In Ontario, Canada, MTs are regulated and have a common scope of practice. However, diverse practice settings and approaches to care create a need for MTs to articulate their professional identity. This study sought to answer, “what common features are foundational to the professional identity of MTs in Ontario?”
This quantitative research study was a part of a larger exploratory sequential mixed methods study. An online questionnaire-based cross-sectional study was conducted based on previous qualitative findings. MTs in Ontario, who held an active certificate, were invited to participate. Data were analyzed using descriptive statistics.
The analysis revealed 17 common features that were endorsed by most respondents. Participants also reported thinking of themselves as healthcare professionals, rather than service providers, a feeling that was held across practice settings. Interesting and unexpected differences were noted in statements regarding the perception of MTs, areas of profession-specific knowledge, and the establishment of the therapeutic relationship.
This study furthers an understanding of MTs’ identity. Specifically, MTs consider themselves to be HCPs who are confident in their knowledge and abilities, especially their communication skills. They believe in providing individualized care and empowering their patients to take charge of their own health. Despite areas of overwhelming agreement, disagreement in endorsement was seen in areas such as MTs perception of their external image, use of evidence in practice, and the establishment of professional boundaries. These areas provide an opportunity for future research to continue to develop a body of knowledge regarding MTs professionalism and identity.
The authors wish to acknowledge the contributions of Anne Wong, MD, PhD, and Mitchell Levine, MD, MSc, as members of the primary author's PhD committee, and Jason Powell, PhD, whose comments during the writing process enhanced the arguments and distilled the discussion of this study.
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interest: The authors have no conflicts to declare.
1. Fagermoen, MS. Professional identity: values embedded in meaningful nursing practice. J Adv Nurs 1997;25:434–41. https://doi.org/10.1046/j.1365-2648.1997.1997025434.x.Search in Google Scholar PubMed
2. Styles, GR. Developing professional identity in occupational therapy: a phenomenological study of newly qualified staff and their experiences in the preceptorship period. Staffordshire, UK: Staffordshire University; 2016.Search in Google Scholar
4. Drolet, MJ, Desormeaux-Moreau, M. The values of occupational therapy: perceptions of occupational therapists in Quebec. Scand J Occup Ther 2016;23:272–85. https://doi.org/10.3109/11038128.2015.1082623.Search in Google Scholar PubMed
5. Thomson, OP, Petty, NJ, Moore, AP. Osteopaths’ professional views, identities and conceptions – a qualitative grounded theory study. Int J Osteopath Med 2014;17:146–59. https://doi.org/10.1016/j.ijosm.2013.12.002.Search in Google Scholar
6. Edwards, H, Dirette, D. The relationship between professional identity and burnout among occupational therapists. Occup Ther Health Care 2010;24:119–29. https://doi.org/10.3109/07380570903329610.Search in Google Scholar PubMed
7. Government of Ontario. Massage therapy act, 1991. Ottawa, ON: Queen’s Press; 1991.Search in Google Scholar
8. Kemp, J. Improving professionalism in massage therapy through continued education in the development of successful therapeutic relationships. New York, NY: State University of New York; 2016.Search in Google Scholar
9. Smith, DM, Smith, JM, Baxter, D. The drive for legitimation of massage therapy in New Zealand. Int J Ther Massage Bodyw 2012;5:21–9. https://doi.org/10.3822/ijtmb.v5i4.196.Search in Google Scholar PubMed PubMed Central
10. Kennedy, AB, Cambron, JA, Sharpe, PA, Travillian, RS, Saunders, RP. Clarifying definitions for the massage therapy profession: the results of the best practices symposium. Int J Ther Massage Bodyw 2016;9:15–26. https://doi.org/10.3822/ijtmb.v9i3.312.Search in Google Scholar PubMed PubMed Central
11. Shroff, FM, Sahota, IS. The perspectives of educators, regulators and funders of massage therapy on the state of the profession in British Columbia, Canada. Chiropr Man Ther 2013;21:2. https://doi.org/10.1186/2045-709x-21-2.Search in Google Scholar PubMed PubMed Central
12. Creswell, JW, Plano Clark, VL. Designing and conducting mixed methods research, 2nd ed. Thousand Oaks, CA: Sage Publications; 2010.Search in Google Scholar
13. Fetters, MD, Curry, LA, Creswell, JW. Achieving integration in mixed methods designs-principles and practices. Health Serv Res 2013;48:2134–56. https://doi.org/10.1111/1475-6773.12117.Search in Google Scholar PubMed PubMed Central
14. Baskwill, A, Vanstone, M, Harnish, D, Dore, K. “I am a healthcare practitioner”: a qualitative exploration of massage therapists’ professional identity. J Compl Integr Med 2019;17. https://doi.org/10.1515/jcim-2019-0067.Search in Google Scholar PubMed
15. College of Massage Therapists of Ontario. Enhancing accountability: College of Massage Therapists of Ontario 2015 annual report. Toronto, ON: College of Massage Therapists of Ontario; 2016. Available from: http://www.cmto.com/assets/CMTO-2015-AR.pdf.Search in Google Scholar
16. Baskwill, A. Awareness of the evidence for practice of RMTs in Ontario. Hamilton, Ontario: McMaster University; 2014.Search in Google Scholar
17. Streiner, DL, Norman, GR. Health measurement scales: a practical guide to their development and use. New York, NY: Oxford University Press; 2008.10.1093/acprof:oso/9780199231881.001.0001Search in Google Scholar
18. Dillman, DA, Smyth, JD, Christian, LM. Internet, mail, and mixed-mode surveys: the tailored design method, 3rd ed. Hoboken, NJ: John Wiley & Sons Inc.; 2009.Search in Google Scholar
19. College of Massage Therapists of Ontario. College of Massage Therapists of Ontario 2017 annual report 2018. Available from: http://www.cmto.com/assets/FINAL-CMTO-Annual-Report-2017_ENGLISH.pdf.Search in Google Scholar
21. Kennedy, AB, Munk, N. Experienced practitioners’ beliefs utilized to create a successful massage therapist conceptual model: a qualitative investigation. Int J Ther Massage Bodyw: Res Educ Pract 2017;10:9–19.Search in Google Scholar
22. Porcino, A, Boon, H, Page, SA, Verhoef, M. Exploring the nature of therapeutic massage bodywork practice. Int J Ther Massage Bodyw: Res Educ Pract 2013;6:15–24. https://doi.org/10.3822/ijtmb.v6i1.168.Search in Google Scholar
23. Kennedy, AB, Cambron, JA, Sharpe, PA, Travillian, RS, Saundersm, RP. Process for massage therapy practice and essential assessment. J Bodyw Mov Ther 2016;20:484–96. https://doi.org/10.1016/j.jbmt.2016.01.007.Search in Google Scholar
24. Kennedy, AB, Cambron, JA, Dexheimer, JM, Trilk, JL, Saunders, RP. Advancing health promotion through massage therapy practice: a cross-sectional survey study. Prev Med Rep 2018;11:49–55. https://doi.org/10.1016/j.pmedr.2018.05.001.Search in Google Scholar
25. Callaghan, J. Professions and professionalisation. In: Teo, T, editor. Encyclopedia of critical psychology. New York, NY: Springer Reference; 2014.10.1007/978-1-4614-5583-7_239Search in Google Scholar
28. Jansen, CB. The continuum of health professions. Integr Med 2015;14:48–53.Search in Google Scholar
30. College of Massage Therapists of British Columbia. College of Massage Therapists of Newfoundland & Labrador, College of Massage Therapists of Ontario. Inter-jurisdictional practice competencies and performance indicators for massage therapists at entry-to-practice 2012. Available from: http://www.cmto.com/assets/Inter-Jurisdictional-Competency-Standards-June-2012.pdf.Search in Google Scholar
31. Brown, R. Social identity theory: past achievements, current problems, and future challenges. Eur J Soc Psychol 2000;30:745–78. https://doi.org/10.1002/1099-0992(200011/12)30:6<745::aid-ejsp24>3.0.co;2-o.10.1002/1099-0992(200011/12)30:6<745::AID-EJSP24>3.0.CO;2-OSearch in Google Scholar
33. Bainbridge, L, Wood, VI. The power of prepositions: learning with, from and about others in the context of interprofessional education. J Interprof Care 2012;26:452–8. https://doi.org/10.3109/13561820.2012.715605.Search in Google Scholar PubMed
34. Suter, E, Vanderheyden, LC, Trojan, LS, Verhoef, MJ, Armitage, GD. How important is research-based practice to chiropractors and massage therapists? J Manip Physiol Ther 2007;30:109–15. https://doi.org/10.1016/j.jmpt.2006.12.013.Search in Google Scholar PubMed
35. Gowan-Moody, DM, Leis, AM, Abonyi, S, Epstein, M, Premkumar, K. Research utilization and evidence-based practice among Saskatchewan massage therapists. J Compl Integr Med 2013;10. https://doi.org/10.1515/jcim-2012-0044.Search in Google Scholar PubMed
36. Ooi, SL, Smith, L, Pak, SC. Evidence-informed massage therapy – an Australian practitioner perspective. Compl Ther Clin Pract 2018;31:325–31. https://doi.org/10.1016/j.ctcp.2018.04.004.Search in Google Scholar PubMed
37. Baskwill, A, Dore, K. Exploring the awareness of research among registered massage therapists in Ontario. J Compl Integr Med 2015;13:41–9. https://doi.org/10.1515/jcim-2015-0006.Search in Google Scholar PubMed
38. Al-Ansari, A, ElTantawi, M. Factors affecting self-reported implementation of evidence-based practice among a group of dentists. J Evid Base Dent Pract 2014;14:2–8. https://doi.org/10.1016/j.jebdp.2013.11.001.Search in Google Scholar PubMed
39. Hankemeier, DA, Walter, JM, McCarty, CW, Newton, EJ, Walker, SE, Pribesh, SL, et al.. Use of evidence-based practice among athletic training educators, clinicians, and students, part 1: perceived importance, knowledge, and confidence. J Athl Train 2013;48:394–404. https://doi.org/10.4085/1062-6050-48.2.16.Search in Google Scholar PubMed PubMed Central
40. Thorsteinsson, HS. Icelandic nurses’ beliefs, skills, and resources associated with evidence-based practice and related factors: a national survey. Worldviews Evidence-Based Nurs 2013;102:116–26. https://doi.org/10.1111/j.1741-6787.2012.00260.x.Search in Google Scholar PubMed
41. Zwolsman, SE, van Dijk, N, te Pas, E, Wieringa-de Waard, M. Barriers to the use of evidence-based medicine: knowledge and skills, attitudes, and external factors. Perspect Med Educ 2013;2:4–13. https://doi.org/10.1007/s40037-013-0039-2.Search in Google Scholar PubMed PubMed Central
The online version of this article offers supplementary material (https://doi.org/10.1515/jcim-2020-0368).
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