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Development of a practice-based research program

C Hawk¹, C R Long, K Boulanger

¹Palmer Center for Chiropractic Research, Davenport, IA 52803, USA.

Journal of Manipulative and Physiological Therapeutics

|May 6, 1998

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This study established an infrastructure for collecting ambulatory care data from volunteer chiropractors. The program successfully gathered data on patients and treatments, demonstrating potential for epidemiological research.

Area of Science:

Chiropractic research
Ambulatory care data collection
Health services research

Background:

Establishing robust data collection infrastructure is crucial for understanding ambulatory care.
Previous data collection efforts in chiropractic settings faced challenges in standardization and completeness.

Purpose of the Study:

To develop and evaluate an infrastructure for collecting accurate patient data in ambulatory chiropractic settings.
To identify key components necessary for a successful data collection program.

Main Methods:

A formative evaluation process guided the iterative development of the data collection program.
Volunteer chiropractors (DCs) and staff collected data on patients in U.S. and Canadian practices.
Standardized instruments (SF-36, Pain Disability Index, Global Well-Being Scale) assessed patient outcomes.

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Main Results:

The program involved 65 DCs collecting data on 1360 patients across three iterative phases.
Follow-up data from doctors were obtained for over 70% of patients.
Patient-completed follow-up forms were collected for up to 50% of patients.

Conclusions:

The developed infrastructure is capable of supporting descriptive epidemiology of ambulatory chiropractic patients.
Continued efforts to improve patient follow-up rates are needed to enhance insights into utilization and outcomes.
The program shows promise for future research on chiropractic patient care.