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This pilot study evaluated a knowledge translation intervention for neck pain management in chiropractic care. While patients showed reduced pain and disability, clinician recruitment and retention posed significant challenges.

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Area of Science:

  • Chiropractic care and evidence-based practice
  • Knowledge translation in healthcare
  • Clinical trial methodology

Background:

  • Feasibility studies are crucial before large-scale trials.
  • Evaluating complex interventions requires pilot testing.
  • This study assessed a knowledge translation (KT) intervention for neck pain management in chiropractic settings.

Purpose of the Study:

  • Determine the feasibility of a cluster randomized controlled trial (C-RCT) for a complex KT intervention.
  • Identify challenges and solutions for conducting a C-RCT in chiropractic care.
  • Assess the potential impact of the intervention on patient outcomes.

Main Methods:

  • A pilot cluster randomized controlled trial (C-RCT) was conducted with chiropractors and patients.
  • Clinicians were randomized to an online KT intervention or a clinical practice guideline.
  • Data on recruitment, retention, adherence, and barriers were collected via interviews and questionnaires.

Main Results:

  • Low clinician participation (12%) and retention (8%) were observed.
  • Patients in the intervention group showed significant reductions in pain and disability.
  • Key barriers included clinician time constraints, patient recruitment difficulties, and administrative issues.

Conclusions:

  • Recruiting and retaining participants for complex intervention trials in chiropractic care is challenging.
  • Multiple recruitment strategies are needed for future trials.
  • Clinician time constraints represent a major barrier to participation and adherence.