Next steps for the massage therapy research agenda copy
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The document discusses recommendations for a massage therapy research agenda. It identifies four domains that research should be based on and stresses the need to collect credible evidence through research that meets professional paradigmatic standards and helps researchers understand how practitioners work. Specifically, it recommends focusing on measuring the sociocultural effectiveness of massage therapy and effectiveness components from within the profession. It also provides wishes for the research agenda, such as studying client issues, including cost-effectiveness research, and supporting massage therapy under the Affordable Care Act.
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Next steps for the massage therapy research agenda copy
- 1. #IMTRC Massage Therapy Research Agenda
- 2. #IMTRC It started a long time ago…
- 3. #IMTRC
- 4. #IMTRC
- 5. #IMTRC Background paper • Claire M Cassidy, PhD • Methodological Issues in Investigations of Massage/Bodywork Therapy • Identified four major “domains” on which our research should be based
- 6. #IMTRC
- 7. #IMTRC Recommendations •We need to collect credible evidence •Research should meet the paradigmatic standards of the profession
- 8. #IMTRC Recommendations •Researchers need to understand how practitioners work •Most critical to do research on the measurement of sociocultural effectiveness and the measurement of effectiveness components from within the profession
- 9. #IMTRC
- 12. #IMTRC
- 13. #IMTRC
- 14. #IMTRC
- 15. #IMTRC My wishes… •Let’s study the issues for which our clients/patients come to see us •Listen to practitioners’ questions •Listen to researchers’ interests •Let’s concentrate on the cost effectiveness of our work
- 16. #IMTRC My wishes… •Include research studies that help practitioners encourage self-care and promote wellness •Include research on educational delivery and competency assessment in massage therapy education •Include research that supports massage therapy and massage therapists and their roles in the Affordable Care Act
Editor's Notes
- Time of explosive growth in the profession Time of explosive growth in the usage recognition of alternative therapies (Eisenberg, et al) Because alternatives were so under-understood, there was significant skepticism as to their efficacy Because there was virtually significant study of them Because there were few universally accepted standards of education, training Because there was little, but growing, regulation of their practice What research existed was not only scant, but scattered in its interest as a research topic—MBT wasn’t main focus of study, but more about a disease, population etc. in the literature of the many disciplines publishing its findings
- Also recognized that there were methodological issues unique to investigating MBT Web based survey and focus groups conducted by the AMTAF revealed that MBTs had three specific goals for a research agenda and wished an agenda that would acocmplish: MBTs want more people to seek regular txt for health and wellness MBTs want to understand more clearly how and why the work is effective or ineffective Some MBTs want to be reimbursed by third party payers
- Kahn and the Foundation leadership commissioned a background paper as basis of a workgroup (MRAW) charged with creating the first research agenda for the profession. Sponsored, in part, by funds from AJ Wohler’s (???) Paper authored by Claire Cassidy, PhD
- Identified four major domains of research that MBT should consider: How does MBT achieve its sociocultural effectiveness? Demographics, cost of care, epidemiological issues, education, law and policies, history how people perceive and evaluate the field This would attract social and behavioral scientists MBT should be studied within itself: how effective is it? Comparison of intervention techniques, session duration, frequency of intervention, measurable session affect, effect of practitioner on result This will attract clinicians MBT should be compared to other practices and asked: how effective is it? Compare the effectiveness of MBT at relieving symptoms or maintaining functionality with the effective of other practices including biomedicine, psychology, oriental approaches This, too will attract clinicians How does MBT achieve its physiological effectiveness? Understanding the underlying physiological mechanisms both on animal and human models This will interest the bench scientist
- Her recommencations, specifically: Because science does not deal in truth or in proof, but deals in evidence—we need to collect credible evidence and to interpret it equally credibly. MBT researchers are challenged to make them understood and to perform research that meets the paradigmatic standards of their own profession ; they must go the extra distance to take care in development of the rationale of their research to avoid a potent source of bias. Some existing research designs will serve MBT research well. And, MBT researchers have an opportunity to pioneer the development of new design that function from assumptions of a holistic metaparadigm. (e.g. choice based designs)
- Doing research with high model fit validity demands that researchers know the “rules” of the MBT practice they wish to understand; the “whys” of the interventions—an explanatory model of MBT—understanding its mechanisms. Researchers also need to understand about how practitioners work in the real world, not just the laboratory; who uses MBT; who delivers MBT; why people use MBT; what conditions best respond to MBT, etc. She concluded that it is most critical to do research on the measurement of sociocultural effectiveness and the measurement of effectiveness components from within the profession.
- Based on the recommendations of Cassidy and the collective experience and expertise of the invited participants, the MRAW recommended a research agenda for the profession summarized into five key areas: Build a research infrastructure within the MBT profession Fund research into the safety and efficacy of MBT Fund studies of physiological (or other) mechanisms by which MBT achieves its effects Fund studies stemming from a wellness paradigm Fund studies of the profession of MBT
- In response, Foundation leadership developed programs and services to address each of these recommendations. Revisions of the Research Grant Review Process Encourage studies based on MRAW findings yet honoring that our program is basically investigator initiated Funded 26 research grants totaling $561,823 MT Research Database Research Curriculum Teaching Research Literacy Basics of Research Literacy on-line courses Established Student and then Practitioner Case Report Contests
- Columns in professional and industry publications MTJ M & B Massage Today Established “Research and the Profession” panel at AMTA National Convention Hosting Highlighting 1,2 and IMTRC IJTMB Presence at CAM/Integrative Health Care Conferences National Policy Dialogue CAM Leadership Summits AHMA NACHIM ACCACH IN-CAM Sponsorship of conferences International Fascia Research Conferences Scholarships for NACHIM
- … continue to go where no man has gone before…