title: Perceptions of Massage Therapists Participating in a Randomized Controlled Trial.
abstract: BACKGROUND
  Clinical practice and randomized trials often have disparate aims, despite involving similar interventions. Attitudes and expectancies of practitioners influence patient outcomes, and there is growing emphasis on optimizing provider-patient relationships. In this study, we evaluated the experiences of licensed massage therapists involved in a randomized controlled clinical trial using qualitative methodology.
  
  
  METHODS
  Seven massage therapists who were interventionists in a randomized controlled trial participated in structured interviews approximately 30 minutes in length. Interviews focused on their experiences and perceptions regarding aspects of the clinical trial, as well as recommendations for future trials. Transcribed interviews were analyzed for emergent topics and themes using standard qualitative methods.
  
  
  RESULTS
  Six themes emerged. Therapists discussed 1) promoting the profession of massage therapy through research, 2) mixed views on using standardized protocols, 3) challenges of sham interventions, 4) participant response to the sham intervention, 5) views on scheduling and compensation, and 6) unanticipated benefits of participating in research.
  
  
  CONCLUSIONS
  Therapists largely appreciated the opportunity to promote massage through research. They demonstrated insight and understanding of the rationale for a clinical trial adhering to a standardized protocol. Evaluating the experiences and ideas of complementary and alternative medicine practitioners provides valuable insight that is relevant for the implementation and design of randomized trials.
authors.affiliation: Duke Integrative Medicine, Duke University, Durham, NC, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Perlman
authors.affiliation: Duke Integrative Medicine, Duke University, Durham, NC, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Dreusicke
authors.affiliation: Duke Integrative Medicine, Duke University, Durham, NC, USA.
authors.forename: Teresa
authors.initials: T
authors.lastname: Keever
authors.affiliation: Department of Pediatrics, Yale University, New Haven, CT, USA.
authors.forename: Ather
authors.initials: A
authors.lastname: Ali
keywords: complementary and alternative medicine; massage therapist; practitioner perceptions; qualitative research; research design