 Child Heatlh. Child health services. Preventive health services for children
Taib, Mai Nurul Ashikin
Nasir, Ariffin
Othman, Azizah
Sharifudin, Mohd Ariff
Imagery-induced relaxation as a psychological intervention tool in children with cancer
title Imagery-induced relaxation as a psychological intervention tool in children with cancer
title_full Imagery-induced relaxation as a psychological intervention tool in children with cancer
title_fullStr Imagery-induced relaxation as a psychological intervention tool in children with cancer
title_full_unstemmed Imagery-induced relaxation as a psychological intervention tool in children with cancer
title_short Imagery-induced relaxation as a psychological intervention tool in children with cancer
title_sort imagery-induced relaxation as a psychological intervention tool in children with cancer
topic RJ101 Child Heatlh. Child health services. Preventive health services for children
url http://irep.iium.edu.my/39538/
http://irep.iium.edu.my/39538/
http://irep.iium.edu.my/39538/1/Program_and_Abstract_Book_-_Imagery_Tool.pdf
http://irep.iium.edu.my/39538/2/IHCIIUM_2014_-_ORAL_-_IMAGERY_TOOL.pdf