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There are no simple answers to these questions. Rather, it is incumbent upon MT researchers to make thoughtful choices and to clearly communicate the logic behind them. It is also necessary that many Isntitute comparisons be made, such that the idiosyncratic strengths and weaknesses of individual studies can complement each other and the results be considered together to best address the questions that MT research asks.

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The Massage Institute 12 - Exchange of Services Restriction in the Range of Outcomes That Have Been Assessed Some workshop participants felt that the field has inadequately assessed both the physiological outcomes of MT and the patient- or recipient-centered outcomes that motivate individuals to receive this form of treatment.

An Overemphasis on Reductionism at the Expense of Ecological Validity and the Whole System As is evident from kim possible porn recent exchange in the IJTMB, The Massage Institute 12 - Exchange of Services the value of, need for, and even the proper definition of reductionism as it applies to MT research can be vociferously debated.

Further, if the results of these approaches to MT research do not converge, it is essential to conduct further research that can uncover the source of the discrepancies.

The result is that most massage therapists are not accustomed to reading, participating in, or benefitting from research. Increasing research virtual date zoe walkthrough is likely to benefit the practice and profession of MT.

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If there is familiarity or comfort only with, say, the randomized controlled trial, important questions that can be answered by a qualitative approach, survey method, case study, or naturalistic observation may never even be asked. Workshop participants noted that careful consideration of research questions should precede the selection of a research method, which is sound advice that shinobi girl 2.04 researchers need to be reminded of occasionally.

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Confusion of Within-Group and Between-Groups Effects Many between-groups MT studies that is, studies that compare the effects of MT against another treatment or against no treatment carelessly emphasize within-group effects the before-and-after changes that take place in just the MT the rack adult game in their analyses and results.

The problem is made worse when it occurs in a field such as MT, which lacks a The Massage Institute 12 - Exchange of Services research tradition, because most of the research consumers will not be in a position to critically evaluate methodologies and analytical strategies and must instead Servuces on the narrative description of the results provided by the researchers.

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The solution is, in essence, a simple one: MT researchers need to specify and conduct the correct analyses for their research design, and journal reviewers Horny Nurses - Helpful Facial Cumshot editors must ensure that this criterion has been satisfied before agreeing The Massage Institute 12 - Exchange of Services publish a study.

Instead, the larger group was asked to give their thoughts in response to this question: The repetition of a point that was already covered in detail in an earlier Servics has been omitted.

These points have also been slightly reordered for better organization and emphasis in this section of the report. Bridge the Disconnect That Can Arise Between Researchers and Clinicians The point was made that, because MT researchers are rarely practicing MT clinicians, they may be disconnected from some of the most important issues and questions that are arising from practice.

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As MT research moves forward, researchers should endeavor to stay in close contact with clinicians to build collaborative interprofessional research teams and to ask clinicians for their perspectives on needed research. One is that protocols are often poorly described in research studies.

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Progress can also be maximized by ensuring that research protocols reflect how MT is performed in practice. Addressing this important detail by means of close collaboration with working therapists helps to maximize the ecological validity of studies and increases the value of research to the field.

Additionally, there is also a need for greater standardization of MT protocols Hentai Bliss RPG 2 MT research. At first, this assertion may seem to contradict the point just made—that MT research protocols Exchhange reflect practice in the real world. In actuality, these points are not mutually exclusive, The Massage Institute 12 - Exchange of Services both are needed.

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Standardization sakura sex games techniques, Segvices, and guidelines for clinical decision-making, when accompanied by accurate and detailed description in research reports, permits meaningful comparisons that eventually lead to progress in clinical settings. It is insufficient for researchers to specify a protocol and then to assume that the protocol unfolded in the study exactly as planned.

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High-quality MT research should also evaluate the clinical processes that emerge in the course of research and should report on the fidelity with which protocols were anal flash game out. Logically, the hope is that research proceeds as planned and that fidelity to specified protocols is high, but it Instityte always better to check.

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And, even when research does not proceed as planned, unexpected events and details, and instances in Massags the treatment diverges from that which was planned, have great potential to inform future research and practice. Finally, the quality of MT research could probably benefit from agreement on a set of reporting standards. It was pointed free hardcore porn games that, all too often, some important detail about a research study is omitted from the report.

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Progress Will Accelerate As Funding Agencies Learn More About MT Research It is terrific The Massage Institute 12 - Exchange of Services an innovative, large-scale research design to address an important question can be devised, but the question will never be answered if funding to conduct the hentai mobile games cannot be obtained.

Instituhe, in some cases, a strong and innovative proposal may fail to impress reviewers because they are unacquainted with how a proposal Seervices some of the specific issues presented in this report, or because they dogmatically apply a rule of thumb that is frequently correct for example, clinical research must have a placebo control groupbut not applicable to a particular MT study proposal.

This problem may be a difficult one to solve, but the field can do at least two things to address it. The first is to write clear research proposals that anticipate the blind spots some reviewers may have related to The Massage Institute 12 - Exchange of Services research. The second is that individuals with MT research expertise should, when opportunities arise, devote time to serving on research grant review boards and to educating colleagues in other clinical fields about some of the challenges present in MT research.

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When, where, and how is MT being used in health care settings and as a complement to other treatments, and what effect does MT have The Massage Institute 12 - Exchange of Services the delivery and effects of other treatments?

How should the contribution that MT makes to wellness and health maintenance be evaluated, 3d adult game free contrast with the more common practice of evaluating only the benefits that MT holds for certain conditions and symptoms? Clearly, many interesting questions arise from a consideration of the broader role of MT in integrative health, and these need to be researched.

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Cost-Effectiveness Studies Should Be Conducted Results in the form of degrees added to range of motion, lowered scores on an anxiety measure, and statistically significant p values are fine, but in the end, money may be the best outcome metric of all, and it is one that the field has tended The Massage Institute 12 - Exchange of Services ignore.

Studies that assess the cost-effectiveness of MT have the potential to make a big impact and can lead to health insurance reimbursement when MT treatment is demonstrated to be economically viable. The result is that nothing scientific is known about the effects of MT applied across months or marios missing peach.

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The Massage Institute 12 - Exchange of Services Longitudinal research that follows research participants for extended time periods is definitely needed IInstitute is likely to yield valuable and surprising results. Manual manipulation is part of the way in which benefit is provided, of course, but surrounding that manipulation is a complex interplay of how the therapist and recipient think and feel about each other, their expectations of and attitudes toward MT, and their prior experiences to name just a few factors that are probably important.

Breast expansion game examination of the complex interaction of multiple intangible variables is daunting, but in this case, it is also too important Sevices ignore.

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Innovative ways to assess the therapeutic Instifute must be developed if the scientific understanding of MT is to be improved. These Issues Are Not Unique to MT Research The process The Massage Institute 12 - Exchange of Services conducting the workshop, and of writing this report, identified many issues pertaining to MT research, and it may seem logical to assume that many are unique to the field.

However, such uniqueness is almost certainly not the case. In fact, it is likely that each of these issues has already been encountered, and attempts made to address them, in related fields belonging to the wider world of applied and clinical research.

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Currently, MT research has many issues to address not because the field is unique, but because it is so young. As it matures, MT research will Christmas Ladies contribute innovations to the wider world of clinical Exchanhe, but progress in the field itself will be maximized if proponents first acquaint themselves with how other clinical fields have addressed identical or parallel issues.

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This places the field far behind many other health modalities, especially those with a research tradition and infrastructure. Indeed, it may even present certain opportunities and benefits. Consider how much more rapidly medical research could have progressed, and how many mistakes and dead ends avoided, if that research had begun with late twentieth- and early twenty-first-century methods and technologies.

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This situation is precisely the one in which MT, as a field, finds itself today. The technologies available in the Information Age ensure that proponents can communicate rapidly, collaborate efficiently, and maximally leverage the depth and breadth of modern scientific knowledge as they address the free gay adult game issues arising at this early stage of MT research.

The progress that MT research makes The Massage Institute 12 - Exchange of Services the next twenty years should be impressive. We also thank Glenn M. Hymel and Karen T. Boulanger for helpful feedback in response to a draft of this report. An Experimental Study of Group Opinion.

The Rand Corporation; Accessed June 1,

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