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A three-arm randomized controlled trial of self-foot massage and reflexology combined with aromatherapy in individuals with hypertension: Effects on physiological parameters, sleep quality, and quality of life Cover

A three-arm randomized controlled trial of self-foot massage and reflexology combined with aromatherapy in individuals with hypertension: Effects on physiological parameters, sleep quality, and quality of life

Open Access
|Mar 2026

Figures & Tables

Figure 1

Flowchart of participants’ progress through the phases of the trial

Pre-test and post-test comparison of SBP, DBP, HR, and PQSI between the groups

VariablesGroupsPre-test mean value ± SDPost-test mean value ± SDPaired sample t-testANCOVA
t p-valueCohen’s d F p-value η 2
SBP (mmHg)SFM156.88 ± 5.50143.44 ± 6.189.54<0.0012.307.1650.0020.246
FM153.94 ± 4.74145.13 ± 7.823.950.0011.36
CON154.31 ± 3.55151.25 ± 5.941.900.0770.63
DBP (mmHg)SFM86.81 ± 3.1781.56 ± 3.905.85<0.0011.485.6410.0070.204
FM84.88 ± 3.9682.88 ± 2.731.940.1560.59
CON83.81 ± 3.0485.31 ± 3.59−1.480.1610.45
HR (bpm)SFM83.94 ± 2.7972.75 ± 4.497.60<0.0012.9921.3920.0000.493
FM81.69 ± 3.9574.19 ± 4.547.66<0.0011.76
CON82.31 ± 4.8581.31 ± 3.650.8970.3840.23
PQSI total scoreSFM8.25 ± 1.246.88 ± 1.093.670.0021.176.1120.0050.217
FM7.88 ± 1.267.44 ± 1.371.070.3000.33
CON7.75 ± 1.008.19 ± 1.28−1.8150.0890.38

General characteristics of the participants

VariablesTotal (N = 48) mean value ± SDSFM group (n = 16) mean value ± SDFM (n = 16) mean value ± SDCON (n = 16) mean value ± SD
Gender: Male/Female25/237/98/810/6
Age (year)48.69 ± 7.0948.81 ± 7.8650.31 ± 6.6446.94 ± 6.73
Weight (kg)69.31 ± 9.6967.06 ± 10.1269.50 ± 9.3271.38 ± 9.74
Height (cm)164.04 ± 5.50163.94 ± 6.04163.63 ± 5.52164.56 ± 5.23
Body mass index (kg/m2)25.66 ± 2.4924.85 ± 2.5625.8700 ± 2.3126.26 ± 2.54
Duration of HT (year)6.52 ± 2.007.13 ± 1.866.50 ± 1.755.94 ± 2.29

Pre-test and post-test comparison of WHOQOL-BREF between the groups

VariablesGroupsPre-test median (IQR)Post-test median (IQR)
Physical healthSFM26.50 (25.00–29.00)27.50 (25.00–30.00)
FM27.00 (25.25–28.75)27.50 (26.00–30.00)
CON28.50 (26.25–30.75)30.00 (26.25–31.00)
p-value0.2160.057
PsychologicalSFM26.00 (24.25–28.00)25.50 (24.25–27.00)
FM26.00 (25.00–27.00)26.00 (25.00–27.00)
CON27.00 (25.25–28.00)27.00 (25.25–28.00)
p-value0.5480.362
Social relationshipsSFM10.00 (9.00–11.00)10.50 (9.00–11.75)
FM10.00 (9.00–12.75)10.50 (9.00–12.00)
CON11.00 (10.00–11.00)11.50 (10.25–12.00)
p-value0.3120.337
EnvironmentSFM32.00 (30.00–34.75)32.00 (30.00–34.50)
FM31.00 (29.25–34.75)30.00 (29.00–35.00)
CON31.00 (30.00–31.75)30.50 (30.00–32.00)
p-value0.6220.562
OverallSFM99.50 (94.00–105.00)105.00 (97.50–112.50)
FM103.50 (97.25–109.00)103.50 (97.75–105.75)
CON104.50 (99.00–111.75)102.00 (95.25–109.50)
p-value0.1530.545
Language: English
Page range: 54 - 64
Submitted on: Apr 21, 2025
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Accepted on: Jan 25, 2026
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Published on: Mar 30, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Panida Hanphitakphong, Somruthai Poomsalood, Anothai Klakankhai, Supakorn Jinglaew, Buntueng Yana, Thanakarn Suangun, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.