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对入选澳大利亚整脊研究网络(ACORN)的整脊师概况的横断面调查:未来整脊研究的可持续资源。

A cross-sectional examination of the profile of chiropractors recruited to the Australian Chiropractic Research Network (ACORN): a sustainable resource for future chiropractic research.

作者信息

Adams Jon, Peng Wenbo, Steel Amie, Lauche Romy, Moore Craig, Amorin-Woods Lyndon, Sibbritt David

机构信息

Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.

School of Health Professions, Murdoch University, Murdoch, Australia.

出版信息

BMJ Open. 2017 Sep 29;7(9):e015830. doi: 10.1136/bmjopen-2017-015830.

Abstract

OBJECTIVES

The Australian Chiropractic Research Network (ACORN) practice-based research network (PBRN) cohort was established to provide sustainable infrastructure necessary to address lack of rigorous investigation and to bridge the research-practice gap focused on chiropractic care for future years. This paper presents the profile of chiropractors recruited to the ACORN PBRN, a nationally representative sample of chiropractors working in Australia.

DESIGN

Cross-sectional analysis of baseline data from a cohort study of chiropractors in Australia.

SETTING

All registered chiropractors in Australia were invited to participate in the ACORN study and those who completed a practitioner questionnaire and consent form were included in the PBRN cohort.

PARTICIPANTS

A total of 1680 chiropractors (36%) were recruited to the cohort database. The average age of the PBRN participants is 41.9 years and 63% are male. The vast majority of the PBRN participants hold a university degree.

RESULTS

General practitioners were identified as the most popular referral source for chiropractic care and low back pain and neck pain were the most common conditions 'often' treated by the PBRN chiropractors. The chiropractors in this PBRN cohort rated high velocity, low amplitude adjustment/manipulation/mobilisation as the most commonly used technique/method and soft tissue therapy as the most frequently employed musculoskeletal intervention in their patient management.

CONCLUSIONS

The ACORN PBRN cohort constitutes the largest coverage of any single healthcare profession via a national voluntary PBRN providing a sustainable resource for future follow-up. The ACORN cohort provides opportunities for further nested substudies related to chiropractic care, chiropractors, their patients and a vast range of broader healthcare issues with a view to helping build a diverse but coordinated research programme and further research capacity building around Australian chiropractic.

摘要

目的

澳大利亚整脊研究网络(ACORN)基于实践的研究网络(PBRN)队列的建立,是为了提供必要的可持续基础设施,以解决缺乏严谨研究的问题,并弥合未来几年专注于整脊治疗的研究与实践之间的差距。本文介绍了招募到ACORN PBRN的整脊师概况,这是在澳大利亚工作的整脊师的全国代表性样本。

设计

对澳大利亚整脊师队列研究的基线数据进行横断面分析。

背景

邀请澳大利亚所有注册整脊师参与ACORN研究,完成从业者问卷和同意书的人员被纳入PBRN队列。

参与者

共有1680名整脊师(36%)被纳入队列数据库。PBRN参与者的平均年龄为41.9岁,63%为男性。绝大多数PBRN参与者拥有大学学位。

结果

全科医生被确定为整脊治疗最常见的转诊来源,腰痛和颈痛是PBRN整脊师“经常”治疗的最常见病症。该PBRN队列中的整脊师将高速低幅调整/手法治疗/松动术评为患者管理中最常用的技术/方法,软组织治疗评为最常用的肌肉骨骼干预措施。

结论

ACORN PBRN队列通过全国性自愿PBRN实现了对任何单一医疗保健专业的最大覆盖,为未来的随访提供了可持续资源。ACORN队列提供了进一步开展与整脊治疗、整脊师、他们的患者以及广泛的更广泛医疗保健问题相关的嵌套子研究的机会,以期帮助建立一个多样化但协调的研究计划,并围绕澳大利亚整脊治疗进一步开展研究能力建设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6e/5640145/63b485d2392d/bmjopen-2017-015830f01.jpg

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