resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
October, 2013, Vol. 13, Issue 10
Qualitative Research Furthers the Study of Massage Therapy
By Massage Therapy Foundation Contributor
Contributed by April V. Neufeld, BS, LMP, Beth Barberree, BA, LMT, and Sandra K. Anderson, BA, LMT, ABT
Have you heard the terms "quantitative" and "qualitative" associated with research? Have you wondered what they meant? More importantly, have you ever wondered how they apply to your work as a massage therapist? This month's column is a review of an article written by a research team from the Department of Community Health Sciences at the University of Calgary for the International Journal of Therapeutic Massage and Bodywork, 2008; 1(2): 6-10.
Generally, research methods are split into two categories. Quantitative methods are highly controlled research studies requiring precise measurement to prevent unwanted influence on the outcome measures and any bias would invalidate the studies findings. Bias means a systematic error introduced into sampling or testing by selecting or encouraging one outcome or answer over others. To this end, these studies may be surveys or randomized, controlled trials. In randomized, controlled trials, the research subjects are randomly allocated to receive treatments, sort of like tossing a coin. After randomization, the groups of subjects are followed in exactly the same way and the only differences between the care they receive should be within the treatments being compared.
According to the article, "Quantitative research . . . often has the goal to describe and predict outcomes in a larger population of interest [by examining] the strength of relationships between variables of interest." In quantitative research, the context of the study is not considered in examining the data, only the methods being used. The researcher is an objective observer.
The other category, qualitative, is "used to understand and describe the subjective world of human experience." (Massage therapists are certainly exposed to the subjective world of human experience as they work with their clients.) The researcher is part of the context and intrinsically linked to the findings with the understanding that the research environment is socially and experientially constructed. The phenomenon being examined is only truly understood when studied as part of the whole, where the research context is taken into consideration. Bias does not invalidate the study. Instead, it informs the researchers.
The choice between a quantitative or qualitative approach depends on the design of the specific research study. The specific method is chosen "to answer different types of research questions and produce different types of information." For example, a qualitative researcher may ask, "What is the experience of massage therapists working in a hospital-based practice?" On the other hand, a quantitative researcher may ask, "Does massage therapy reduce pain in hospitalized motor vehicle accident patients?"
Kania, et al., explain how the qualitative side of research can "provide insights into the outcomes, process and context of massage therapy that cannot be fully achieved through quantification alone." In other words, qualitative research plays a major role in scientifically validating aspects of massage therapy that are not measurable, but are equally important. This helps researchers better understand relevant outcomes based on the participants' experiences. It also allows for the opportunity to examine various factors including the process of the treatment intervention, non-specific effects of the overall experience, the patient-practitioner relationship, the subjects' feelings about their experiences, the environment of the treatment, the culture or beliefs that the subject and massage therapist bring to the treatment and any expectations the subject has of the effects of massage.
Although much of standardized research uses quantitative methods, the article's authors make the case that this approach has limitations. The authors suggest that using a mixed-methods study design, combining qualitative and quantitative methods, is a reasonable option in massage therapy research. By using this combined approach, researchers may gain valuable insight and a more complete understanding of the effectiveness of a specific intervention, while at the same time collecting hard quantitative data.
According to Kania et al.,"Qualitative research findings . . . will not only help massage therapists practice more effectively, but also differently, with greater awareness and mindfulness," which are key skills in a patient-centered practice. This means that researchers are discovering what most massage therapists already know to be true – it is not just the measurable results of treatment that matter; the subjective parts of therapeutic relationship are also important.
For example, the authors describe a research study involving massage therapy for breast cancer patients undergoing chemotherapy treatment. As previous articles have discussed, much of the research on the effects of massage therapy on cancer patients focuses on outcomes such as anxiety and pain associated with chemotherapy and radiation treatments. By examining the "lived experience of the participants" the researchers were able to identify "massage as a distraction from frightening experiences" and "the psychological support that was experienced through massage." By focusing not only on quantifiable pain and anxiety scales, but also the patients' experiences while receiving the massage therapy, the researchers achieved a greater understanding of outcomes that are highly relevant to the patient's physical and emotional well-being.
These kinds of insights are especially important in studies where the participants felt there was change, but there was no statistically significant data to support their claim. In these cases, qualitative research provides the opportunity to examine the context of the intervention, since the context may influence the outcome(s) of the intervention.
Examining the lived experience helps researchers and practitioners alike better understand the impact of massage therapy, as well as all complementary medicine, intervention methods. "Qualitative research has great potential to inform massage therapy practice. Outcomes, context, and process factors enable the development and provision of more effective and appropriate treatment plans," write Kania, et al.
If you found this article interesting and would like to read more about qualitative research, check out the Massage Therapy Foundation's article archive. You can find the article in full at: www.ncbi.nlm.nih.gov/pmc/articles/PMC3091453/.
Click here for more information about Massage Therapy Foundation Contributor.
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