Grant Keith Eric, Balletto John, Gowan-Moody Donelda, Healey Dale, Kincaid Diana, Lowe Whitney, Travillian Ravensara S
McKinnon Institute LLC, Oakland, CA, USA;
Int J Ther Massage Bodywork. 2008 Aug 20;1(1):19-36. doi: 10.3822/ijtmb.v1i1.5.
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.
自20世纪80年代末以来，按摩行业发展迅速。就像那些从非正式起步并成功发展成为大型企业的创业公司一样，行业的发展带来了新的组织挑战，同时也带来了更高的知名度和更多机会。按摩作为一种医疗保健行业的成熟，增加了对一个将按摩疗法知识从临床经验和研究中进行形式化整合的过程的需求——以便收集我们所知道的知识，并使这些基础知识能够广泛地提供给从业者、消费者和其他医疗保健利益相关者。简而言之，我们需要创建一个制定指南的流程。
本文阐述了制定按摩疗法指南的动机和框架，这些指南既基于研究，也基于临床经验。它也是向按摩疗法行业和其他利益相关者汇报按摩疗法基金会最佳实践委员会自2006年以来工作的一份报告。此外，它还有一个额外的目标，即提供一个医疗保健文献基础，以供未来对按摩进行学术讨论。
这里的讨论基于医学研究所的一个定义以及对专业知识本质的研究。指南旨在提交给国家指南交换中心。文中讨论了制定按摩疗法指南时面临的挑战。考虑了各种利益相关者。广泛回顾了更广泛医疗保健领域的现有文献。涉及的主题包括指南制定、补充和替代医学从业者的认证、能力的定义以及技术（即信息学）在管理培训和任务所需能力方面日益重要的作用。最后，提出了一个创建按摩疗法指南的流程。该提议的一个核心特点是使用“世界咖啡馆”研讨会从不同专家那里获取知识和解决方案。强调透明度以及广泛和开放的同行评审对于指南的可用性和可信度至关重要。
