OBJECTIVE To examine the knowledge, opinions, and referral behaviour o
f family physicians with respect to massage therapy and to explore fac
tors associated with referral. DESIGN A random, cross-sectional mailed
survey. SETTING Alberta family practices. PARTICIPANTS Family physici
ans (n=300). MAIN OUTCOME MEASURES A self-report survey was developed
for the study. This survey contained questions about sociodemographic
and practice characteristics, perceived knowledge of massage therapy,
opinions about the usefulness and legislation (government regulations)
of massage therapy, and referral behaviour. RESULTS Fifty-four percen
t of physicians (n=161) completed the questionnaire. Sixty-eight perce
nt of respondents indicated they had minimal or no knowledge of massag
e therapy Despite this low level of knowledge, most (83%) believed mas
sage therapy was a useful adjunct to their own practice. Moreover, 71%
had referred patients to massage therapists and most (72%) perceived
increasing demand from their patients for massage therapy. Approximate
ly half of physicians surveyed supported government regulation of mass
age therapy. CONCLUSIONS Physicians demonstrated a discrepancy between
their knowledge of massage therapy and their opinions of, and referra
ls to, the profession. Physicians who referred patients to massage the
rapists generally held more positive opinions and had more knowledge o
f the discipline.