Objective: There have been few investigations into parent report of outcomes for chiropractic care for infants. The goal of this survey was to implement an infant outcomes instrument in a teaching clinic along with private chiropractic practices to observe the demographic profile of patients and any unique observations in outcomes.
Method: Infants aged up to 12 months presenting to the AECC University College (AECC) teaching clinic and to private chiropractic practices in the UK were eligible for inclusion. Mothers completed valid and reliable questionnaires which measured characteristics before and after chiropractic care.
Results: A total of 479 infants from the AECC were included, and 19 from private clinics. Of these, 297 (61%) completed follow up forms at the teaching clinic and 15 (79%) completed follow up forms in the private clinics. The most common complaint for patients presented to the teaching clinic was a feeding problem (40%) compared to private clinics where the main complaint was a difficult birth (27%). The AECC had a mean satisfaction score of 9.5/10 (10 being completely satisfied) and the private clinics had a mean satisfaction score of 8.3/10. Scores of Parent Global Impression of Change (PGIC) showed that at least 86% of infants improved. There were no adverse events.
Conclusion: Overall the parents in this study reported high satisfaction with the care their infant received, along with improvement in their infant’s complaints. However, there were insufficient numbers from private clinics to make any representative conclusions about similarities or differences between a teaching clinic and private chiropractic clinics. Implementation of a parent report of outcomes in infant practice was feasible.
Author keywords: PROMs (patient reported outcome measures), infants, chiropractic, outcomes instrument
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