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What's Happening at the RMTAO Conference Panel - Inclusive Healthcare Practice The RMTAO Virtual Conference on October 23 will feature a panel of experts and advocates of workplace inclusivity in the healthcare space who will have an engaging and informative discussion about creating an inclusive healthcare practice.
Learn more about the panel discussion Space in the conference is limited so register online now to guarantee a spot in your favourite sessions. Advocacy Update - HST/GST and CMTO HST/GST Exemption Representatives of the CMTA committee for GST Exemption met with After this meeting, the CMTA received a letter on behalf of Phil King, Director General, Sales and Excise Tax Division, in the Department of Finance. The letter reaffirmed that the criteria for exempting services from HST/GST is that if a service is covered by the health care plan of two or more provinces, or is regulated as a health profession in at least five provinces, that profession may become HST exempt. Massage therapy is regulated in five provinces, so meets this criteria. However, this is not automatic. The Minister of Finance must decide whether to propose amending the Excise Tax Act to provide for such an exemption and the amendment must be included in legislation passed by Parliament. To assist the Minister of Finance in considering such an amendment, officials will prepare a briefing for the Minister which includes confirmation that the exemption criteria are met and also whether there is widespread support among the profession for a GST/HST exemption. Phil King requested the CMTA provide references to the relevant provincial legislation in at least five provinces that establishes a regulatory regime for massage therapy in the province, and letters for the associations in each province and territory confirming their members’ position regarding tax exemption. The CMTA will be actively following up to provide this requested information. CMTO Council Meeting The Council met on August 23 to vote on the CMTO Executive Committee’s recommendation, and feedback from the consultation on By-law No. 7: Fees for Registration, Examinations and Other Activities of the College. Prior to the meeting 2,374 people (mostly RMTs) provided feedback to the CMTO. Just under 95% of the respondents opposed the General Registration Fee Increase. In the end, the Council approved the fee increase as presented. Maureen Boon, CMTO Registrar, did respond to most of the questions raised by the survey including questions regarding CMTO staffing, CMTO office space and the importance of massage therapy regulation. She also shared the 2nd quarter financials which showed that Complaints and Discipline are over $500,000 over budget. If you weren’t able to observe the meeting, you can watch the recording here. I wanted to thank all those that attended the meeting or provided the CMTO with feedback. It certainly brought an appropriate amount of scrutiny to these proceedings. On a personal note, I will say I was disappointed that fee increases could not have been moderated in some way. However, the financial report does indicate that the profession has some work to do in reducing the number of Complaints and Discipline hearings. The Association will work with the CMTO in whatever way appropriate to help improve this situation. Renew and Access Practical Resources The RMTAO can help the massage therapy profession reach new heights, and by renewing your RMTAO membership you are able to support those efforts! One way the RMTAO can help you rise above and beyond is by offering you practical resources that will help you be successful in your practice. Some of the practical resources available to RMTAO members include (but are not limited to):
There are even more resources available in our searchable Resource Library! These resources are available only to RMTAO members, so be sure to renew your membership to continue to access these practical resources. The RMTAO is pleased to announce a new 3-part webinar series - WSIB for Healthcare Professionals. The 3-part webinar course will take place on the following dates and times: Call for Volunteers - Publications Review Panel The RMTAO is currently looking for volunteers to serve on our publications review panel. Adventures from Karen's Clinic
Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis Objective: To determine the comparative effectiveness and safety of psychological interventions for chronic low back pain. Design: Systematic review with network meta-analysis. Data sources: Medline, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, SCOPUS, and CINAHL from database inception to 31 January 2021. Eligibility criteria for study selection: Randomised controlled trials comparing psychological interventions with any comparison intervention in adults with chronic, non-specific low back pain. Two reviewers independently screened studies, extracted data, and assessed risk of bias and confidence in the evidence. Primary outcomes were physical function and pain intensity. A random effects network meta-analysis using a frequentist approach was performed at post-intervention (from the end of treatment to <2 months post-intervention); and at short term (≥2 to <6 months post-intervention), mid-term (≥6 to <12 months post-intervention), and long term follow-up (≥12 months post-intervention). Physiotherapy care was the reference comparison intervention. The design-by-treatment interaction model was used to assess global inconsistency and the Bucher method was used to assess local inconsistency. Results: 97 randomised controlled trials involving 13 136 participants and 17 treatment nodes were included. Inconsistency was detected at short term and mid-term follow-up for physical function, and short term follow-up for pain intensity, and were resolved through sensitivity analyses. For physical function, cognitive behavioural therapy (standardised mean difference 1.01, 95% confidence interval 0.58 to 1.44), and pain education (0.62, 0.08 to 1.17), delivered with physiotherapy care, resulted in clinically important improvements at post-intervention (moderate quality evidence). The most sustainable effects of treatment for improving physical function were reported with pain education delivered with physiotherapy care, at least until mid-term follow-up (0.63, 0.25 to 1.00; low quality evidence). No studies investigated the long term effectiveness of pain education delivered with physiotherapy care. For pain intensity, behavioural therapy (1.08, 0.22 to 1.94), cognitive behavioural therapy (0.92, 0.43 to 1.42), and pain education (0.91, 0.37 to 1.45), delivered with physiotherapy care, resulted in clinically important effects at post-intervention (low to moderate quality evidence). Only behavioural therapy delivered with physiotherapy care maintained clinically important effects on reducing pain intensity until mid-term follow-up (1.01, 0.41 to 1.60; high quality evidence). Conclusions: For people with chronic, non-specific low back pain, psychological interventions are most effective when delivered in conjunction with physiotherapy care (mainly structured exercise). Pain education programmes (low to moderate quality evidence) and behavioural therapy (low to high quality evidence) result in the most sustainable effects of treatment; however, uncertainty remains as to their long term effectiveness. Although inconsistency was detected, potential sources were identified and resolved. Ho EK, Chen L, Simic M, Ashton-James CE, Comachio J, Wang DXM, Hayden JA, Ferreira ML, Ferreira PH. Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis. BMJ. 2022 Mar 30;376:e067718. doi: 10.1136/bmj-2021-067718. PMID: 35354560; PMCID: PMC8965745. The Learning Curve - The RMTAO Education Series 
Upcoming Community Networks and Related Activities The RMTAO has created a feature on RMTAO.com for Community Networks. Members and non-members can access information about the latest upcoming network activities on our list of upcoming events! Don't see a Community Based Network near you? You can contact Angela Paton at angela@rmtao.com to learn more about starting one. London Community-Based Network |
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Opioids killed more people in Ontario in the second year of the pandemic compared to the first, and there was a dramatic jump in deaths both years compared to pre-pandemic, according to newly released data.
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David Hurl, Director of Policy for the Minister of Finance and Yash Nanda, Policy Advisor for the Minister of Finance to review the process of HST/GST Exemption and commit to working together on HST/GST Exemption moving forward.
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RMTAO Education Conference
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