Thursday, September 29, 2005

Albuquerque seminar PowerPoint presentation

Hi, all--

As promised, here are the revised slides from my Friday talk.

Right-click your mouse button here and choose "Save target as..." (or the corresponding command in your browser) to download the "Looking at the Literature" PowerPoint to your hard disk.

Sorry that they were so different from the handout you got--on the other hand, I *never* finish tinkering with a talk two months ahead of schedule, which was the deadline for delivering them to print for the handouts. We'll have to figure out a better approach next time.

The articles discussed in the slides under "Topics" have been promoted; rather than mere links, they are now each going to get their own posts, so watch for them over the next couple of days.

Journals: Where massage research is published (organized alphabetically)

(rough draft after automatic information-gathering pass through PubMed; currently in Links section at right, and being cleaned up for re-post)

Locations: Where massage research happens (organized alphabetically)

(rough draft after automatic information-gathering pass through PubMed; currently in Links section at right, and being cleaned up for re-post)

Resources

Still working with the sysadmin on the other side of the country to straighten out my uploading. When that is straightened out (should be today), I will move the resources I post today to the links on the side; I'll just put them here temporarily in the form of posts until that happens.

Tuesday, September 27, 2005

What’s a “Journal Club”?

Journal clubs are widespread in academic scientific and medical fields. Usually it is an informal meeting of students to discuss the scientific literature in their common areas of interest. One of the students takes the responsibility for presenting one or more articles, which the group then discusses.

I chose the name “Massage Journal Club” for my book as well as for this blog for several reasons. First of all, the nonhierarchical structure of a traditional journal club encourages egalitarianism and discussion among peers. Although I usually—not always—present the articles (simply because of having more experience with the literature, and that familiarity can help when meeting time is limited), it is most definitely not a lecture, but an interactive discussion. Together we develop visual diagrams of how the ideas fit together. Out of this cooperation emerge unexpected and striking insights and connections, which in turn serve to stimulate the discussion.

The term “club” reinforces this sense of a group of people who enjoy coming together to discuss shared interests, without, I hope, any negative sense of exclusion or personal judgment. There is no required set of opinions anyone has to have to participate in the discussion, and in fact, controversial and dissenting opinions are welcome for what they add to the discussion by stimulating and organizing thought. Evaluation of the limitations of science in studying a holistic discipline such as massage is a topic which often comes up, and recognition of those issues is encouraged as a springboard for finding creative ways to address those limitations.

The only discussion rules are that 1) criticisms must be of ideas or methods—not of people—and that 2) any opinion or contribution is welcome, but you need be prepared to explain it further and back up what you base it on. We follow the tradition of academic discussion of ideas, and we attempt to tie it to our real-world practice as much as possible as well. I've expanded a little bit on these rules in "A few ground rules", below, but basically this is what it comes down to.

Finally, with the name’s conscious echoes of the scientific and academic world, joined to “Massage”, I hope to advocate for reconciliation of the holistic and the scientific domains in an appropriate and mutually respectful way. This topic will be discussed in more detail in the following chapter, but I believe the bottom line is that massage is secure and has nothing to fear from science, properly practiced. Both domains have important knowledge to offer, and our patients can only benefit from a proper and principled integration of the two.

Our objectives

The objectives of this blog are to give you enough knowledge and background to:

1. Acquire, organize, and manage massage research information. You will be able to:


  • Recognize the structure of a research article, and the purpose of the different sections, and use that knowledge to help you read articles of interest.


  • Deepen your understanding and insight of the connection between research studies and the meanings their findings hold for health, disease, and suffering.


  • Explain effects of massage and name several benefits of massage for specific conditions and populations, as backed up by the research literature.


  • Understand the meaning of common statistical measures in medical research, and how they are used in assessing the outcomes of studies.




2. Use massage research information. You will be able to:


  • Understand patients' usage and expectations of massage.


  • Apply this knowledge to patient cases in your own practice.



3. Share massage research information. You will be able to:


  • Communicate the benefits of massage to patients, other health-care providers, third-party reimbursers, and the public.


  • Explain those benefits in a clearly-understandable and easy-to-remember way that does not unnecessarily rely on specialist jargon.


  • Know when evidence indicates that massage should be recommended, and when it should not.

Monday, September 26, 2005

Looking for the literature?

(to the students at my AMTA conference workshop on "Looking at the Literature in Massage Research" last Friday)

Hi, all--

2 things:

1) I am returning to Philly today (Monday), and within a couple of days will get the promised PowerPoint and PDFs put up. I didn't have time to do it here, because the system administrator for my web page isn't available on the weekend, and he's got some kind of anti-hacker protection set up where I can't upload from strange locations. So by the time he and I coordinate this, given my flight schedule and the time zone difference, it will be a day or so. Look for the promised lit no later than Thursday.

2) Rather than putting it at my personal blog, as I initially suggested--which, typically, is a very unfocused space, where you would have to pick through cat pictures, and personal gossip to find it--I decided to create this dedicated space to post the lit, and, if there is interest, to continue our discussion. So the blog address I gave you in the workshop goes there, and you're welcome to check out my personal blog, if you're interested. If you're only here for the literature on the other hand, you should get the promised literature here no later than Thursday.

Thanks for a great workshop, guys! Four hours sitting in a classroom on a Friday afternoon talking about introductory statistics had the potential to really bog down, but you were engaged, attentive, and asked great questions the whole time. I couldn't have asked for a better session.

Sunday, September 25, 2005

Types of posts

I envision 3 types of posts, and if we need to, we can always add more as we go on.

1) Massage articles. Analysis and discussion of the primary medical literature on massage.

2) Basic science. Introduction to basic concepts of science and their application in practice in research and the clinic.

3) Sociocultural aspects of science. Issues such as (but not limited to) the history, philosophy, and ethics of science and EBM as applied to massage research and practice.

(Update, Tuesday, 9/27/05: plus a fourth type, which all the posts to date have been.)

4) Meta-posts, or posts about posts, the blog, etc.--things like explanation of what a journal club is, what the ground rules are, etc.

A few ground rules

This is just a basic set to start; we can add more if they become necessary. I am not expecting them to, though.

1) Respect. This is first and foremost a safe space for people to learn about science and evidence-based medicine. No background in science is assumed; so if you are making a serious attempt to learn, even if you do not have any background, your process of learning will be respected. This means that--in the academic tradition that connects us to centuries of scholarship---opinions, statements, and arguments can be disagreed with, but no personal attacks are permitted. In this sense, this blog is different from some others where 100% freedom of speech is allowed. Here, we are behaving more like a virtual classroom than like a virtual pub. You can disagree with others, but you have to argue with ideas, not with people. Commenters who do not respect fellow commenters will be warned, and--if the problem continues--banned.

2) Evidence. Dissenting opinions are welcome, but you must back it up with your reasons for dissenting. We do not shy away from principled controversy or dissent (in keeping with the principles of respect and academic debate, above), but counter-arguments must be more substantive than just "because I say so".

3) Science. We're here to learn about science and evidence-based medicine as it relates to massage, and so we confine our discussions to that domain. If a discussion wanders too far off-topic, it needs to either have its own topic started (as long as it's still appropriate to the larger mission of this blog), or--if no longer relevant to learning about EBM and massage--it needs to be taken elsewhere, perhaps to email between the participants or somewhere similar. Additionally, this is not the place to debate non-science, pseudoscience, or antiscience--there are other venues for those discussions, but not here.

4) Spam. A very brief reference in a comment to a commercial source, as long as it is clearly relevant to the topic under discussion, is appropriate. Turning a comment into an infomercial, on the other hand, is not. If you have a commercial product relevant to the mission of MJC that you want people to know about, send an email to massage.research@gmail.com for my review. If it is appropriate to the blog, I will post a link to it under Commercial Resources.

Not rules so much as commentary: I will be watching the discussion, but I want it to unfold among you as much as possible, so I will not be injecting myself into it too much. However, I will step in if anyone needs to be reminded to respect fellow commenters.

Registration: not required to comment, but a nice option nevertheless. You don't have to use your real name; you can choose any name you want. If everyone is called "Anonymous", then if a discussion really takes off, it will be hard to keep track of which Anonymous said what. Still, I won't insist on it, at least not now.

I think these will be enough rules to create a safe space for discussion, but--as this is an experiment--we will see. If we need new rules, they will be announced as they become necessary. I like a minimum of rules, but as this is more of a virtual classroom than a virtual commons, then we need a few. Let's see how these work out--and as always, I am very interested to know what you think.

MJC as experimental virtual classroom

The overall purpose of Massage Journal Club (MJC) is to continue the discussion of research in massage begun in our occasional continuing education classes in Seattle, and, now, in Albuquerque. It will be our virtual classroom, and--as I do not know what direction it will take, nor how well it will succeed--it will also be our grand experiment.

Tonight (Sunday) I will post more practical details of how it works in very general terms. In the meantime, I will be working at the AMTA booth at the Conference; if you're in Albuquerque's Old Town, stop by and say hi!

Saturday, September 24, 2005

Hello, and welcome!

You have found the Massage Journal Club. Come and join us for a discussion of the scientific and medical research on massage.