Evidence-based maintenance care among chiropractors in Norway: a cross-sectional survey in the Nordic maintenance care program

Chiropractic & Manual Therapies

Research

Alister DuRose¹  Tora Bjørkmann Vikhaug¹  Birgitte Lawaetz Myhrvold²  Anne Marie Gausel³  Iben Axén⁴  Andreas Eklund⁵ 

[1] AECC University College, Parkwood Campus, Parkwood Road, Bournemouth, UK;Department of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, P.O. Box 1089, Blindern, 0317, Oslo, Norway;Et Liv I Bevegelse, The Norwegian Chiropractic Research Foundation, Oslo, Norway;Et Liv I Bevegelse, The Norwegian Chiropractic Research Foundation, Oslo, Norway;Stavanger University Hospital, Stavanger, Norway;Department for Caring and Ethics, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway;Et Liv I Bevegelse, The Norwegian Chiropractic Research Foundation, Oslo, Norway;Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Nobels Väg 13, 171 77, Stockholm, Sweden;Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Nobels Väg 13, 171 77, Stockholm, Sweden;

关键词: Evidence-based;    Maintenance;    Attitudes;    Skills;    Use;    Facilitators;    Barriers;   

DOI  :  10.1186/s12998-023-00502-3

 received in 2023-04-04, accepted in 2023-07-19,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundChiropractors use a treatment strategy called maintenance care with the intent of secondary and tertiary prevention. The Nordic Maintenance Care Program provides evidence of when and for whom maintenance care should be offered. Dissemination has occurred through articles, workshops, social media, conference in Europe and internationally. However, little is known about chiropractors’ awareness and use of this evidence. This study explores chiropractors’ attitudes, skills, and use of evidence on maintenance care, as well as study their association with general evidence-based practice and demographic characteristics. Moreover, barriers and facilitators of evidence access are also examined.MethodsQuestions pertaining our research aim were included in the anonymous and digital Evidence-Based practice Attitude and utilization SurvEy, which was distributed to all members (n = 770) of the Norwegian chiropractic association in the fall of 2021.ResultsThe response rate was 41% (n = 312). Regarding attitudes towards evidence-based maintenance care, 26% agreed they needed tools to recommend this care to patients. Approximately half (57%) believed they had skills to identify suitable patients, and 45% had used published information in the past month. Strong alignment was observed between Norwegian chiropractors’ attitudes, skills, and utilization of evidence-based maintenance care and general evidence-based practice. Maintenance care skills were significantly associated with age (those between 40 and 59 years being less likely to report having high skills), clinical setting (those working with conventional health care providers being less likely to report having high skills) and country of education (those educated in the US and Australia being more likely to report having high skills). Moreover, maintenance care use was significantly associated with country of education (those educated in Australia were less likely to have used published information regarding patient selection for maintenance care). Access to resources was a barrier, whereas knowledge of patient suitability facilitated evidence-based maintenance care.ConclusionsNorwegian chiropractors had neutral attitudes towards maintenance care, but generally reported moderate skills. Most had not used evidence about maintenance care in the previous month. Access to useful resources about the evidence regarding maintenance care was a barrier, and knowledge of who responds to maintenance care was a facilitator.

【 授权许可】

CC BY   
© Chiropractic and Osteopathic College of Australasia, European Academy of Chiropractic, The Royal College of Chiropractors, Nordic Institute of Chiropractic and Clinical Biomechanics and BioMed Central Ltd. 2023

【 图 表 】

13690_2023_1163_Article_IEq2.gif