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Abdominal Massage for Adults With an Intellectual Disability and Constipation: A Feasibility Pilot Study
Janet Finlayson1, Kirsteen Goodman1, Jennifer Crockett1
1Department of Nursing, Community and Public Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Summary
Abdominal massage is a feasible, non-pharmacological approach for adults with an intellectual disability experiencing constipation. Further research is needed to confirm its effectiveness in managing chronic constipation symptoms.
Area of Science:
- Gastroenterology
- Intellectual Disability Research
- Healthcare Support
Background:
- Constipation affects 33-50% of adults with intellectual disabilities.
- Current laxative treatments are often ineffective and poorly managed.
- Need for alternative constipation management strategies in this population.
Purpose of the Study:
- To assess the feasibility of home-based abdominal massage for adults with intellectual disabilities and constipation.
- To pilot this intervention administered by a supporter.
- To evaluate symptom alleviation through abdominal massage.
Main Methods:
- Randomized controlled pilot study with a 3:1 ratio (intervention:control).
- Supporters received training on abdominal massage techniques.
- Intervention group received abdominal massage for 6 weeks.
Main Results:
- 31 adults and their supporters participated (24 intervention, 7 control).
- Abdominal massage was demonstrated as a feasible non-pharmacological intervention.
- Positive indicators for potential symptom management.
Conclusions:
- Abdominal massage shows promise as a feasible intervention for constipation in adults with intellectual disabilities.
- A larger trial is necessary to establish the effectiveness of abdominal massage.
- Development of tailored constipation assessment tools is recommended for this population.
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