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Not yet recruitingNCT07878637Updated Oct 16, 2026

Foot Reflexology for Anxiety in Women Hospitalized With High-Risk Pregnancy

An interventional study of Foot Reflexology in Anxiety, Pregnancy, High-Risk and Pregnancy Complications, sponsored by Wolfson Medical Center. Not yet recruiting at 1 site in Israel. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Wolfson Medical Center · Not applicable, Interventional, and Supportive care

Updated Oct 16, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this clinical trial is to learn whether a single foot reflexology session reduces anxiety in pregnant women who are hospitalized in a high-risk pregnancy unit because of maternal or fetal complications.

The main question it aims to answer is: Do women who receive a 30-minute reflexology session have a greater reduction in state anxiety than women who have a 30-minute quiet rest?

Researchers will also compare the two groups on self-rated anxiety (visual analog scale), blood pressure, heart rate, and satisfaction.

Participants will:

  • Complete anxiety questionnaires and have their blood pressure and heart rate measured
  • Be randomly assigned to either a 30-minute foot reflexology session given by a certified reflexologist, or a 30-minute rest period in a quiet environment (standard care)
  • Repeat the questionnaires and measurements immediately afterwards and rate their satisfaction
Read the detailed description

Background Hospitalization during pregnancy for maternal or fetal complications is frequently associated with psychological distress, particularly anxiety. Women admitted to high-risk pregnancy units face uncertainty about pregnancy outcomes, concern for maternal and fetal well-being, prolonged hospitalization, loss of daily routines, and reduced social support. Reflexology is a non-invasive complementary therapy that applies pressure to specific points on the feet. Proposed mechanisms include modulation of the autonomic nervous system, stimulation of neural pathways, hemodynamic changes, and endorphin release. Reflexology has been associated with reduced anxiety in several clinical settings and, in pregnancy, with reduced anxiety and pain during labor. Its effect on women hospitalized in high-risk pregnancy units has not been studied.

Design Prospective, single-center, randomized controlled trial with 1:1 allocation to reflexology or quiet rest.

Procedures Baseline (T0, immediately before the session): blood pressure, heart rate, State-Trait Anxiety Inventory state subscale (STAI-S), and anxiety visual analog scale (VAS, 0-10).

Intervention: a single 30-minute standardized foot reflexology session by a certified reflexologist, or a 30-minute quiet rest period (standard care).

Post-intervention (T1, immediately after): blood pressure, heart rate, STAI-S, VAS anxiety, and a satisfaction questionnaire.

Statistical analysis Continuous variables will be summarized as mean ± SD or median (IQR). Between-group comparisons will use the independent t-test or Mann-Whitney U test; within-group comparisons will use the paired t-test or Wilcoxon signed-rank test. The correlation between changes in VAS and STAI-S will be assessed with Pearson or Spearman coefficients. Exploratory subgroup analyses by indication for hospitalization are planned. A two-sided p \< 0.05 will be considered significant.

02

Conditions studied

  • Anxiety
  • Pregnancy, High-Risk
  • Pregnancy Complications

Keywords

  • reflexology foot reflexology complementary therapies antepartum hospitalization state anxiety STAI high-risk pregnancy
03

In context

Anxiety Disorders

5,063 studies on the registry are indexed under Anxiety Disorders; 1,408 are open to participants now.

This study's planned enrollment of 144 is above the median of 80 across 4,339 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Wolfson Medical Center is the lead sponsor of 118 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older
  • Singleton pregnancy
  • Gestational age of 24 weeks or more
  • Hospitalized in the high-risk pregnancy unit for at least 24 hours
  • Able to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Active labor
  • Hemodynamic instability
  • Foot pathology preventing reflexology
  • Cognitive inability to complete questionnaires
  • Reflexology received previously during the current admissio-
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    Foot Reflexology

    Participants receive a single 30-minute standardized foot reflexology session performed at the bedside by a certified reflexologist, in addition to standard care.

    Other: Foot Reflexology

  • No intervention
    Quiet Rest (Standard Care)

    Participants receive standard care and a 30-minute rest period in a quiet environment, matched in time to the reflexology session.

Interventions

  • OtherFoot Reflexology

    A single 30-minute standardized session of manual pressure applied to reflex points on both feet while patient is lying down, performed by a certified reflexologist.

    Also known as: Reflexology

06

What researchers measure

Primary outcomes

  1. Change in State Anxiety (STAI-S) Score

    State anxiety measured with the state subscale of the State-Trait Anxiety Inventory (STAI-S; 20 items, total score 20-80, higher scores indicate greater anxiety). Change is calculated as the post-intervention score minus the baseline score.

    Time frame: Baseline (immediately before the session) and immediately after the 30-minute session

Secondary outcomes

  1. Change in Anxiety Visual Analog Scale (VAS) Score

    Self-rated anxiety on a 0-10 visual analog scale (0 = no anxiety, 10 = worst possible anxiety). Change is calculated as post-intervention minus baseline.

    Time frame: Baseline (immediately before the session) and immediately after the 30-minute session

  2. Change in Systolic Blood Pressure

    Systolic blood pressure in mmHg. Change is calculated as post-intervention minus baseline.

    Time frame: Baseline (immediately before the session) and immediately after the 30-minute session

  3. Change in Diastolic Blood Pressure

    Diastolic blood pressure in mmHg. Change is calculated as post-intervention minus baseline.

    Time frame: Baseline (immediately before the session) and immediately after the 30-minute session

  4. Change in Heart Rate

    Heart rate in beats per minute. Change is calculated as post-intervention minus baseline.

    Time frame: Baseline (immediately before the session) and immediately after the 30-minute session

  5. Participant Satisfaction

    Satisfaction with the session was measured using two items rated from 1 to 5 (higher scores indicating greater satisfaction): overall satisfaction with the session, and willingness to recommend it to other women in a similar situatio

    Time frame: Immediately after the 30-minute session

  6. Correlation Between Change in STAI-S and Change in VAS Anxiety

    Pearson or Spearman correlation coefficient between the change in STAI-S score and the change in VAS anxiety score, calculated across all participants.

    Time frame: Baseline (immediately before the session) and immediately after the 30-minute session

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Study locations

1 site
  • Edit Wolfson Medical Center
    Holon, Israel
    • Julia Head of High risk pregnancy Unit, proffesor medical doctor · Contact · bardag@wmc.gov.il · +972522548634
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References and documents

Publications

  • Yang JM, Li ZQ, Ye H, Wu YL, Long Y, Zhong YB, Luo Y, Wang MY. Effects of foot reflexology massage on pregnant women: a systematic review and meta-analysis of randomized controlled studies. Sci Rep. 2024 Jan 10;14(1):1012. doi: 10.1038/s41598-023-51107-y. PubMed 38200035 ↗
  • Wang WL, Hung HY, Chen YR, Chen KH, Yang SN, Chu CM, Chan YY. Effect of Foot Reflexology Intervention on Depression, Anxiety, and Sleep Quality in Adults: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Evid Based Complement Alternat Med. 2020 Sep 15;2020:2654353. doi: 10.1155/2020/2654353. eCollection 2020. PubMed 33014101 ↗
  • Wang MY, Tsai PS, Lee PH, Chang WY, Yang CM. The efficacy of reflexology: systematic review. J Adv Nurs. 2008 Jun;62(5):512-20. doi: 10.1111/j.1365-2648.2008.04606.x. PubMed 18489444 ↗
  • Kuehnle E, Jungk J, Brodowski L, Kohls F, Hillemanns P, Staboulidou I. Effects of Recreational Therapy and 3D Ultrasonography for High-Risk Pregnancies on Psychological Well-Being during Hospitalization and in the Puerperal Phase. J Clin Med. 2023 Sep 27;12(19):6228. doi: 10.3390/jcm12196228. PubMed 37834871 ↗
  • Toscano M, Royzer R, Castillo D, Li D, Poleshuck E. Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis. Obstet Gynecol. 2021 May 1;137(5):881-891. doi: 10.1097/AOG.0000000000004335. PubMed 33831928 ↗

Individual participant data

Plan to share: No — De-identified individual participant data will not be publicly shared. Data may be made available by the principal investigator on reasonable request and subject to ethics committee approval.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Oct 2028, 24 months later.

Of 2,720 non-industry interventional studies with no phase under Anxiety Disorders, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 31. This study's planned 24 months is above that.

Counting every sponsor, half of 2,789 studies reached it within 12 months; a quarter within 5 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 9, 2026
First posted
Oct 16, 2026
StartEst.
Oct 1, 2026
Primary completionEst.
Oct 1, 2028
CompletionEst.
Apr 1, 2029
Last update
Oct 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07878637
Responsible party
Tamara Levy (MD, Wolfson Medical Center) — Principal investigator
First posted
Oct 16, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Oct 1, 2028 (estimated)
Completion
Apr 1, 2029 (estimated)
Last update
Oct 16, 2026

Study contacts

Tamara Levy, Medical Doctor
Contact
tamaralevi@gmail.com
+972523573548
Julia Barda, professor, Medical Doctor
Contact
bardag@wmc.gov.il
+972522548634
Tamara Levy, Medical Doctor
principal investigator · Wolfson Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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