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Abstract
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Aim:
The purpose of the study is to conduct a process evaluation that includes both the perspectives of adolescents and their guardians regarding a tactile massage intervention designed for adolescents with ADHD in the age group of 15–17 years. The study also aims to illuminate their experiences of the tactile massage intervention.
Method:
Fourteen adolescents at the Child and Adolescent Psychiatric Clinic in Western Sweden participated in ten weekly tactile massage sessions. Surveys assessed satisfaction and comfort, and semi-structured interviews with adolescents (n=13) and guardians (n=12) illuminated experiences. The surveys were analysed descriptively, and the interviews were analysed using Interpretive Description methodology, including member checking to enhance credibility.
Result:
Surveys showed high satisfaction, with participants expressing contentment with the procedure, therapist interaction, and relaxation outcomes. First-time experiences varied, with differences in initial expectations and whether participants were inclined to undergo the treatment again. Four themes were constructed from the analysis of the interviews: The Professional Ritual highlighted that trust was established through structured routines and clear communication, which contributed to relaxation. Environment’s Role indicated that external elements like school pressure affected relaxation, while prepared settings, lighting, and ambiance supported it. Mental and Physical Calm described massage as offering temporary relief from tension, allowing for moments of mental and physical relaxation, and changed body awareness. The Comfort of Touch showed that safe, respectful touch helped overcome initial discomfort and changed tolerance for physical contact. Guardians observed development of self-reflection and emotional resilience in their children.
Conclusion:
Tactile massage in a structured, safe environment promoted relaxation, self-awareness, and well-being for adolescents with ADHD. While experiences varied, the intervention was well-received and accessible. Future research should expand tactile massage interventions and explore their integration into multimodal ADHD care to confirm long-term benefits. Further studies could assist in optimising tactile massage therapy by comparing the themes in this study with outcomes of other tactile massage practices in a larger sample.
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