Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 22040
  Title Research. Opportunities to integrate prevention into the chiropractic clinical encounter: A practice-based research project by the Integrated Chiropractic Outcomes Network (ICON)
Journal Top Integr Health Care. 2011 ;2(3):Online access only 19 p
Peer Review Yes
Publication Type Article
Abstract/Notes Purpose: to collect exploratory data on the characteristics of chiropractic practices participating in a practice-based research network (PBRN), particularly with respect to important health promotion and disease prevention activities, to lay the groundwork for future longitudinal studies.

Methods: This was a cross-sectional descriptive study conducted by the methods of practice-based research in the offices of participating U.S. chiropractors. Data were collected by self-report from practitioners and from all patients presenting for treatment in the participating offices for one week in March 2011.

Results: Data were collected on 1891 patients of 38 Doctors of Chiropractic (DCs) in 30 practices in 17 U.S. states. Forty-seven percent of DCs reported that they routinely gave advice on diet; 26% on weight management; and 21% on tobacco use. Of the 1891 patients, 24.9% were presenting for wellness/maintenance care only. Forty percent of patients’ health concern’s duration was > 1 year. The mean number of annual visits reported by patients was 14. Of the 12.4% of patients who reported using tobacco currently, 29.1% reported that their practitioner discussed quitting with them. About 40% of patients reported being overweight; 19.5% reported that they received information from their DC on weight management. Only 9.2% of patients reported being obese; 31.6% reported receiving information on weight management from their DC.

Conclusion: Chiropractic patients in this sample presented with risk factors amenable to physician counseling. Their DCs reported routinely providing advice on some risk factors, and a substantial proportion of patients with risk factors reported receiving advice from their DC. Chiropractic practices, in which patients with chronic pain have frequent follow-up visits, present an opportunity to advise patients on health risks, which could contribute to improved health outcomes.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. Link to PDF version.

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