MTABC Incorporate Research Into Practice


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By Dr. Julie Dais
Research Education Director, MTABC
Research Director and Instructor, OVCMT in Vernon
Biology Department, Okanagan College

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MTABC Incorporate Research Into Practice

  1. 1. <ul><li>RESEARCH IN YOUR PRACTICE: AN INTRODUCTION </li></ul><ul><ul><li>By Dr. Julie Dais </li></ul></ul><ul><ul><ul><li>Research Education Director, MTABC </li></ul></ul></ul><ul><ul><ul><li>Research Director and Instructor, OVCMT in Vernon </li></ul></ul></ul><ul><ul><ul><li>Biology Department, Okanagan College </li></ul></ul></ul>MTABC/CMTBC Conference/AGM Weekend April 19-21,  2008
  2. 2. What is Research? <ul><li>Scientific and diligent study , investigation or experimentation in order to establish facts and analyze their significance ( Taber’s Cyclopedic Medical Dictionary ) </li></ul><ul><li>Could be subdivided into research literacy and research capacity </li></ul>
  3. 3. Research Literacy <ul><li>The ability to find research publications by: </li></ul><ul><ul><li>examining periodicals in the library </li></ul></ul><ul><ul><li>use of on-line databases </li></ul></ul><ul><li>Plus the ability to critically evaluate the studies </li></ul>
  4. 4. Research Literacy – Why? <ul><li>To give best practice treatment to your clients </li></ul><ul><li>To convince physicians to refer patients to massage therapists for a variety of conditions </li></ul><ul><li>To demonstrate to 3 rd party insurers that massage can be an effective method of treatment </li></ul>
  5. 5. Research Capacity <ul><li>The ability to design and conduct research such as case reports, surveys and clinical trials and publish them </li></ul><ul><li>Case reports are easy to do: </li></ul><ul><ul><li>They add to the literature base </li></ul></ul><ul><ul><li>Can be used to justify applying for funding for larger clinical trials </li></ul></ul><ul><li>Case reports require careful, well-documented assessments before and after the treatment period </li></ul>
  6. 6. Barriers to Research <ul><li>Time ! </li></ul><ul><li>Acquiring the skills to do research </li></ul><ul><li>Access to the published literature </li></ul><ul><li>Funding to carry out research studies </li></ul><ul><li>The MTABC is trying to help you overcome these perceived barriers </li></ul>
  7. 7. Research in the Library Using Journals and Books – slow!
  8. 8. Research Using Online Computer Databases – Quick and Easy!
  9. 9. <ul><li>How can the MTA help you incorporate research into your practice? </li></ul>
  10. 10. MTABC’S Role In Research Literacy and Capacity <ul><li>Member’s website </li></ul><ul><ul><li>Research resources (eHL-bc) </li></ul></ul><ul><ul><li>Clinical practice guidelines </li></ul></ul><ul><ul><li>On-line courses </li></ul></ul><ul><ul><li>Guided assessment protocols </li></ul></ul><ul><li>Massage Matters – Julie’s research column </li></ul>
  11. 11. MTABC’s Role (cont.) <ul><li>Research Report newsletter (first one just mailed out - a case report) </li></ul><ul><li>Seed Grants </li></ul><ul><li>Student Case Report Awards </li></ul>
  12. 12. MTABC WEBSITE <ul><li>Access to the electronic health library of BC (eHL-bc) </li></ul><ul><li>Online research courses </li></ul><ul><li>Clinical practice guidelines or literature reviews </li></ul><ul><li>Guided assessment protocols (GAPS) </li></ul><ul><li>Other resources (books, magazines) </li></ul><ul><li> </li></ul>
  13. 13. <ul><li>Electronic Health Library of BC </li></ul><ul><li>(eHL-bc) </li></ul>
  14. 14. Electronic Health Library of BC <ul><li>subscription-based website </li></ul><ul><li>gives the health care community in BC online access to research publication databases such as </li></ul><ul><ul><li>Ovid </li></ul></ul><ul><ul><li>EBSCO </li></ul></ul><ul><li>many articles accessed are full length PDF files </li></ul><ul><ul><li>PDF stands for portable document format </li></ul></ul>
  15. 15. eHL-bc (cont.) <ul><li>Disciplines covered: </li></ul><ul><ul><li>Medicine (clinical trials) </li></ul></ul><ul><ul><li>Nursing (massage in hospital settings) </li></ul></ul><ul><ul><li>Dentistry (massage for TMJ) </li></ul></ul><ul><ul><li>Veterinary Medicine (fascia, ligament studies) </li></ul></ul><ul><ul><li>Allied Health (massage, acupuncture, aromatherapy, etc.) </li></ul></ul><ul><ul><li>Psychology (massage for depression, anxiety, autism, behavioural problems) </li></ul></ul>
  16. 16. eHL-bc (cont.) <ul><li>normally, access to Ovid or EBSCO databases requires affiliation with a university library </li></ul><ul><li>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 </li></ul><ul><li>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! </li></ul>
  17. 17. Finding the eHL-bc on the MTABC Website <ul><li>Log in to the members site </li></ul><ul><ul><li>select RESEARCH </li></ul></ul><ul><ul><li>choose LIBRARY </li></ul></ul><ul><ul><li>Click on the image of EBSCO or Ovid </li></ul></ul><ul><li>you can search these two databases for articles </li></ul><ul><li>Demonstration of Ovid </li></ul><ul><ul><li>Select the databases you want to search </li></ul></ul><ul><ul><li>Search “massage therapy” </li></ul></ul>
  19. 19. Finding the Online Course <ul><li>select RESEARCH </li></ul><ul><li>choose RESOURCES </li></ul><ul><li>Select Literature Searching </li></ul><ul><li>Look for the course PDF document and the associated database online test </li></ul>
  20. 20. Online Course CEC’s <ul><li>completion of the course and test have been awarded 10 PD credits by the CMTBC-QMC. </li></ul><ul><li>fax or mail a complete copy of the test to MTABC office. </li></ul><ul><li>There is a $75 fee payable to MTABC. </li></ul><ul><li>Once the exam has been marked and you have passed with 70%, the MTABC will send you a certificate of completion. </li></ul>
  21. 21. Future Online Courses <ul><li>How to Read Massage Therapy Articles is the last course we created and it available now! </li></ul><ul><li>future courses will cover </li></ul><ul><ul><li>how to critically evaluate research articles </li></ul></ul><ul><ul><li>How to write a case report </li></ul></ul>
  23. 23. Clinical Practice Guidelines <ul><li>also referred to as evidenced-based practice (EBP) guidelines </li></ul><ul><li>help health care practitioners choose treatment options based on the best available evidence at that point in time </li></ul><ul><li>most health care professions have guidelines for treatment </li></ul>
  24. 24. Finding Clinical Practice Guidelines on the MTABC Website <ul><li>select RESEARCH </li></ul><ul><li>choose RESOURCES </li></ul><ul><li>select Clinical Practice Guidelines </li></ul><ul><li>you can save a copy of each of the following very thorough documents: </li></ul><ul><ul><li>Neck Pain Review </li></ul></ul><ul><ul><li>Low Back Pain </li></ul></ul><ul><ul><li>Osteoarthritis Guidelines </li></ul></ul>
  25. 25. 1. Neck Literature Review <ul><li>Survey of the literature as of 2007 </li></ul><ul><li>Causes, assessment and treatment of neck disorders </li></ul><ul><ul><li>Whiplash associated disorders </li></ul></ul><ul><ul><li>neck pain in the workplace </li></ul></ul>
  26. 30. 2. Low Back Pain Literature Review <ul><li>Reviews everything available on the treatment of low back pain as of 2004 </li></ul><ul><li>Topics: causes, symptoms, assessment, management, prevention </li></ul>
  27. 35. 3. Osteoarthritis Literature Review <ul><li>Survey of the research literature since 2002 </li></ul><ul><ul><li>6 years old </li></ul></ul><ul><ul><li>always a problem with literature reviews </li></ul></ul><ul><li>Red flags (for doctor referral or for specific areas of the body) p. 20 </li></ul><ul><li>Yellow flags for barriers to recovery </li></ul><ul><ul><li>Both also given for low back and neck pain </li></ul></ul>
  28. 38. Osteoarthritis Algorithm <ul><li>Flow chart format Supporting DocumentsOsteoarthritis Guideline MTABC.pdf(page 19) </li></ul><ul><li>Decision tree that helps medical professionals diagnose and treat patients </li></ul><ul><li>Useful for helping practitioners follow clinical practice guidelines </li></ul><ul><li>There is also a neck algorithm on the MTABC resource </li></ul>
  29. 40. Enlarged Portion of Algorithm
  30. 41. Finding the Neck Pain Algorithm on the MTABC Website <ul><li>select RESEARCH </li></ul><ul><li>choose RESOURCES </li></ul><ul><li>Under the GUIDED ASSESSMENT PROTOCOLS heading find NeckAlgorythm.pdf </li></ul>
  31. 42. <ul><li>GAPS on the MTABC Website </li></ul>
  32. 43. Finding GAPS on the MTABC Website <ul><li>Guided Assessment Protocols </li></ul><ul><li>select RESEARCH </li></ul><ul><li>choose RESOURCES </li></ul><ul><li>select Guided Assessment Protocols (GAPS) </li></ul><ul><li>you can use these forms for clear and easy assessment documentation </li></ul>
  33. 44. GAPS (cont.) <ul><li>Good assessments should: </li></ul><ul><ul><li>be consistent (two different therapists would perform them the same way) </li></ul></ul><ul><ul><li>reveal any improvement in the client </li></ul></ul><ul><li>Importance of good assessments: </li></ul><ul><ul><li>To be able to demonstrate improved patient outcomes (for 3 rd party insurers) </li></ul></ul><ul><ul><li>To allow therapists to determine if a treatment approach is working or if they should try something different </li></ul></ul>
  34. 45. GAPS (cont.) <ul><li>There are many GAPS, but we will look at two: </li></ul><ul><ul><li>GAPS for low back </li></ul></ul><ul><ul><li>GAPS for wrist </li></ul></ul>
  35. 48. RESEARCH REPORT of the MTABC <ul><li>First issue recently mailed out </li></ul><ul><li>Detailed case report written by one of my students last year </li></ul><ul><li>Purpose is to publish research carried out by students and RMTs in British Columbia </li></ul>
  36. 50. Massage Matters <ul><li>Check out my Research Column in each issue of Massage Matters put out by the MTABC </li></ul><ul><li>I try to include little activities for you to try that involve using online research resources </li></ul><ul><li>Past topics include: </li></ul><ul><ul><li>What is research? </li></ul></ul><ul><ul><li>Importance of evidenced-based practice </li></ul></ul>
  37. 51. Seed Grants <ul><li>Purpose: to increase the body of knowledge in massage therapy </li></ul><ul><li>Three grants awarded per year of $3000.00 each </li></ul><ul><li>Used for: </li></ul><ul><ul><li>development of a proposal for a research study </li></ul></ul><ul><ul><li>or to carry out a pilot study </li></ul></ul>
  38. 52. <ul><li>Other Websites Useful for Massage Research </li></ul>
  39. 53. PubMed <ul><li>free search engine for accessing the Medline database mainly for abstracts of research articles (some full articles!) </li></ul><ul><li>Subject areas: </li></ul><ul><ul><li>medicine </li></ul></ul><ul><ul><li>nursing </li></ul></ul><ul><ul><li>allied health </li></ul></ul><ul><ul><li>cell biology </li></ul></ul><ul><ul><li>biochemistry </li></ul></ul><ul><li> </li></ul><ul><li>Search Tsao and massage </li></ul>
  40. 54. Massage Therapy Foundation Website <ul><li>searchable database of massage therapy related articles, but it lacks abstracts </li></ul><ul><ul><li>choose Massage Therapy Research Database to search for topics </li></ul></ul><ul><ul><li>Or PubMed searches </li></ul></ul><ul><li>contains some full-length PDF articles </li></ul><ul><ul><li>Choose Library and select articles of interest </li></ul></ul><ul><li> </li></ul>
  41. 55. Massage Therapy Foundation (cont.) <ul><li>Practitioner case report contest </li></ul><ul><ul><li>Grand Prize </li></ul></ul><ul><ul><ul><li>$2500 cash prize </li></ul></ul></ul><ul><ul><ul><li>$1000 stipend to attend the AMTA National Convention </li></ul></ul></ul><ul><ul><ul><li>Case report published in Journal of Bodywork and Movement Therapies </li></ul></ul></ul><ul><ul><li>Second Place </li></ul></ul><ul><ul><ul><li>$2000 cash prize </li></ul></ul></ul><ul><ul><ul><li> </li></ul></ul></ul>
  42. 56. International Journal for Therapeutic Massage and Bodywork: Research Education and Practice <ul><li>soon to be up and running! </li></ul><ul><li>peer-reviewed, open access, quarterly publication of the Massage Therapy Foundation </li></ul><ul><li>register now (free!) so that you can receive an email with the table of contents for each issue </li></ul><ul><li> </li></ul>
  43. 57. <ul><li>So what can you do to get started incorporating research into your practice? </li></ul>
  44. 58. Incorporating Research into Your Practice <ul><li>Read the Research Reports and Julie’s articles in Massage Matters! </li></ul><ul><li>Check out the MTABC website </li></ul><ul><ul><li>Use the GAPS in your practice </li></ul></ul><ul><ul><li>Take the online courses for CECs </li></ul></ul><ul><li>Look up topics of interest using PubMed or the eHL-bc search engines </li></ul>
  45. 59. <ul><li>Important Massage Research Publications </li></ul>
  46. 61. 2 October 2007 / Annals of Internal Medicine Volume 147 (7): 479-491