GREETINGSFROMTHECHAIR
This is the traditional time of year for resolutions, plans, and new projects, and NCB has many for 2002! It is also a time for reflection on last yearís accomplishments and unfinished business. We have had a tremendous year as a certification board in realizing many of our goals, and we hope you have experienced individual success in your professional endeavors as well.
    Let me summarize the NCB past and future for you. In 2001, the NCB maintained progress implementing its strategic plan, and continued to work diligently on the revamping of the recertification program and new requirements for approved providers of continuing education, both to be launched in 2002. We began working with our nominating committee to redefine qualifications, characteristics and leadership criteria for our Board of Directors and volunteers of the future. We are always working on increasing the number of qualified volunteers for our organization and feel this fine tuning will provide interested candidates with more accurate information.
    As NCB grows to meet the ever increasing needs of close to 50,000 certificants, we looked this past year at our committee structure and how to best revise it to meet the challenging needs of such a large community. I would like to encourage any of you who would like to become involved with the National Certification program to come forward and bring your expertise to support your profession. It is important that we emphasize credentialing in massage therapy and bodywork as the recognition it provides assists the consumer and employer in selecting qualified practitioners.
    We value the support you have shown to us this past year, and look forward to your continued commitment to the profession in 2002. If it is your year to recertify, please do so! And let us know if there is any way in which we can assist you in your professional endeavors.
    In the meantime, I wish you all a very Happy New Year! Though life is wrought with conflict, it is a universal truth that everyone loves their own, and that love is the way of the world. May each of you come from that space of love and embrace the part of your heart and mind that extends your love to all and everyone, bringing reality to our hope for global peace. Happy New Year!

Sue

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Testing the Test
Reviewing test items for the National Certification Examination (NCE) is an ongoing project for members of the NCBTMB Examination Committee. The test is updated regularly to ensure that candidates are being measured accurately for competency in the practice of massage therapy and bodywork.
    The committee members recently met in Philadelphia, PA, with Subject Matter Experts (SMEs) and professional test developers at the headquarters of the testing vendor for the NCE. Specifically, they reviewed the test items that could potentially appear on future forms of the examination. During the meeting, they focused on ways to ensure that the items on the NCE effectively measure the entry-level competency of massage therapy and/or bodywork practitioners with a high degree of validity, reliability and fairness.
    Hereís how the review process works:
    Each test item being reviewed is examined several times by experts in the fields of psychometrics, test development, and massage therapy and bodywork. An initial review of a test item is conducted when an item is created. Once a test question is written, item editors, test developers, and SMEs immediately inspect the questionís applicability to the knowledge, skill and ability statement to which it is written. They also verify whether or not the questionís stem alludes to the correct response, and whether the item cues a correct response to any of the other items in the item pool from which questions are drawn. Also during this time, the question is reviewed for spelling, grammar, and language correctness.
    Following this preliminary assessment, content experts evaluate the items for content verification, key validation and content relevancy.
    The next step in the item development process is to gather performance data on questions through beta testing (sometimes referred to as pre-testing). Typically, on any given form of the exam, the NCBTMB will embed and pre-test 20 questions to assess their efficacy and potential for use in measuring a candidateís knowledge, skill and ability for massage therapy and bodywork. The pre-testing of items allows the NCBTMB to predict how a specific question will perform and with what level of accuracy. The empirical data gathered during this pre-test process play an important role in other areas of the examinationís development and eventual implementation. These areas include:
ï evaluating the reliability of the item and exam forms;
ï measuring the internal consistency of an item relative to an exam form;
ï determining the level with which an exam discriminates between high and low performers;
ï determining the degree of error associated with the exam; and
ï applying a standard to an examination for the purpose of determining a passing point (cut score).

    During the pre-testing process, a candidate is unaware which questions are operational and which are being used to gather performance data. However, these ëpre-testí items are not counted in the scoring process of the candidateís examination.
    Pre-testing items allows the NCBTMB to determine how a specific question will perform and with what level of accuracy. Once these data are gathered, members of the NCBTMB Examination Committee will review these test items again, as well as the corresponding performance data. This review determines whether the NCE should include the particular question. During the secondary review, the test items are checked again for key validation, content relevancy, and content verification. If a question performs within established and appropriate parameters, it will be placed in the item pool used to generate forms of the NCE.

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Oregon Becomes 25th State to Accept a National Credential for Massage
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) announced recently that the State of Oregon has adopted the National Certification Examination for Therapeutic Massage and Bodywork. Practitioners in Oregon must now take the National Certification Exam as part of the licensing application process. Consumers and employers in Oregon can now look for the NCTMB credential when seeking out a massage therapist or bodyworker who upholds a national standard.
    The NCE continues to be recognized as a valid and reliable measurement tool for entry-level competency in the field of massage therapy and bodywork. Oregon becomes the 25th state to recognize or utilize the NCE, either in statute or in rule.
    Certification from the NCBTMB requires successful completion of the NCE exam, as well as the completion of a minimum of 500 in-class hours of formal education and training. To maintain certification, certificants must complete 50 hours of continuing education during the four-year certification period and perform at least 200 hours of therapeutic massage and/or bodywork. Certificants must also remain in good standing with the NCBTMB, which means full compliance with the Standards of Practice and Code of Ethics.
    ìWith the addition of Oregon, now half the states in the nation require the use of our exam,î said Christine D. Niero, Ph.D., executive director of the NCBTMB. ìThis milestone illustrates that state legislatures, employers, consumers and practitioners fully understand the need for regulation in massage therapy and bodywork. While the demand for massage grows in our nation, we must continue to educate people about the need for a nationally recognized credential in this profession.î
    National Certification strives not only to protect the profession, but also to protect consumers and employers by ensuring that individuals who obtain this credential possess the core body of knowledge and skills necessary to perform safely and effectively at entry-level. For practitioners, National Certification reflects a commitment to professional and ethical service, as well as a commitment to self-improvement. Employers benefit from working with Nationally Certified practitioners because the credential stands for quality, consistency and professional service. In addition, consumers who chose Nationally Certified Practitioners have the benefit of knowing their interests are being protected and that they are being served by a professional whose practices are aligned with a national standard. If a Nationally Certified Practitioner does not comply with the NCBTMBís Standards of Practice or engages in a behavior that violates the NCBTMB Code of Ethics, a complaint or grievance can be filed to the Ethics and Standards Committee.
    Americans spend $2 - $4 billion annually on visits to massage and bodywork practitioners, totaling approximately 75 million visits each year. With this many consumers seeking massage and bodywork services, the value of the NCTMB credential to the public takes on greater significance.

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Job Task Analysis Survey What Is It? Why Do We Have It?
Testing for certification and licensing usually involves assessing a degree of individual competency for a particular profession or unique domain of content. When a certification organization awards a credential to an individual, the organization is assessing a personís or institutionís competency and, based on that assessment, awarding a credential. In order to validate the inference that an organization is making regarding an individualís competency, the certifying organization is ethically and legally obliged to provide evidence of validity for their determination (i.e. judgment statement about an individualís competency). Scores on an examination are a means by which many certifying organizations have chosen to provide evidence that those who have been certified by them are practicing safely, effectively, ethically and competently. This is also true for the NCBTMB and the credential it awards, Nationally Certified in Therapeutic Massage and Bodywork, or NCTMB.
    However, some may ask ìWhat provides evidence of validity for the accuracy and validity of the decision or judgments that are inferred from the test scores of candidates on the National Certification Examination for Therapeutic Massage and Bodywork (NCE)?î
    The decisions that the NCBTMB makes about candidatesí competency are based on their performance scores on the NCE. In other words, a candidateís performance on the NCE (i.e. passing or failing the test) determines whether or not he or she is deemed competent to practice massage therapy and bodywork, and is subsequently awarded the NCTMB credential upon completion of a passing score. Scores for the NCE are provided, at least in part, with content-related evidence of validity through a type of descriptive research study known as a Job Task Analysis.
    The NCBTMBís Job Task Analysis Studies provide a detailed description of job related tasks, the extent to which they are performed, their importance for entry level practice in therapeutic massage and bodywork, and the knowledge, skills and abilities needed to perform job related tasks competently. These areas provide the basis for developing a legally defensible and reliable credentialing examination for massage therapy and bodywork. By utilizing the research findings of its Job Task Analyses, the NCBTMB has developed and maintained a legally defensible examination that accurately reflects the current standards of practice in the therapeutic massage and bodywork profession at the entry level.
    The NCE was developed to strictly comply with the accreditation guidelines established by the National Commission on Certifying Agencies (the organization that accredits the NCBTMB certification program), the Standards for Educational and Psychological Testing (published and endorsed by the American Educational Research Association, American Psychological Association, and the National Council on Measurement in Education), and the EEOC Guidelines on Employee Selection Procedures. Through the statistical and psychometric analysis of the information collected from practitioners during the Job Task Analysis, the NCBTMB, in conjunction with ASI, developed a Content Outline and test blueprint for its credentialing examination. This approach is the standard for the development of an examination designed to test the knowledge and competencies of an entry-level practitioner in a particular field or profession.
    It should be noted that during the NCBTMBís Job Task Analyses, no single modality is a primary area of focus. Since the NCE is designed as a measure of competency for the practice of therapeutic massage and bodywork, this would be inappropriate. Rather, the NCBTMBís samples gather information from a number of groups to accurately reflect standards of practice that exist in the areas of touch therapy throughout the country. During the NCBTMBís latest survey analysis, 96% of respondents indicated that they include more than one type of modality or theory in their practice. Modalities that were represented during the NCBTMBís latest study included areas of knowledge that could be traditionally categorized as Western (Swedish, Sports Medicine, etc.) and non-Western (Traditional Chinese Medicine, Other Energetic Systems, etc.). By gaining input from all types of practitioners, the NCBTMB was able to develop a Content Outline that demonstrates the tasks that are consistent among many types of bodywork. The result is a comprehensive instrument rather than an examination specific to one modality or one type of bodywork.
    During the NCBTMBís latest Job Task Analysis, a number of different methodologies were incorporated to maximize content validity for the credentialing examination. Content validity refers to an examinationís accurate measurement of the appropriate domain of content associated with its intended purpose. In this case, The NCBTMB is concerned with ensuring the NCE measures the appropriate content, and proportions of content, which are demonstrably associated with entry-level practice in massage therapy and bodywork.
     The NCBTMBís first Job Task Analysis began with a review of literature. This review was conducted to determine what types of certifications currently existed, and how the development of a National Certification Program may impact the profession. The NCBTMB also conducted telephone interviews of practitioners, pursuant to assessing the degree of interest in a National Certification Program. Once it was determined that there was a significant degree of support for a National Certification Program, and there were not any significant conflicts of interest, it was decided that the NCBTMB would move ahead with the development of a National Certification Examination. A task force was created to define the body of knowledge that would be assessed by this test. The work of this task force began with a meeting of Subject Matter Experts (SMEs) who discussed the body of knowledge the examination would measure. The SMEs were selected based on their degree of experience, areas of expertise, and reputation in the profession. It was decided that the construct of the examination would be established at that of an ìentry-levelî practitioner or baseline competency. Typically, this is the route that is selected by other professional certification and licensing boards. The purpose of establishing the construct at this level is to identify individual practitioners who are knowledgeable, while at the same time remain careful to not set the baseline competency so high that competent practitioners would be excluded from professional practice.
    The next step in the process was to conduct a study that is known as Role Delineation. The task force began to amass a list of job related tasks that would be performed by an entry-level practitioner of massage therapy and bodywork. They also determined the knowledge, skills and abilities needed by an entry-level practitioner to perform those tasks competently. This list, or inventory, provided a description of the requisite tasks and knowledge, skills and abilities associated with performing the practice of massage therapy and bodywork in a safe and effective manner. This list was inclusive and representative of the massage and bodywork profession.
    Once this list of job related tasks and the associated knowledge, skills and abilities had been compiled, it required validation through the development a Job Task Analysis Survey. A random, stratified sample of practitioners was chosen to accurately reflect the population of massage therapy and/or bodywork practitioners. The survey, developed using the inventory of job tasks and knowledge, skills and abilities identified during the Role Delineation Study, was mailed to over 15,000 massage therapy and bodywork practitioners. The survey yielded a response rate of 12.8%. This response rate was excellent and consistent to those conventions generally accepted by research experts. Respondents were asked to comment on the job tasks and the knowledge, skills, and abilities of a practitioner that were identified during the Role Delineation Study. Based on these results, areas of content were constructed and weighted in proportion to their importance, frequency of use, and necessity for entry-level practice. This information was then used to construct a test blueprint and Content Outline (a component to the NCEís set of test specifications) to which questions could be written and from which an examination could then be created.
    The NCBTMB will begin its next Job Task Analysis study in the early part of 2002, and will extend throughout most of the year. During the next few months, the NCBTMB may be asking for your assistance during this important and momentous research study. By agreeing to participate in the survey portion of the research study, you will be afforded the opportunity to lend insight regarding the knowledge, skills and ability that are important for entry-level practice. This, in turn, will help the NCBTMB create a Content Outline that continues to reflect the knowledge, skill and ability areas that are actually being practiced by massage therapists and bodyworkers at the entry level.

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CERTIFICANTSCORNER
What are the Work Experience Requirements to Recertify?    
    During the four-year certification period, an applicant must have performed a minimum of 200 hours of hands-on therapeutic massage and/or bodywork sessions. The applicant must be able to provide supporting documentation for the hours worked.
    Documentation of work experience can be provided by a computerized log, a log book, an appointment book, or by a letter from an employer on official letterhead verifying the number of hours worked. The documentation must include the date and length of an appointment. Pay stubs, tax forms, or W-2 forms are not acceptable documentation for work experience hours for recertification.
    Applicants who have been audited and are required to submit supporting documentation for work experience hours must black out their clientís name or adopt an anonymous record system, such as using numbers or letters in place of the clientís name. This will protect the confidentiality between the client and the Nationally Certified Practitioner.
    The NCBTMB recognizes that many certificants are educators or instructors of therapeutic massage and bodywork. Therefore, all certificants who are educators may claim up to 100 hours of hands-on teaching experience. Educators must supply supporting documentation for any hours of hands-on teaching experience and verification of educator/instructor status.

Can Continuing Education Hours Be Carried Over From Year to Year?
    Applicants often obtain more than the required number of continuing education hours during each certification cycle. Certificants are allowed to carry as many as 12 hours of continuing education from one certification period to another.

NCBTMBís Practitioner Locator Program
    The NCBTMB offers a practitioner locator service on its web site, www.ncbtmb.com. This service gives consumers the ability to locate Nationally Certified Practitioners by name, area code, city, state, or modality. To be included in the Practitioner Locator Program, visit our web site at www.ncbtmb.com and click on Shortcut to Important Forms. Then click on Submit an Online Form to be included in the Practitioner Locator Program. You may also call 1-800-296-0664 to request a Practitioner Locator Program form or for information concerning the program.

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Making the most of the NCB
The success of the National Certification Program relies solely on the generous work of the volunteers. Those Nationally Certified Practitioners who give their time and energy to share their knowledge and work on committees, serve on the board, review test items, participate in discussions to implement the Standards of Practice, among many other responsibilities and services, keep the National Certification Board running successfully. Often, these volunteers sacrifice time from their families and careers, all for the good of the National Certification Program.
    The NCBTMB is one of the largest certification organizations under the umbrella of the National Organization for Competency Assurance. Since its inception in 1992, the NCBTMB experienced tremendous growth in a very short time span. Needs for volunteers were demanding, and the scope of their work was changing. As staff members were hired, volunteers were able to shift responsibilities to the office. During these transition periods, both staff and committee members worked to keep their focus on promoting the profession, keeping the trust of the public, and increasing the credibility of the credential.
    Last summer, a task force was developed to review the current committee structure of the NCB. Their objective was to determine if the current work of the volunteers was the most effective use of the volunteer resources to lead the NCB in the direction of achieving its goals set forth in the Strategic Plan, and keeping the vision of the National Certification Program in focus. Their recommendations would be reported to the Board of Directors for their review and determination of subsequent action. Some of the issues this task force discussed were:

ï The functions, roles and responsibilities of the committees and the staff, and the division of duties between committee and staff members;
ï Interactions and shared responsibilities of the committees with the staff;
ï The objective of the committees relative to the National Certification Programís assessment and accountability.

    The task force members surveyed committee and board members, held discussions with committee chairs, and interviewed representatives of other professional certification boards regarding their committee structure. From all their research, the task force members developed a report of their findings and presented recommendations to the Board of Directors for their assessment and future action. Here are some of the findings that the Board implemented:

ï The work of NCBTMB committees should reflect the sole function of the National Certification Program, and be documented in the bylaws. Task forces, ad hoc committees, and panels can be formed to carry out specific charges as needed.
ï Streamline the number of committees to ensure efficient use of volunteersí time and efforts. This involves eliminating some committees and revising the objectives of others. Conduct volunteer training at all levels.
ï Involve more non-Nationally Certified Practitioners who have an investment in the quality of services provided by Nationally Certified Practitioners.
ï Train committee chairs annually on how the work of their committees relates specifically to the Strategic Plan.
ï Implement a strategic planning committee as a standing committee to monitor the progress with the strategic plan.

   By increasing overall communication among board, staff, committee members and committee chairs, as well as other recommendations, the task force concludes that NCBTMB utilizes effectively the efforts of its volunteers. The NCBTMB Board of Directors is currently implementing these as well as other more specific suggestions that the task force submitted.

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Newly Approved Category A Providers

Advance School of Massage Therapy
1414 East
Thousand Oaks Boulevard
Thousand Oaks, CA 91362
805-495-1353
freebrochure@yahoo.com
Various Course

Njideka N. Olatunde
PO Box 26132
Washington, DC 20001
301-779-8005
fohnno@cs.com
Reflexology

Xiao Chun Cai
7728 East Garvey Avenue #6
Rosemead, CA 91770
626-288-6797
Acupressure, Reflexology, Ethics

Ernesto Ortiz
9199 SW 97 Avenue
Miami, FL 33176
305-595-6800
Various Courses

Kate Leigh
45 Woodman Road
Durham, NH 03824
603-868-6846
midhun@nh.ultranet.com
Various Courses

Hired Hands On-Site Massage
Specialists, Inc.
1044 South Plymouth Court
Chicago, IL 60605
312-431-1858
hiredhnds@aol.com
Chair Massage

Patricia Thatcher
50 Dudley Street
Cambride, MA 02140
617-661-1277
patthatch@earthlink.net
Acupressure

IWA, Inc.
31723 Leeward Court
Avon Lake, OH 44012
440-933-3890
iwafitness@aol.com
Various Courses

Springboard Books
3170 Monarch Drive
Orilla ON L3V 7W9
Canada
416-657-2313
sbooks@bconnex.net
Various Courses

American Reiki Institute
PO Box 99901
Tacoma, WA 98499-0901
253-460-1379
powerpaus4u@msn.com

Susan Pomfret
Sedona Touch Therapies
745 North Dobson #144
Mesa, AZ 85201
480-890-8098
spomfret@msn.com
Various Courses

Dr. Yoram Amiran
3 Holly Court
Melville, NY 11747
630-637-2229
yamiran@yahoo.com
Thai Massage

Niara Healing Arts
222 West 14th Street
New York, NY 10011
917-253-5001
oiseau@juno.com
Various Courses

Diana L. Campbell
5808 West Byron Street
Chicago, IL 60634
773-794-0430
dcampbell5@aol.com
Reiki

Kathy Lynn Walsh Henemier
283 White Station Road
Berea, KY 40403
859-986-3146
khenem@wildcatblue.com
Reiki

Colleen Anderson
206 Lowell Street
Manchester, NH 03104
603-626-6998
Various Courses

Holistic Health Enhancement, Inc.
5700 Kirkwood Highway, #205
Wilmington, DE 19808
302-633-4035
a1reflexology@aol.com
Various Courses

James Mally
112 Douglas Boulevard
Roseville, CA 95678
916-782-1275
jmally@usa.net
Deep Tissue, Sports Massage

Tim Holt
255 Dutton Avenue
Sebastopol, CA 95472
707-823-1480
timholt@pon.net
Various Courses

Marguerite L. Pennington
Hawaiian Lomi Lomi Massage
Training and Therapy
PO Box 1065
Hanalei, HI 96714
808-826-1522
godheals@kauailomilomimassage.com
Lomi Lomi Massage

Jean E. Middleswarth
940 Hutton Street
Winston-Salem, NC 27101
Ethics Courses
336-777-8735
jemstone@triad.rr.com

Benjamin I. Walker III
16171 Rambling Vine Drive East
Tampa, FL 33624-1196
813-968-1017
drbenwalker@yahoo.com
Musculoskeletal Pain Syndromes

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STRATEGICPLANUPDATE
Editorís Note: In this issue of the NCB Connection, Committee Chairs were asked to report on how their committee members are working toward achieving Goal 3 of the NCB Strategic Plan: Value the Credential.

Recertification Committee
Chair: John Kelley, NCTMB
    Members of the NCBTMB Recertification Committee have been working to increase the value of the NCTMB credential by developing a new Recertification Program.
    The new Recertification Program is designed to be more flexible, and user-friendly for Nationally Certified Practitioners, and will include several options to complete recertification requirements. With the new program, certificants will be able to design a Recertification Program that is focused on maintaining continued competence in massage therapy/bodywork practice and specifically relates and applies to what they are doing on a daily basis in their profession.
    The committee members recently completed a draft of the revised NCB Recertification Program, and will unveil the new program and its options in the new year.

Government Relations Consultant
Sally Hacking
   The Government Relations Committee members have been visiting officials in towns and cities throughout the country promoting the value of the National Certification Program by providing education materials and information.    Currently, committee members are traveling to Anaheim, CA, to participate in the League of California Cities Conference where they will meet with city and county officials. The committee members have committed to reaching out to all cities and counties in California to present the benefits of the National Certification Program, and the NCE as an examination that could be considered as a standard setting tool for local massage ordinances. Currently, California has no regulatory standard for massage and bodywork. Local ordinances vary in different jurisdictions, thereby causing confusion for both the public consumer and the practitioners.
    By recently attending the National League of Cities Annual Conference in Atlanta, GA, committee members were able to provide government officials at the local level in that state with information about the NCBTMB.
    In other states: Indiana and Illinois are preparing to introduce legislation that will require successful completion of the NCE and current National Certification for licensure.
    Florida News: Effective January 1, 2002, the fee for Florida applicants will be $225. The state voted to raise the minimum number of hours of education required for licensure from 500 to 700.
    To see a list of states that recognize the NCE for licensure, please see related story on page 2.

The Ethics and Standards Committee
Chair: Marion B. Visel, NCTMB
   Members of the NCBTMB Ethics and Standards Committee work continually toward achieving the goal of ìValuing the Credentialî by reviewing the ethical standards of Nationally Certified Practitioners.
    The committee members meet regularly to discuss ways to improve the ethical practices of Nationally Certified Practitioners. They review complaints filed against Nationally Certified Practitioners, and address alleged violations of the NCBTMB Standards of Practice and Code of Ethics that National Certified Practitioners are required to uphold to protect the public.
    During the year 2001, the committee members were instrumental in implementing the NCBTMB Standards of Practice document. With the NCBTMB Standards of Practice, Nationally Certified Practitioners show consumers that their professional behaviors are accountable to a governing board of reviewers, and subject to removal.

Examination Committee
Chair: Robert Lehnberg, NCTMB
    Members of the NCBTMB Examination Committee continually work to improve the value of the National Certification credential by reviewing each test item that appears on the National Certification Examination for Therapeutic Massage and Bodywork (NCE). Recently, the committee members met at the headquarters of the NCB testing vendor in Philadelphia, Pennsylvania to review test items that could potentially appear on future forms of the examination.
    These periodic test item reviews ensure that the NCBTMB testing program continues to measure the entry-level competency of massage therapy and/or bodywork practitioners with a high degree of validity, reliability and fairness. By utilizing the expertise of Subject Matter Experts (SMEs) and professional test developers, as well as a stringent pre-test and review process, the NCBTMB is able to construct and administer examination forms that provide accurate and meaningful inferences about the competency of massage and bodywork practitioners.
    For more information about how the test review process works, see related story on the cover page.

Other NCBTMB Committees:
Bylaws Committee
Chair: Ray Moriyasu, NCTMB

CE Provider Panel
Chair: Judy Dean, NCTMB

Continuing Education/Recertification Task Force
Chair: John Kelley, NCTMB

Eligibility Committee
Chair: Elliot Greene, NCTMB

Leadership Development Committee
Chair: Marlene Cohen, NCTMB

CALENDAROFEVENTS    

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NCBTMB
8201 Greensboro Drive, Suite 300
McLean, VA 22102
703-610-9015 … 703-610-9005
1-800-296-0664 (totally automated line)
e-mail: mswiscoski@ncbtmb.com