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Related Experiment Video

Updated: Feb 4, 2026

A Comprehensive Protocol for Manual Segmentation of the Medial Temporal Lobe Structures
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Model structure for protocol adherence utilizing a manualized therapeutic massage intervention.

Erika R Larson1, Becky Kinkead2, Sherry A Edwards2

  • 1Atlanta School of Massage, Atlanta, GA,USA.

Journal of Complementary & Integrative Medicine
|October 13, 2018
PubMed
Summary

A new Protocol Training and Assessment Model ensured consistent massage therapy delivery in a cancer fatigue study. This model standardized Swedish massage therapy and light touch interventions, improving research reliability.

Keywords:
collaborationfidelityprotocoltherapeutic massagetraining model

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Area of Science:

  • Oncology
  • Integrative Medicine
  • Clinical Research Methodology

Background:

  • Developed by Emory University School of Medicine and Atlanta School of Massage.
  • Aimed to reduce variability in research massage therapist (rMT) interventions.
  • Focused on Swedish massage therapy (SMT) and light touch (LT) in the Massage for Cancer-Related Fatigue (MCRF) study.

Purpose of the Study:

  • To maintain and assess protocol integrity for manualized SMT and LT interventions.
  • To minimize intra- and inter-therapist variability in research massage delivery.
  • To ensure consistent application of study protocols.

Main Methods:

  • Initial rMT training and quarterly retraining sessions.
  • Provided accessible resources: scripts, treatment guides, and weekly meetings.
  • Ongoing monitoring via retraining data, audio review, and subject/rMT feedback.

Main Results:

  • High level of intervention consistency achieved throughout the study.
  • Low protocol-related session comment rate (2.7%) from subjects.
  • Minimal reported intra- or inter-rMT treatment delivery differences.

Conclusions:

  • The Protocol Training and Assessment Model yielded reliable, standardized SMT and LT interventions.
  • Continuous quality improvement through scientist-rMT collaboration enhanced protocol adherence.
  • The Model is applicable for future research requiring standardized rMT-delivered interventions.