title: Steps toward massage therapy guidelines: a first report to the profession.
abstract: The massage profession has grown rapidly since the late 1980s. As with business startups that begin informally and successfully mature into larger enterprises, growth brings new organizational challenges, together with greater visibility and opportunity. The maturation of massage as a health care profession increases the need for a process to formalize the synthesis of massage therapy knowledge from clinical experience and research-to collect what we know and to make such baseline knowledge widely available to practitioners, consumers, and other health care stakeholders. In short, we need to create a process for setting guidelines.The present paper lays out the motivations and framework for creating massage therapy guidelines that are informed both by research and by clinical experience. It also acts as a report to the massage therapy profession and to other stakeholders about the work of the Best Practices Committee of the Massage Therapy Foundation since 2006. And it has the additional goal of providing a health care literature basis for future academic discussions of massage.The discussion here is based on a definition from the Institute of Medicine and on research into the nature of expertise. Guidelines are targeted for submission to the National Guideline Clearinghouse. Challenges in creating guidelines for massage therapy are discussed. Various stakeholders are considered. Current literature from the wider scope of health care is extensively reviewed. Topics addressed include guideline creation, credentialing of complementary and alternative medicine practitioners, definition of competence, and the increasing role of technology (that is, informatics) in managing training and task-necessary competencies. Finally, a process for creation of massage therapy guidelines is proposed. A central feature of the proposal is the use of a "World Café" symposium to elicit knowledge and solutions from diverse experts. The role of transparency and broad and open peer review is emphasized as essential to the usability and credibility of guidelines.
authors: McKinnon Institute LLC, Oakland, CA, USA;
authors: Keith Eric
authors: KE
authors: Grant
authors: John
authors: J
authors: Balletto
authors: Donelda
authors: D
authors: Gowan-Moody
authors: Dale
authors: D
authors: Healey
authors: Diana
authors: D
authors: Kincaid
authors: Whitney
authors: W
authors: Lowe
authors: Ravensara S
authors: RS
authors: Travillian
references: JAMA. 1998 Nov 11;280(18):1610-5
references: 9820265
references: Adv Data. 2004 May 27;(343):1-19
references: 15188733
references: Lancet. 2000 Jan 8;355(9198):103-6
references: 10675167
references: Ann Intern Med. 2002 Apr 16;136(8):596-603
references: 11955028
references: JAMA. 2002 Jan 9;287(2):243-4
references: 11779269
references: Med Teach. 2003 Nov;25(6):569-84
references: 15369904
references: Intensive Crit Care Nurs. 2003 Feb;19(1):43-9
references: 12590893
references: Clin J Pain. 2006 Mar-Apr;22(3):227-34
references: 16514321
references: Case Manager. 2004 Jan-Feb;15(1):22-4
references: 14961011
references: BMC Complement Altern Med. 2005 Jun 14;5:13
references: 15955245
references: Lancet. 2004 Jul 31-Aug 6;364(9432):429-37
references: 15288741
references: Med Teach. 1999;21(6):546-52
references: 21281173
references: Acad Med. 2000 Mar;75(3):235-40
references: 10724310
references: BMJ. 1999 Feb 27;318(7183):593-6
references: 10037645
references: J Pain Palliat Care Pharmacother. 2008;22(4):306-11
references: 21923316
references: J Med Ethics. 2004 Apr;30(2):156-9
references: 15082809
references: Acad Med. 2000 Feb;75(2):127-32
references: 10693842
references: Med J Aust. 2004 Aug 2;181(3):168-9
references: 15287838
references: Case Manager. 2004 Jul-Aug;15(4):24-7
references: 15247891
references: Med Teach. 2002 Mar;24(2):130-5
references: 12098431
references: Rheumatology (Oxford). 2003 Sep;42(9):1101-6
references: 12777645
references: Acad Med. 2000 Oct;75(10):957-8
references: 11031133
references: J Nurs Educ. 2006 Jan;45(1):46
references: 16496740
references: AMIA Annu Symp Proc. 2005;:979
references: 16779266
references: Intensive Crit Care Nurs. 2004 Feb;20(1):45-52
references: 14726253
references: Med Teach. 2000;22(6):555-9
references: 21275688
references: AMIA Annu Symp Proc. 2006;:334-8
references: 17238358
references: Can J Exp Psychol. 1993 Dec;47(4):615-29
references: 8124287
references: N Engl J Med. 1993 Jan 28;328(4):246-52
references: 8418405
references: Ann Intern Med. 2002 Dec 17;137(12):965-73
references: 12484712
references: Child Care Health Dev. 2006 Jan;32(1):87-99
references: 16398795
references: JAMA. 1998 Nov 11;280(18):1569-75
references: 9820257
references: J Oncol Pract. 2006 Mar;2(2):93-94
references: 29447519
references: J Holist Nurs. 2006 Jun;24(2):132-8
references: 16740904
references: Med J Aust. 2004 Mar 15;180(S6):S52-4
references: 15012581
references: JAMA. 2002 Jan 9;287(2):226-35
references: 11779266
references: N Engl J Med. 2007 Jan 25;356(4):387-96
references: 17251535
references: Case Manager. 2004 Nov-Dec;15(6):26-9
references: 15557988
references: Ann Fam Med. 2005 May-Jun;3(3):255-62
references: 15928230
references: Cancer Control. 2005 Jul;12(3):158-64
references: 16062163
references: Case Manager. 2004 Sep-Oct;15(5):19-21, 72
references: 15467640