Evidence Based Massage Therapy in practice

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A look at what EBP is and how RMT's can use it

A look at what EBP is and how RMT's can use it

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  • 1. Research: Translating Evidence into Practice Presenter Bodhi G Haraldsson RMT MTABC Research department chair
  • 2.
    • Learning objectives
    • How to establish an evidence-based massage therapy practice
    • How to justify your treatment methods with published research when challenged by medical colleagues or third party payers
  • 3.
    • Learning objectives con’t
    • Overcoming barriers in translating evidence into practice
    • Applying the current evidence to improve patient care
  • 4. What is Evidence Based Practice
    • EBP requires that decisions about health care are based on the best available, current, valid and relevant evidence .
    • These decisions should be made by those receiving care, informed by the tacit and explicit knowledge of those providing care, within the context of available resources.
  • 5. The Evolution of EBP 2002, Haynes et al Patient Preferences & Actions Best Research Evidence Clinical Expertise Clinical State & Circumstances
  • 6. CLINICAL EXPERTISE IN PRACTICE
    • Your wisdom and experience is important
    • Listen to your clients
    • Be explicit in providing information to clients to enable them to make informed decisions
    • Be “systematic” in your reflections and decision making
    • Develop simple tracking and reporting systems – for now and for the future
    • Use the resources available
  • 7. From Data to Wisdom
    • Data are what researchers collect
    • Information results when data is analyzed and interpreted (EVIDENCE)
    • Knowledge results when information is shared, acquired, and used
    • Wisdom is the ability to make the right use of knowledge
  • 8. Evidence-based Process
    • Identify an issue or area of uncertainty
    • Formulate a relevant question
    • Search for the evidence
    • Appraise the evidence
    • Decide whether or not to act on the evidence
    • Assess the outcomes of your actions
    • Save information for the future
  • 9. Formulating relevant questions
    • Who is the client?
    • What are the issues?
    • What are the desired outcomes?
    • Is the focus on assessment or intervention, or both?
  • 10.  
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  • 14. Focusing Clinical Questions
    • Questions need to be both directly relevant to patients' problems and phrased in ways that direct your search to relevant and precise answers.
  • 15. PICO outcomes Comparison intervention Intervention Patient or problem “ lead to higher function” “ When compared to…” “ Would adding proprioceptive exercises of the neck to standard therapy…” “ In patients with tension headache who have blurred vision…” Example Ask “what Can I hope to accomplish” Ask “What is the main alternative to compare with the intervention” Ask “which main intervention am I considering” Starting with your patient, ask “How would I describe a group of patients similar to mine” Tips for building
  • 16. Deciding which question to ask
    • Which question is most important to the patient's well being? (Have you taken into account the patient's perspective?)
    • Which question is most feasible to answer in the time you have available
    • Which question are you most likely to encounter repeatedly in your practice?
    • Which question is most interesting to you?
  • 17. Questions?