Contemporary chiropractic practice in the UK: a field study of a chiropractor and his patients in a suburban chiropractic clinic

Hennius, B

doi:10.1186/2045-709x-21-25

Cited by 7 publications

(15 citation statements)

References 52 publications

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“…(2012) [ 24 ] UK Forming connections in the homeopathic consultation homeopathy Practice wisdom, patients’ narratives, biomedicine, intuition Relate, diagnose and treat, legitimise Qualitative, data collected via interviews, observations and practitioner diaries, grounded theory 29 Eyles, C. et al (2011) [ 25 ] A grounded theory study of homeopathic practitioners’ perceptions and experiences of the homeopathic consultation 26 6 Fortune, L. D. & Hymel, G. M. (2015) [ 26 ] USA Creating integrative work: a qualitative study of how massage therapists work with existing clients massage therapy Practice wisdom, intuition, biomedicine, formal education and training, patients’ narratives Relate, diagnose and treat Qualitative, ethnomethodology, hermeneutic phenomenology 28 7 Hennius, B. J. (2013) [ 27 ] UK Contemporary chiropractic practice in the UK: a field study of a chiropractor and his patients in a suburban chiropractic clinic chiropractic Patients’ narratives, traditional knowledge, patients’ bodies, intuition, biomedicine Diagnose and treat, legitimise, educate and inform Ethnography 29 8 Ho, E.Y. & Bylund, C.L.…”

Section: Resultsmentioning

confidence: 99%

“…The studies indicated that CM practitioners were often guided by the preferences and values expressed by their patients. Stories shared by patients were noted as sources of knowledge in seven papers [ 21 , 24 , 25 , 27 , 30 , 31 , 37 ]. These were collected via patients’ self-reports (verbal or written) and based on accumulated understanding of the patients’ histories over time [ 21 , 25 , 27 ].…”

Section: Resultsmentioning

confidence: 99%

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Classifying knowledge used in complementary medicine consultations: a qualitative systematic review

Davies

Heinsch

Tickner

et al. 2022

BMC Complement Med Ther

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Background Complementary Medicine (CM) is widely used internationally but there is limited understanding of the forms of knowledge CM practitioners use in their clinical practice and how they use this knowledge in interactions with patients. This review aims to synthesise the existing evidence on the forms of knowledge that are mobilised, and the role of this knowledge in the interactions between practitioners and patients during CM consultations. It considered a diverse range of CM practice areas to develop a classification of CM practitioners’ knowledge use in consultations. Methods Systematic searches of health and sociology databases were conducted using core concepts, including complementary and alternative medicine, practitioners, and knowledge. Articles were included where they reported on data from recorded CM practitioner and patient consultations and offered insights into the types and applications of knowledge used in these consultations. 16 unique studies were included in the review. Data were extracted, coded and analysed thematically. Results Results demonstrate that diverse sources of knowledge were mobilised by practitioners, predominantly derived from the patients themselves –their bodies and their narratives. This reflected principles of patient-centredness. The use of discipline specific forms of knowledge and references to biomedical sources illustrated ongoing efforts towards legitimacy for CM practice. Conclusion CM practitioners are navigating tensions between what some might see as competing, others as complementary, forms of knowledge. The classification system provides a useful tool for promoting critically reflective practice by CM practitioners, particularly in relation to self-assessment of knowledge translation and patient interactions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Classifying knowledge used in complementary medicine consultations: a qualitative systematic review

Davies

Heinsch

Tickner

et al. 2022

BMC Complement Med Ther

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“…For instance, three-quarters of chiropractors (76 %) believed that encouragement of maintaining normal activities, even in the presence of pain due to acute whiplash, was important to recovery [ 50 ]. Similarly, care delivered in individual chiropractic practices in the UK [ 53 ] and Northeastern Spain [ 54 ] were generally aligned with best practice. Two articles reported that a majority of clinicians in private practice used treatment not supported by current recommendations on nutrition [ 55 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

Evidence-based practice, research utilization, and knowledge translation in chiropractic: a scoping review

Bussières

Zoubi

Stuber

et al. 2016

BMC Complement Altern Med

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BackgroundEvidence-based practice (EBP) gaps are widespread across health disciplines. Understanding factors supporting the uptake of evidence can inform the design of strategies to narrow these EBP gaps. Although research utilization (RU) and the factors associated with EBP have been reported in several health disciplines, to date this area has not been reviewed comprehensively in the chiropractic profession. The purpose of this review was to report on the current state of knowledge on EBP, RU, and knowledge translation (KT) in chiropractic.MethodsA scoping review using the Arksey and O’Malley framework was used to systematically select and summarize existing literature. Searches were conducted using a combination of keywords and MeSH terms from the earliest date available in each database to May 2015. Quantitative and thematic analyses of the selected literature were conducted.ResultsNearly 85 % (56/67) of the included studies were conducted in Canada, USA, UK or Australia. Thematic analysis for the three categories (EBP, RU, KT) revealed two themes related to EBP (attitudes and beliefs of chiropractors; implementation of EBP), three related to RU (guideline adherence; frequency and sources of information accessed; and perceived value of websites and search engines), and three related to KT (knowledge practice gaps; barriers and facilitators to knowledge use; and selection, tailoring, and implementation of interventions). EBP gaps were noted in the areas of assessment of activity limitation, determination of psychosocial factors influencing pain, general health indicators, establishing a prognosis, and exercise prescription. While most practitioners believed EBP and research to be important and a few studies suggested that traditional and online educational strategies could improve patient care, use of EBP and guideline adherence varied widely.ConclusionFindings suggest that the majority of chiropractors hold favourable attitudes and beliefs toward EBP. However, much remains to be done for chiropractors to routinely apply evidence into clinical practice. Educational strategies aimed at practicing chiropractors can lead to more EBP and improved patient care. The chiropractic profession requires more robust dissemination and implementation research to improve guideline adherence and patient health outcomes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12906-016-1175-0) contains supplementary material, which is available to authorized users.

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“…We found that patients’ expectations about being given advice about managing symptoms were largely met. In another study involving chiropractic patients, the researcher found that patients had an inaccurate or rudimentary understanding of the mechanisms that underpin chiropractic treatment, were not particularly interested in how it worked and despite the explanations of the chiropractor, patients showed only a limited understanding of the mechanisms [ 11 ]. In our study more than 90% expected to be given information about chiropractic and what it involved and to be given a diagnosis and rationale for their treatment.…”

Section: Discussionmentioning

confidence: 99%

Patients’ experiences and expectations of chiropractic care: a national cross-sectional survey

MacPherson

Newbronner

Chamberlain³

et al. 2015

Chiropr Man Therap

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BackgroundNot enough is understood about patients’ views of chiropractic care. The aims of this research were to explore patients’ experiences and expectations, their perceptions of benefits and risks, and the implications for chiropractors’ continuing fitness to practise.MethodsSurvey questions were formulated from existing literature, published guidance on good practice from the General Chiropractic Council, and from 28 telephone interviews and a small focus group with chiropractic patients using a semi-structured topic guide. In its final form, the survey elicited patients’ ratings on expectations regarding 33 aspects of care. In a national cross-sectional survey, a number of sampling methods were required as a consequence of the low practitioner response rate.ResultsIn total, 544 completed questionnaires were received from chiropractic patients, a lower response rate than expected (8%). The two main benefits that patients reported regarding their chiropractic care were reduced pain (92%) and increased mobility (80%). Of respondents, 20% reported unexpected or unpleasant reactions to their treatment, most commonly tiredness or fatigue (32%), and extra pain (36%). In most cases they expressed low levels of concern about these reactions. Patients’ expectations were met for most aspects of care. The four aspects of practice where expectations were least well met comprised: having more information on the cost of the treatment plan at the first consultation (80%); the chiropractor contacting the patient’s general practitioner if necessary (62%); having a discussion about a referral to another healthcare practitioner (62%); and providing a method for confidential feedback (66%).ConclusionsOverall, patients reported a high level of satisfaction with the benefits of their chiropractic care, although there is a likelihood of bias towards patients with a positive experience of chiropractic. There were no serious adverse reactions; however, patients reported concern about pain, tingling and numbness in the limbs after chiropractic. In general, patients’ expectations were being well met.Electronic supplementary materialThe online version of this article (doi:10.1186/s12998-014-0049-0) contains supplementary material, which is available to authorized users.

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Contemporary chiropractic practice in the UK: a field study of a chiropractor and his patients in a suburban chiropractic clinic

Cited by 7 publications

References 52 publications

Classifying knowledge used in complementary medicine consultations: a qualitative systematic review

Classifying knowledge used in complementary medicine consultations: a qualitative systematic review

Evidence-based practice, research utilization, and knowledge translation in chiropractic: a scoping review

Patients’ experiences and expectations of chiropractic care: a national cross-sectional survey

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