Journal article
Interprofessional Attitudes and Interdisciplinary Practices for Older Adults With Back Pain Among Doctors of Chiropractic: A Descriptive Survey
Journal of manipulative and physiological therapeutics, Vol.42(4), pp.295-305
05/2019
DOI: 10.1016/j.jmpt.2018.11.011
PMID: 31257002
Abstract
The purpose of this study is to report on attitudes of doctors of chiropractic (DCs) toward integrative medicine and their self-reported interdisciplinary practices for older adults with back pain.
This descriptive survey was conducted with licensed DCs in a Midwestern community in the United States. Respondents completed a 53-item postal survey of demographics, practice characteristics, referral and co-management patterns, attitudes toward interdisciplinary practice, and the Integrative Medicine-30 Questionnaire (IM-30). Descriptive statistical analysis was performed.
Fifty-seven DCs completed the survey (29% response). Geriatric-focused chiropractic practices were uncommon (<15%), although 56% reported that 25% to 49% of the patients treated each week were older adults. Respondents had a moderate orientation toward collaboration with other health care providers (IM-30 mean [standard deviation] 61.3 [11.5]). The IM-30 subscales placed DCs high on measures of integrative medicine safety; moderate on patient-centeredness, openness to working with other providers, and referral readiness; and low on learning from alternative paradigms. Doctors of chiropractic most referred older patients to neurologists, family physicians, massage therapists, orthopedists, and other chiropractors. Doctors of chiropractic reported the highest levels of co-management with family physicians, physical therapists, and massage therapists. Most DCs (92%) were confident in their own ability to manage back pain in older adults, with modest confidence expressed for treatments from professionals using manual therapies. Most (77%) responded that older patients would experience the most improvement if DCs collaborated with another chiropractor, rather than with medical professionals.
Doctors of chiropractic in one geographic community are moderately oriented toward interprofessional practice with other health care providers for older adults with back pain. Follow-up studies in representative national and international samples are recommended.
Details
- Title: Subtitle
- Interprofessional Attitudes and Interdisciplinary Practices for Older Adults With Back Pain Among Doctors of Chiropractic: A Descriptive Survey
- Creators
- Stacie A. Salsbury - Palmer College of ChiropracticRobert D. Vining - Palmer College of ChiropracticMaria A. Hondras - University of Kansas Medical CenterRobert B. Wallace - University of IowaKevin J. Lyons - Independent Consultant, Philadelphia, PennsylvaniaLisa Z. Killinger - Palmer College of ChiropracticChristine M. Goertz - The Spine Institute
- Resource Type
- Journal article
- Publication Details
- Journal of manipulative and physiological therapeutics, Vol.42(4), pp.295-305
- DOI
- 10.1016/j.jmpt.2018.11.011
- PMID
- 31257002
- NLM abbreviation
- J Manipulative Physiol Ther
- ISSN
- 0161-4754
- eISSN
- 1532-6586
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 05/2019
- Academic Unit
- Epidemiology; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984364418502771
Metrics
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