Letters |

An Even Closer Look at Therapeutic Touch

Mary Ireland, RN, PhD
JAMA. 1998;280(22):1905-1908. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-22-jac80017.
Text Size: A A A
Published online


To the Editor.—Research design flaws in the study by Ms Rosa and colleagues1 are disturbing given the serious nature of study results and the suggestion that TT should no longer be offered to patients. First, the authors are not neutral and unbiased, nor is the senior author representative of nurse scientists with advanced degrees currently conducting research. Second, it is questionable whether the sampling methods provided a representative sample. "Searching advertisements" to obtain a sample is purposive and limits generalizability. In addition, the authors did not specify what is meant by "following other leads" in recruiting participants. Apparent failure of the participants to question explication of test procedures from a 9-year-old child suggests lack of sophistication. Third, no rationale is provided for conducting 2 series of tests, and the criteria that guided this design are not mentioned. Moreover, during the first testing period, there was a lack of equivalency in both the time frames used to assess practitioners and the settings in which data were collected. The impact of videotaping during the second testing period, a complaint registered by several participants, is not addressed. Fourth, the subtle demand characteristic of the procedure for testing the hypothesis that practitioners should be able to perceive the HEF of the experimenter 100% of the time was not representative of the patient-practitioner interaction and glosses over the fact that practitioners generally use both hands to assess the HEF.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.