Background: The SF-36 questionnaire is perhaps the most widely used quality of life instrument in the world today, while the PROMIS instruments continue to gain popularity. Given their continued use in chiropractic research and practice, we examined their latent domain structure using exploratory factor analysis (EFA).
Methods: To uncover latent structures of a large series of measured variables from the PROMIS-29, PROMIS Global Health and RAND SF-36 domains, we defined a factor analysis model represented by the equation [Formula: see text], where [Formula: see text] is the matrix of random vectors corresponding to the domains with a mean of [Formula: see text] and the covariance matrix [Formula: see text] [Formula: see text] denotes the matrix of factor loadings, [Formula: see text] denotes the matrix of unobserved latent variables that influence the collection of domains and [Formula: see text] is the vector of latent error terms.
Objective: To assess the attitudes, practices and other contributing factors to patient safety among chiropractors.
Methods: In addition to obtaining socio-demographic and practitioner/practice characteristics, we utilized the Safety, Communication, Operational Reliability, and Engagement (SCORE) questionnaire. To identify variables contributing to improved safety climate and lower burnout, we performed a random forest analysis.
Introduction: Antonovsky's sense of coherence (SOC) has been shown to positively correlate with quality of life (QoL). We examined the relationship between socio-demographic data and clinical covariates along with various QoL domains to SOC in patients presenting for care within a chiropractic practice-based research network.
Methods: In addition to providing socio-demographic information and clinical covariates, patients attending care within a PBRN completed the PROMIS-29 and PROMIS global health to measure of QoL and SOC-29 to measure SOC at baseline.
Objective: To quantify the quality of life (QoL) and visit-specific satisfaction of pregnant women.
Design: A prospective cohort within a practice-based research network (PBRN). Setting/Locations: Individual chiropractic offices.
Objectives: To characterize pediatric chiropractic and assess pediatric quality of life (QoL).
Design: A prospective cohort. Setting/Locations: Individual offices within a practice-based research network located throughout the United States.
Objective: To measure the cross-informant variant of pediatric quality of life (QoL) based on self-reports and parent proxy measures.
Methods: A secondary analysis of baseline data obtained from two independent studies measuring the QoL based on the pediatric PROMIS-25 self-report and the PROMIS parent-proxy items banks. A scoring manual associated raw scores to a T score metric (mean = 50; SD = 10).
Complement Ther Clin Pract
November 2017
Objective: Chiropractors have long advocated on the benefits of breastfeeding and given the realized and potential role of chiropractors in the care of infants with breastfeeding difficulties, we performed this review of the literature on the subject to inform clinical practice.
Methods: For this article, we searched Pubmed [1966-2013], Manual, Alternative and Natural Therapy Index System (MANTIS) [1964-2013] and Index to Chiropractic Literature [1984-2013] for the relevant literature. The search terms utilized "breastfeeding", "breast feeding", "breastfeeding difficulties", "breastfeeding difficulty", "TMJ dysfunction", "temporomandibular joint", "birth trauma" and "infants", in the appropriate Boolean combinations.
Aim: To examine the attitudes and utilization of evidence-based practice by chiropractors.
Methods: Utilizing a descriptive survey implemented as an online questionnaire, we examined chiropractors׳ perception, skills, and level of training, their engagement in, the barriers and facilitators to, and possible interventions to evidence-based practice.
Results: A total of 162 of 500 chiropractors completed the survey, providing a response rate of 32.
Complement Ther Clin Pract
May 2016
Introduction: Our ongoing efforts to demonstrate effectiveness of care examined the quality of life (QoL) and patient satisfaction of chiropractic patients presenting for care in a PBRN.
Methods: In addition to socio-demographic and clinical care information, we examined visit-specific satisfaction and QoL using the RAND VSQ and PROMIS-29, respectively.
Results: Our study population was comprised of 126 subjects (average age = 39.
Background: Healthcare systems recognize the need to incorporate patient-reported outcomes as part of their clinical and research measures. We performed this review on the use of validated outcome measures in the chiropractic care of pregnant patients.
Methods: Pubmed, CINAHL, Medline, Index to Chiropractic Literature and MANTIS were searched for (1) primary investigation reports (i.
Complement Ther Clin Pract
May 2014
Context: Obesity is a global problem and places individuals at risk for developing chronic metabolic disorders. The need for investigating simple, effective and sustaining approaches to weight loss cannot be overstated.
Methods: We performed a retrospective file analysis of patient files attending a 13-week weight loss program.
Complement Ther Clin Pract
February 2014
Introduction: Constipation compromises the health-related quality of life of children. Chiropractic is a popular alternative therapy for children with constipation. We performed this integrative review of the literature to inform clinical practice.
View Article and Find Full Text PDFPurpose: Diverse communities require chiropractors to be culturally competent to serve diverse populations. The purpose of this analysis is to describe the effect on knowledge and confidence to serve diverse populations following 6 hours of cultural competency training.
Methods: Using a quasi-experimental one-group design, a paired t-test using a 40-item questionnaire to assess knowledge and a 15-item questionnaire to rate confidence was used for the stated purpose.
Complement Ther Clin Pract
May 2012
Objective: To describe the care of a patient with spinal and cranial dysfunctions and medically diagnosed with conversion disorder.
Clinical Features: The patient was an 11-yr-old girl presented by her parents with complaints of uncontrollable tremors of both arms and right leg. Conversion disorder was diagnosed following negative examination findings for an organic etiology.
Background: In addition to impacting the affected child and his/her family's quality of life, recent estimates place the lifetime cost for an individual with ASD at $3.2 million and $35 billion for the entire birth cohort. Given the clinical heterogeneity of ASD, treatment approaches are multidisciplinary including alternative therapies, particularly when no pharmaceutical agent is effective for the core symptoms of ASD.
View Article and Find Full Text PDFComplement Ther Clin Pract
August 2011
Objective: A survey of midwives' knowledge and views about chiropractic.
Design: Cross-sectional descriptive survey.
Setting/location: An anonymous on-line self-administered survey.
Integr Cancer Ther
December 2012
Background And Significance: Cancer is the leading cause of death worldwide and accounted for 7.4 million deaths in 2004. By 2030, deaths from cancer have been estimated at 12 million with 30% being preventable.
View Article and Find Full Text PDFPurpose: To perform a systematic review of the literature on the chiropractic care of patients with infantile colic.
Methods: The following databases were interrogated: MANTIS [1965-2010]; Pubmed [1966-2010]; Index to Chiropractic Literature [1984-2010]; EMBASE [1974-2010]; AMED [1967-2010]; CINAHL [1964-2010]; Alt-Health Watch [1965-2010], and PsychINFO [1965-2010]. Inclusion criteria were manuscripts addressing the chiropractic care of infantile colic published in the English language.
Complement Ther Clin Pract
February 2011
Objective: To describe the successful chiropractic care of two pediatric patients with complaints of "growing pain."
Clinical Features: A 2¾-yr-old female and 3½-yr-old male were presented by their mothers with complaints of "growing pains" that awakened both patients at night. The girl's problem began 3 months prior to care with awakening due to leg pain at 1-2 nights weekly in the first month and progressed to 5-6 nights per week in the month prior to presentation.