Department of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia; Chiropractic Academy for Research Leadership (CARL), Sydney, Australia.
Chiropractic Academy for Research Leadership (CARL), Sydney, Australia; Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Australia.
Complement Ther Med. 2019 Aug;45:172-178. doi: 10.1016/j.ctim.2019.06.012. Epub 2019 Jun 18.
Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian chiropractors who frequently discuss patient physical activity.
A national cross-sectional survey of chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients.
Eighty-five percent of Australian chiropractors reported 'often' discussing physical activity as part of their patient management. The strongest factors associated with chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95%CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95%CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95%CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95%CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95%CI: 1.56, 3.06) within their practice setting.
Discussing physical activity is a frequent feature of patient management among most chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of chiropractors in promoting this important public health topic among patients and communities is needed.
大约四分之一的成年人不符合世界卫生组织的身体活动建议。虽然在脊骨神经医学领域进行健康促进（即身体活动）很常见，但对于脊骨神经医学医生与患者讨论这一公共卫生问题的情况知之甚少。我们的研究旨在调查经常与患者讨论身体活动的澳大利亚脊骨神经医学医生的流行程度和特征。
对脊骨神经医学医生进行了一项全国性的横断面调查，重点是从业者特征、实践环境和临床管理特征。对 1924 名调查对象进行回归分析，以确定与经常与患者讨论身体活动的从业者相关的因素。
85%的澳大利亚脊骨神经医学医生报告称，他们经常将身体活动作为患者管理的一部分进行讨论。从多变量分析中得出的与经常讨论身体活动的脊骨神经医学医生最相关的因素包括：经常讨论职业健康和安全（比值比[OR] = 6.10；95%可信区间：3.88，9.59）、经常讨论饮食/营养（OR = 4.56；95%可信区间：3.12，6.66）、经常讨论吸烟/毒品/酒精（OR = 4.41；95%可信区间：2.06，9.40）、经常使用特定的运动治疗/康复/受伤包扎（OR = 3.76；95%可信区间：2.62，5.39）和经常治疗运动员或运动人士（OR = 2.18；95%可信区间：1.56，3.06）。
在澳大利亚，讨论身体活动是大多数脊骨神经医学医生患者管理中的常见特征。这些从业者与讨论其他昂贵的公共卫生负担之间的关联表明，脊骨神经医学医生在慢性病预防方面可能发挥着重要作用。鉴于对从业者主导的患者身体活动促进的需求不断增长，需要进一步研究检查脊骨神经医学医生在促进患者和社区中这一重要公共卫生话题方面的作用和贡献。
