CONTEXT:

Certain meditation practices may effectively address spiritual needs near end-of-life, an often overlooked aspect of quality of life (QOL). Among people subject to physical isolation, meditation benefits may be blunted unless physical contact is also addressed.

OBJECTIVE:

To evaluate independent and interactive effects of Metta meditation and massage on QOL in people with acquired immunodeficiency syndrome (AIDS).

DESIGN:

Randomized controlled blinded factorial pilot trial conducted from November 2001 to September 2003.

SETTING:

An AIDS-dedicated skilled nursing facility in New Haven, Connecticut.

PARTICIPANTS:

Fifty-eight residents (43% women) with late stage disease (AIDS or comorbidity).

INTERVENTIONS:

Residents were randomized to 1 month of meditation, massage, combined meditation and massage, or standard care. The meditation group received instruction, then self-administered a meditation audiocassette daily. A certified massage therapist provided the massage intervention 30 minutes per day 5 days per week.

OUTCOME MEASURE:

Changes on Missoula-Vitas QOL Index overall and transcendent (spiritual) scores at 8 weeks. Results: The combined group showed improvement in overall (p = 0.005) and transcendent (p = 0.01) scores from baseline to 8 weeks, a change significantly greater (p < 0.05) than the meditation, massage, and control groups.

CONCLUSIONS:

The combination of meditation and massage has a significantly favorable influence on overall and spiritual QOL in late-stage disease relative to standard care, or either intervention component alone.