Evidence Based Massage Therapy in practice


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

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  • Evidence Based Massage Therapy in practice

    1. 1. Research: Translating Evidence into Practice Presenter Bodhi G Haraldsson RMT MTABC Research department chair
    2. 2. <ul><li>Learning objectives </li></ul><ul><li>How to establish an evidence-based massage therapy practice </li></ul><ul><li>How to justify your treatment methods with published research when challenged by medical colleagues or third party payers </li></ul>
    3. 3. <ul><li>Learning objectives con’t </li></ul><ul><li>Overcoming barriers in translating evidence into practice </li></ul><ul><li>Applying the current evidence to improve patient care </li></ul>
    4. 4. What is Evidence Based Practice <ul><li>EBP requires that decisions about health care are based on the best available, current, valid and relevant evidence . </li></ul><ul><li>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. </li></ul>
    5. 5. The Evolution of EBP 2002, Haynes et al Patient Preferences & Actions Best Research Evidence Clinical Expertise Clinical State & Circumstances
    6. 6. CLINICAL EXPERTISE IN PRACTICE <ul><li>Your wisdom and experience is important </li></ul><ul><li>Listen to your clients </li></ul><ul><li>Be explicit in providing information to clients to enable them to make informed decisions </li></ul><ul><li>Be “systematic” in your reflections and decision making </li></ul><ul><li>Develop simple tracking and reporting systems – for now and for the future </li></ul><ul><li>Use the resources available </li></ul>
    7. 7. From Data to Wisdom <ul><li>Data are what researchers collect </li></ul><ul><li>Information results when data is analyzed and interpreted (EVIDENCE) </li></ul><ul><li>Knowledge results when information is shared, acquired, and used </li></ul><ul><li>Wisdom is the ability to make the right use of knowledge </li></ul>
    8. 8. Evidence-based Process <ul><li>Identify an issue or area of uncertainty </li></ul><ul><li>Formulate a relevant question </li></ul><ul><li>Search for the evidence </li></ul><ul><li>Appraise the evidence </li></ul><ul><li>Decide whether or not to act on the evidence </li></ul><ul><li>Assess the outcomes of your actions </li></ul><ul><li>Save information for the future </li></ul>
    9. 9. Formulating relevant questions <ul><li>Who is the client? </li></ul><ul><li>What are the issues? </li></ul><ul><li>What are the desired outcomes? </li></ul><ul><li>Is the focus on assessment or intervention, or both? </li></ul>
    10. 14. Focusing Clinical Questions <ul><li>Questions need to be both directly relevant to patients' problems and phrased in ways that direct your search to relevant and precise answers. </li></ul>
    11. 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
    12. 16. Deciding which question to ask <ul><li>Which question is most important to the patient's well being? (Have you taken into account the patient's perspective?) </li></ul><ul><li>Which question is most feasible to answer in the time you have available </li></ul><ul><li>Which question are you most likely to encounter repeatedly in your practice? </li></ul><ul><li>Which question is most interesting to you? </li></ul>
    13. 17. Questions?