Testing the feasibility of a knowledge translation intervention designed to improve chiropractic care for adults with neck pain disorders: study protocol for a pilot cluster-randomized controlled trialReportar como inadecuado




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Pilot and Feasibility Studies

, 2:33

First Online: 20 July 2016Received: 15 January 2016Accepted: 10 June 2016DOI: 10.1186-s40814-016-0076-9

Cite this article as: Dhopte, P., Ahmed, S., Mayo, N. et al. Pilot Feasibility Stud 2016 2: 33. doi:10.1186-s40814-016-0076-9

Abstract

BackgroundNeck pain in adults is common and a leading cause of physical disability. Recently, a guideline was developed for the management of non-specific neck pain NSNP with an aim to improve the quality of the delivery of chiropractic care. One key guideline recommendation is to undertake multimodal care for patients with NSNP. The aim of this pilot study is to determine the feasibility of implementing a multifaceted knowledge translation intervention by promoting the use of multimodal care by chiropractors managing patients with NSNP.

Methods-designThe design is a cluster-randomized controlled pilot and feasibility trial. Chiropractors in private practice in Canada will be approached to participate in the study. Thirty consenting chiropractors will be randomized to receive either a theory-based educational intervention in the experimental group or simply a printed copy of the guideline in the control group. Each chiropractor will recruit five neck pain patients a total of 150 patients into the study. Development of the multifaceted intervention was informed by the results of a related qualitative study based on the Theoretical Domains Framework and consists of a series of three webinars, two online case scenarios, a self-management video on Brief Action Planning, and a printed copy of the practice guideline. Primary feasibility outcomes for both chiropractors and patients include rates of 1 recruitment, 2 retention, and 3 adherence to the intervention. A checklist of proxy measures embedded within patient encounter forms will be used to assess chiropractors’ compliance with guideline recommendations e.g. exercise and self-care prescriptions at study onset and at 3 months. Secondary outcomes include scores of behavioural constructs level of knowledge and self-efficacy for recommended multimodal care. Clinical outcomes include pain intensity and neck pain-specific disability. Analyses from this study will focus on generating point estimates and corresponding 95 % confidence intervals for parameters of a priori interest recruitment, retention, adherence, pain intensity, Neck Disability Index.

DiscussionResults of this study will inform the design of a larger cluster-randomized controlled trial aimed at evaluating the effectiveness of the theory-based tailored intervention and increasing the use of multimodal care by chiropractors managing patients with NSNP.

Trial registrationhttps:-clinicaltrials.gov-, NCT02483091

KeywordsNeck pain Knowledge translation Chiropractors Clinical practice guidelines Multimodal care Brief Action Planning Feasibility outcomes Cluster-randomized controlled trial Electronic supplementary materialThe online version of this article doi:10.1186-s40814-016-0076-9 contains supplementary material, which is available to authorized users.

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Autor: Prakash Dhopte - Sara Ahmed - Nancy Mayo - Simon French - Jeffrey A. Quon - André Bussières

Fuente: https://link.springer.com/







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