Coulter Ian D, Herman Patricia M, Ryan Gery W, Hays Ronald D, Hilton Lara G, Whitley Margaret D
RAND Corporation, University of California Los Angeles, Southern California Health Sciences, Santa Monica, California.
RAND Corporation, University of California Los Angeles, Southern California Health Sciences, Santa Monica, California.
J Manipulative Physiol Ther. 2018 Nov-Dec;41(9):800-806. doi: 10.1016/j.jmpt.2018.11.002. Epub 2019 Feb 10.
The purpose of this article is to report on the Center of Excellence for Research on Complementary and Alternative Medicine at RAND Corporation. The overall project examined the appropriateness of chiropractic spinal manipulation and mobilization for chronic low back pain and chronic cervical pain using the RAND and University of California Los Angeles Appropriateness Method, including patient preferences and costs, to acknowledge the importance of patient-centered care in clinical decision-making.
This article is a narrative summary of the overall project and its inter-related components (ie, 4 Research Project Grants and 2 centers), including the Data Collection Core, whose activities and learning will be the subject of a following series of methods articles.
The project team faced many challenges in accomplishing data collection goals. The processes we developed to overcome barriers may be of use to other researchers and for practitioners who may want to participate in such studies in complementary and integrative health, which previously was known as complementary and alternative medicine.
For this large, complex, successful project, we gathered online survey data, collected charts, and abstracted chart data from thousands of chiropractic patients. The present article delineates the challenges and lessons that were learned during this project so that others may gain from the authors' experience. This information may be of use to future research that collects data from independent practitioners and their patients because it provides what is needed to be successful in such studies and may encourage participation.
本文旨在报道兰德公司补充与替代医学卓越研究中心。整个项目采用兰德公司与加利福尼亚大学洛杉矶分校适宜性方法，研究脊椎按摩疗法对慢性下背痛和慢性颈痛的适宜性，包括患者偏好和成本，以认识到以患者为中心的护理在临床决策中的重要性。
本文是对整个项目及其相互关联的组成部分（即4项研究项目资助和2个中心）的叙述性总结，包括数据收集核心，其活动和经验教训将是后续一系列方法文章的主题。
项目团队在实现数据收集目标方面面临诸多挑战。我们为克服障碍而制定的流程可能对其他研究人员以及可能希望参与补充与综合健康领域此类研究（以前称为补充与替代医学）的从业者有用。
对于这个大型、复杂且成功的项目，我们收集了在线调查数据、病历，并从数千名脊椎按摩患者中提取了病历数据。本文阐述了该项目期间所面临的挑战和汲取的经验教训，以便其他人能够从作者的经验中受益。这些信息可能对未来从独立从业者及其患者收集数据的研究有用，因为它提供了此类研究取得成功所需的条件，并可能鼓励参与。
