The Swiss chiropractic practice-based research network: a population-based cross-sectional study of chiropractic clinicians and primary care clinics to inform future musculoskeletal health care research

Autor: Rahim Lalji, Léonie Hofstetter, Alice Kongsted, Viktor von Wyl, Milo A Puhan, Cesar A Hincapié
Rok vydání: 2022
DOI: 10.21203/rs.3.rs-2041025/v1
Popis: The Swiss chiropractic practice-based research network (PBRN) is a nationwide project developed in collaboration with patients, clinicians, and academic stakeholders to advance epidemiological research relating to chiropractic care and musculoskeletal pain. The aim of this study was to describe the clinician population recruited and representativeness of this PBRN to inform future collaboration. A population-based cross-sectional study of clinician members of the Swiss Chiropractic Association who consented and completed a PBRN entry questionnaire was performed. Clinician characteristics were described and factors related to motivation to participate in a subsequent patient cohort pilot study (operationalised as VAS score ≥ 70) were assessed using multivariable logistic regression analysis. Among 326 eligible chiropractors, 152 enrolled in the PBRN (47% participation; mean age 47 years; 53% men). The PBRN was representative of the larger Swiss chiropractic clinician population with regards to age, language, and geographic distribution of chiropractors and clinics. Of those enrolled, 39% endorsed being motivated to participate in a nested patient cohort pilot study. Motivation was associated with age 40 years or older versus 39 years or younger (odds ratio [OR] 2.3, 95% confidence interval [CI] 1.0 to 5.5), and with a moderate clinic size of 2 or 3 chiropractors (OR 2.5, 95%CI 1.1 to 5.9) or large clinic size of 4 or more chiropractors (OR 2.8, 95%CI 1.0 to 7.0) versus solo practice. The Swiss chiropractic PBRN has enrolled almost half of all Swiss chiropractors in over 100 clinical practices and has potential to facilitate collaborative practice-based research to improve chiropractic health care quality. Trial registration Swiss chiropractic PBRN (ClinicalTrials.gov identifier: NCT05046249); Swiss chiropractic cohort (Swiss ChiCo) pilot study (ClinicalTrials.gov identifier: NCT05116020).
Databáze: OpenAIRE