Innes Stanley I, Leboeuf-Yde Charlotte, Walker Bruce F
1College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Australia.
2Institute for Regional Health Research, University of Southern Denmark, DK-5000 Odens, Odense, Denmark.
Chiropr Man Therap. 2019 Apr 3;27:15. doi: 10.1186/s12998-019-0236-0. eCollection 2019.
Recent studies have shown that psychological factors, attitudes and beliefs impact on the quality of chiropractic student clinical decisions. This association has not been studied among qualified chiropractors. Our objective was to investigate if personality, psychological factors and/or unorthodox beliefs among chiropractors are related to choices of management in specific clinical scenarios.
In February 2018, a subsample of chiropractors ( = 700) from a practitioner-based research network in Australia known as ACORN ( = 1680), were invited to respond to an on-line anonymous questionnaire. Questions included items relating to management of specific clinical scenarios, intolerance of uncertainty (IU) and the 'Big-5' personality score, adoption of a prescriptive technique system, self-rating of chiropractic abilities, and the level of importance of subluxation and chiropractic philosophy in the delivery of care. Descriptive analysis was to be reported and associations examined between i) personality and psychology factors, unorthodox beliefs and ii) scores obtained for management of specific clinical scenarios, numbers of interdisciplinary referrals, and guideline-based X-ray use.
The number of respondents was 141 (20%) and 33 of their responses were largely incomplete resulting in a final response rate of 108 (15.4%). In addition, some questions were left unanswered. These related mainly to IU and Big-5 personality measurements. Some sample characteristics (age, number of patients per week, hours worked per week) were similar to the larger ACORN project sample. However, the low response rate indicated that the final study sample was unlikely to be truly representative of the study population and the low number of participants made association testing unsuitable.
The low response rate and small study sample in this study made any substantive analysis inappropriate. For these reasons, the study was not concluded. However, the potential reasons for the low response from this large database of volunteer research participants are of interest and need to be investigated. Clearly, it is necessary to engage this population better to explore sensitive issues such as personality inventories and different practice profiles in the interest of effective health care delivery and patient safety.
近期研究表明，心理因素、态度和信念会影响整脊专业学生临床决策的质量。这种关联在合格的整脊师中尚未得到研究。我们的目的是调查整脊师的个性、心理因素和/或非正统信念是否与特定临床场景中的管理选择相关。
2018年2月，邀请了来自澳大利亚一个名为ACORN（样本量为1680）的基于从业者的研究网络中的700名整脊师子样本，对一份在线匿名问卷做出回应。问题包括与特定临床场景管理、不确定性不耐受（IU）和“大五”人格得分、采用规定性技术系统、整脊能力自评以及半脱位和整脊理念在提供护理中的重要性水平相关的项目。将报告描述性分析，并检查以下两者之间的关联：i）个性和心理因素、非正统信念；ii）特定临床场景管理得分、跨学科转诊数量以及基于指南的X光使用情况。
受访者有141人（20%），其中33人的回答基本不完整，最终回复率为108人（15.4%）。此外，一些问题未得到回答。这些问题主要与IU和大五人格测量有关。一些样本特征（年龄、每周患者数量、每周工作小时数）与规模更大的ACORN项目样本相似。然而，低回复率表明最终研究样本不太可能真正代表研究人群，且参与者数量较少使得关联测试不合适。
本研究的低回复率和小研究样本使得任何实质性分析都不合适。基于这些原因，该研究未得出结论。然而，来自这个大型志愿者研究参与者数据库的低回复率的潜在原因值得关注，需要进行调查。显然，为了有效的医疗保健服务和患者安全，有必要更好地与这一群体接触，以探索诸如个性量表和不同实践概况等敏感问题。
