Critique of a practice-based pilot study in chiropractic practices in Western Australia

被引：3

作者：

Amorin-Woods L.G. ^{[1
,2
]}

Parkin-Smith G.F. ^{[3
]}

Nedkoff L. ^{[4
]}

Fisher C. ^{[4
]}

机构：

[1] School of Health Professions (Discipline of Chiropractic) Murdoch University, Perth, WA

[2] Murdoch University Chiropractic Clinic, South Street Campus, 90 South Street, Murdoch, 6150, WA

[3] General Practice and Emergency Medicine Registrar, Busselton, 6160, WA

[4] The University of Western Australia, School of Population Health, Faculty of Medicine, Dentistry and Health Sciences, 35 Stirling Highway (M431), Crawley, Perth, 6009, WA

来源：

Chiropractic & Manual Therapies | / 24卷 / 1期

关键词：

Chiropractic; Evaluation study feasibility study; Pilot projects; Professional practice;

D O I：

10.1186/s12998-016-0117-8

中图分类号：

学科分类号：

摘要：

Background: Practice-based data collection can offer insight into the nature of chiropractic practice and contribute to resolving the conundrum of the chiropractic profession's role in contemporary healthcare, subsequently informing care service policy. However, there is little formal data available about chiropractic practice to inform decision-makers about the nature and role of chiropractic within the context of a modern multidisciplinary healthcare context in Australia, particularly at a local and regional level. Methods: This was a mixed-methods data transformation model (qualitative to quantitative) pilot study the purpose of which was to provide a critique of the research design and collect data from a selected sample of chiropractic practices in Western Australia, with a view to offer recommendations related to the design, feasibility and implementation of a future confirmatory study. Results: A narrative critique of the research methods of this pilot study is offered in this paper covering: (a) practice and patient recruitment, (b) enrollment of patients, (c) data collection methods, (d) acceptability of the study methods, (e) sample size calculations, and (f) design critique. Conclusions: The result of this critique provides a sensible sample size estimate and recommendations as to the design and implementation of a future confirmatory study. Furthermore, we believe that a confirmatory study is not only feasible, but indeed necessary, with a view to offer meaningful insight into chiropractic practice in Western Australia. Trial registration:ACTRN12616000434493Australian New Zealand Clinical Trials Registry (ANZCTR). Registered 5 April 2016. First participant enrolled 01 July 2014, retrospectively registered. © 2016 The Author(s).

引用

共 47 条

[1]

Chapman-Smith D.A., Legislative approaches to the regulation of the chiropractic profession, J Can Chiropr Assoc, 40, 2, pp. 108-114, (1996)

[2]

Meeker W., Haldeman S., Chiropractic: a profession at the crossroads of mainstream and alternative medicine, Ann Intern Med, 136, 3, pp. 216-227, (2002)

[3]

Britt H., Miller G., Charles J., Henderson J., Bayram C., Harrison C., Valenti L., Fahridin S., Pan Y., O'Halloran J., General practice activity in Australia 1998-99 to 2007-08: 10 year data tables, General practice series no 23 Cat no GEP 23, (2008)

[4]

Adams J., Steel A., Chang S., Sibbritt D., Helping address the national research and research capacity needs of Australian chiropractic: introducing the Australian Chiropractic Research Network (ACORN) project, Chiropr Man Therap, 23, (2015)

[5]

Ebrall P., A descriptive report of the case-mix within Australian Chiropractic practice, Chiropr J Aust, 23, pp. 92-97, (1993)

[6]

Leboeuf-Yde C., Hennius B., Rudberg E., Et al., Chiropractic in Sweden: a short description of patients and treatment, J Manip Physiol Ther, 20, pp. 507-510, (1997)

[7]

Hurwitz E., Coulter I., Adams A., Et al., Use of chiropractic services from 1985 through 1991 in the United States and Canada, Am J Public Health, 88, pp. 771-776, (1998)

[8]

Rubinstein S., Pfeifle C., Tulder M., Assendelft W., Chiropractic patients in the Netherlands: a descriptive study, J Manip Physiol Ther, 23, pp. 557-563, (2000)

[9]

Coulter I., Hurwitz E., Adams A., Genovese B., Hays R., Shekelle P., Patients using chiropractors in North America: who are they, and why are they in chiropractic care?, Spine, 27, pp. 291-296, (2002)

[10]

Hartvigsen J., Sorensen L.P., Graesborg A.K., Grunnet-Nilsson N., Chiropractic patients in Denmark: A short description of basic characteristics, J Manip Physiol Ther, 25, 3, pp. 162-167, (2002)

← 1 2 3 4 5 →