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MTABC conference research presentation MTABC conference research presentation Presentation Transcript

    • RESEARCH IN YOUR PRACTICE: AN INTRODUCTION
      • By Dr. Julie Dais
        • Research Education Director, MTABC
        • Research Director and Instructor, OVCMT in Vernon
        • Biology Department, Okanagan College
    MTABC/CMTBC Conference/AGM Weekend April 19-21,  2008
  • What is Research?
    • Scientific and diligent study , investigation or experimentation in order to establish facts and analyze their significance ( Taber’s Cyclopedic Medical Dictionary )
    • Could be subdivided into research literacy and research capacity
  • Research Literacy
    • The ability to find research publications by:
      • examining periodicals in the library
      • use of on-line databases
    • Plus the ability to critically evaluate the studies
  • Research Literacy – Why?
    • To give best practice treatment to your clients
    • To convince physicians to refer patients to massage therapists for a variety of conditions
    • To demonstrate to 3 rd party insurers that massage can be an effective method of treatment
  • Research Capacity
    • The ability to design and conduct research such as case reports, surveys and clinical trials and publish them
    • Case reports are easy to do:
      • They add to the literature base
      • Can be used to justify applying for funding for larger clinical trials
    • Case reports require careful, well-documented assessments before and after the treatment period
  • Barriers to Research
    • Time !
    • Acquiring the skills to do research
    • Access to the published literature
    • Funding to carry out research studies
    • The MTABC is trying to help you overcome these perceived barriers
  • Research in the Library Using Journals and Books – slow!
  • Research Using Online Computer Databases – Quick and Easy!
    • How can the MTA help you incorporate research into your practice?
  • MTABC’S Role In Research Literacy and Capacity
    • Member’s website
      • Research resources (eHL-bc)
      • Clinical practice guidelines
      • On-line courses
      • Guided assessment protocols
    • Massage Matters – Julie’s research column
  • MTABC’s Role (cont.)
    • Research Report newsletter (first one just mailed out - a case report)
    • Seed Grants
    • Student Case Report Awards
  • MTABC WEBSITE
    • Access to the electronic health library of BC (eHL-bc)
    • Online research courses
    • Clinical practice guidelines or literature reviews
    • Guided assessment protocols (GAPS)
    • Other resources (books, magazines)
    • http://www.massagetherapy.bc.ca/
    • Electronic Health Library of BC
    • (eHL-bc)
  • Electronic Health Library of BC
    • subscription-based website
    • gives the health care community in BC online access to research publication databases such as
      • Ovid
      • EBSCO
    • many articles accessed are full length PDF files
      • PDF stands for portable document format
  • eHL-bc (cont.)
    • Disciplines covered:
      • Medicine (clinical trials)
      • Nursing (massage in hospital settings)
      • Dentistry (massage for TMJ)
      • Veterinary Medicine (fascia, ligament studies)
      • Allied Health (massage, acupuncture, aromatherapy, etc.)
      • Psychology (massage for depression, anxiety, autism, behavioural problems)
  • eHL-bc (cont.)
    • normally, access to Ovid or EBSCO databases requires affiliation with a university library
    • the eHL-bc was created to give Ovid and EBSCO access to health authorities (family practitioners) and professional associations such as the MTABC and physiotherapists
    • eHL-bc access costs the MTABC quite a bit of money, but divided among its over 1700 members it is cheaper per person than ordering one PDF paper online!
  • Finding the eHL-bc on the MTABC Website
    • Log in to the members site
      • select RESEARCH
      • choose LIBRARY
      • Click on the image of EBSCO or Ovid
    • you can search these two databases for articles
    • Demonstration of Ovid
      • Select the databases you want to search
      • Search “massage therapy”
    • ONLINE COURSE:
    • HOW TO USE DATABASES TO FIND MASSAGE RELATED RESEARCH ARTICLES
  • Finding the Online Course
    • select RESEARCH
    • choose RESOURCES
    • Select Literature Searching
    • Look for the course PDF document and the associated database online test
  • Online Course CEC’s
    • completion of the course and test have been awarded 10 PD credits by the CMTBC-QMC.
    • fax or mail a complete copy of the test to MTABC office.
    • There is a $75 fee payable to MTABC.
    • Once the exam has been marked and you have passed with 70%, the MTABC will send you a certificate of completion.
  • Future Online Courses
    • How to Read Massage Therapy Articles is the last course we created and it available now!
    • future courses will cover
      • how to critically evaluate research articles
      • How to write a case report
    • CLINICAL PRACTICE GUIDELINES ON THE MTABC WEBSITE
  • Clinical Practice Guidelines
    • also referred to as evidenced-based practice (EBP) guidelines
    • help health care practitioners choose treatment options based on the best available evidence at that point in time
    • most health care professions have guidelines for treatment
  • Finding Clinical Practice Guidelines on the MTABC Website
    • select RESEARCH
    • choose RESOURCES
    • select Clinical Practice Guidelines
    • you can save a copy of each of the following very thorough documents:
      • Neck Pain Review
      • Low Back Pain
      • Osteoarthritis Guidelines
  • 1. Neck Literature Review
    • Survey of the literature as of 2007
    • Causes, assessment and treatment of neck disorders
      • Whiplash associated disorders
      • neck pain in the workplace
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  • 2. Low Back Pain Literature Review
    • Reviews everything available on the treatment of low back pain as of 2004
    • Topics: causes, symptoms, assessment, management, prevention
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  • 3. Osteoarthritis Literature Review
    • Survey of the research literature since 2002
      • 6 years old
      • always a problem with literature reviews
    • Red flags (for doctor referral or for specific areas of the body) p. 20
    • Yellow flags for barriers to recovery
      • Both also given for low back and neck pain
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  • Osteoarthritis Algorithm
    • Flow chart format Supporting DocumentsOsteoarthritis Guideline MTABC.pdf(page 19)
    • Decision tree that helps medical professionals diagnose and treat patients
    • Useful for helping practitioners follow clinical practice guidelines
    • There is also a neck algorithm on the MTABC resource
  •  
  • Enlarged Portion of Algorithm
  • Finding the Neck Pain Algorithm on the MTABC Website
    • select RESEARCH
    • choose RESOURCES
    • Under the GUIDED ASSESSMENT PROTOCOLS heading find NeckAlgorythm.pdf
    • GAPS on the MTABC Website
  • Finding GAPS on the MTABC Website
    • Guided Assessment Protocols
    • select RESEARCH
    • choose RESOURCES
    • select Guided Assessment Protocols (GAPS)
    • you can use these forms for clear and easy assessment documentation
  • GAPS (cont.)
    • Good assessments should:
      • be consistent (two different therapists would perform them the same way)
      • reveal any improvement in the client
    • Importance of good assessments:
      • To be able to demonstrate improved patient outcomes (for 3 rd party insurers)
      • To allow therapists to determine if a treatment approach is working or if they should try something different
  • GAPS (cont.)
    • There are many GAPS, but we will look at two:
      • GAPS for low back
      • GAPS for wrist
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  • RESEARCH REPORT of the MTABC
    • First issue recently mailed out
    • Detailed case report written by one of my students last year
    • Purpose is to publish research carried out by students and RMTs in British Columbia
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  • Massage Matters
    • Check out my Research Column in each issue of Massage Matters put out by the MTABC
    • I try to include little activities for you to try that involve using online research resources
    • Past topics include:
      • What is research?
      • Importance of evidenced-based practice
  • Seed Grants
    • Purpose: to increase the body of knowledge in massage therapy
    • Three grants awarded per year of $3000.00 each
    • Used for:
      • development of a proposal for a research study
      • or to carry out a pilot study
    • Other Websites Useful for Massage Research
  • PubMed
    • free search engine for accessing the Medline database mainly for abstracts of research articles (some full articles!)
    • Subject areas:
      • medicine
      • nursing
      • allied health
      • cell biology
      • biochemistry
    • http://www.ncbi.nlm.nih.gov/sites/entrez
    • Search Tsao and massage
  • Massage Therapy Foundation Website
    • searchable database of massage therapy related articles, but it lacks abstracts
      • choose Massage Therapy Research Database to search for topics
      • Or PubMed searches
    • contains some full-length PDF articles
      • Choose Library and select articles of interest
    • http://www.massagetherapyfoundation.org/
  • Massage Therapy Foundation (cont.)
    • Practitioner case report contest
      • Grand Prize
        • $2500 cash prize
        • $1000 stipend to attend the AMTA National Convention
        • Case report published in Journal of Bodywork and Movement Therapies
      • Second Place
        • $2000 cash prize
        • http://www.massagetherapyfoundation.org/PractitionerContest.html
  • International Journal for Therapeutic Massage and Bodywork: Research Education and Practice
    • soon to be up and running!
    • peer-reviewed, open access, quarterly publication of the Massage Therapy Foundation
    • register now (free!) so that you can receive an email with the table of contents for each issue
    • http://journals.sfu.ca/ijtmb/index.php/ijtmb/index
    • So what can you do to get started incorporating research into your practice?
  • Incorporating Research into Your Practice
    • Read the Research Reports and Julie’s articles in Massage Matters!
    • Check out the MTABC website
      • Use the GAPS in your practice
      • Take the online courses for CECs
    • Look up topics of interest using PubMed or the eHL-bc search engines
    • Important Massage Research Publications
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  • 2 October 2007 / Annals of Internal Medicine Volume 147 (7): 479-491
  •