Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
December, 2013, Vol. 13, Issue 12
Why Do Clients Keep Coming Back for Massage?
By Massage Therapy Foundation Contributor
Contributed by Sandra K. Anderson, BA, LMT, ABT; Beth; MK Brennan MS, RN, LMBT; Jolie Haun PhD EdS LMT
In this month's Massage Therapy Foundation (MTF) research review, we are reporting on a focus group study that explored the reasons clients continue to use massage therapy. The article was written for Complementary Therapies in Medicine in 2009, by a research team from New Zealand associated with the Southern Institute of Technology and the Centre for Physiotherapy Research.
As professional massage therapists and bodywork practitioners, we rely on a stable client base for income. We know that by providing client-centered treatments, a welcoming therapeutic atmosphere, as well as conducting ourselves professionally and ethically, clients are more likely to return. However, unless we explore clients' reasons for continued use, we may not know why they come back for massage.
Over the past few years, research supporting the psychological and physiological benefits of massage therapy has been on the rise. The authors thought it would be useful to gain clarity about the contributing factors for the popularity of massage from the clients' perspective. The goal of this research was to explore the reasons why (or "drivers") clients use, value and continue to seek massage therapy services.
Determining the reasons for repeated use of massage requires listening to the clients about their needs, insights and activities. Therefore, Smith et al chose to use the focus group methodology, which is a qualitative approach for studying participants' attitudes and perceptions. Telephone focus groups were conducted with current and repeat massage therapy clients throughout New Zealand.
Participants were male and female, 16 years of age or older. Participants were included if they had at least one massage within the previous three months or at least two massages within the previous six months. Participants were excluded if they received student massages, or if the massage was provided by another practitioner (e.g. physiotherapy, beauty therapist, or other CAM practitioner) since these types of massage were considered an adjunct to another therapy. No more than two clients from any one therapist were recruited and massage therapists as clients were excluded.
Three telephone focus groups were conducted in August, 2007. Groups included five to seven participants and lasted approximately an hour. A moderator with previous focus group experience facilitated the telephone focus groups, which followed a semi-structured format. All sessions were recorded, observed by another study author and then transcribed.
According to the article, during the focus groups, "Initially, each person was asked for their individual input; at other times, the line was open for anyone to answer first. The moderator provided opportunities for inclusion of all participants using a range of approaches including: probing questions, group discussion strategies and different points of view and experiences were sought. A speaker grid was used to record responses, and to cue and monitor participation. The moderator and assistant held a debriefing discussion after each session."
Results of the study showed four driving forces for continued use of massage:
These results are in line with other studies that show massage therapy is considered part of wellness maintenance, placing value on the client's physical, psychological and emotional needs to achieve mental and physical balance.
Limitations to the study include possible bias resulting from the therapists selecting their own clients to participate, small sample size and low number of male participants. It should be noted qualitative research is not qualified by large sample sizes, but rather the depth and breadth of information gathered. The goal of qualitative research is to reach saturation, which can be achieved given the reported sample size of this research. However, since 95% of participants in this study were female, there is little information regarding what drives male clients to receive massage. In addition, the sample may not reflect individuals who had a negative experience with massage. Consecutive sampling to minimize therapist bias and including more male participants could improve methodology in future studies. It would also be interesting to replicate this study in North America to see if reasons for continued massage therapy use are consistent cross-culturally. Further, qualitative findings such as these, can inform a subsequent quantitative study to investigate how commonly these views and experiences are reported in a larger representative sample of massage therapy clients.
Overall, massage therapy is a client-centered wellness practice where clients desire results. However, clients report that they continue to seek treatment because of the beneficial experiential aspect of receiving massage therapy. This suggests that as massage therapy and bodywork practitioners, it is not only our skilled touch, but also our ability to provide a professional and hospitable environment that draws clients in and brings them back. Our professionalism sets the tone for our career longevity.
To learn more about the economic impact of CAM, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for CAM/CIM cost analysis studies.
Click here for more information about Massage Therapy Foundation Contributor.
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