Evidence map›Paper›PMID 25933801›Full record

ArticleBMC complementary and alternative medicine2015

Considerations for practice-based research: a cross-sectional survey of chiropractic, acupuncture and massage practices.

Lysbeth Floden, Amy Howerter, Eva Matthews, Mark Nichter, James K Cunningham, Cheryl Ritenbaugh, Judith S Gordon, Myra L Muramoto

Abstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Working Conditions in Complementary and Integrative Healthcare Professions.Journal of occupational and environmental medicine · 2025
    Article
  2. Practice-Based Research Networks and Massage Therapy: a Scoping Review.International journal of therapeutic massage & bodywork · 2020
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lysbeth FlodenDepartment of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. lford@email.arizona.edu.
Amy HowerterDepartment of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. howerter@email.arizona.edu.
Eva MatthewsDepartment of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. evam@email.arizona.edu.
Mark NichterSchool of Anthropology, University of Arizona, 1009 E. South Campus Drive, Tucson, AZ, 85721, USA. nichtermark@gmail.com.
James K CunninghamDepartment of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. jkcunnin@email.arizona.edu.
Cheryl RitenbaughDepartment of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. ritenbau@email.arizona.edu.
Judith S GordonDepartment of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. judithg@email.arizona.edu.
Myra L MuramotoDepartment of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. myram@email.arizona.edu.

Funding

Tobacco Cessation Training for accupuncture, massage, and chiropractic practitionR01CA137375 · NCI · UNIVERSITY OF ARIZONA · PI MURAMOTO, MYRA L. · 2009 to 2013
$2.9M
NCI NIH HHS R01 CA137375NCI NIH HHS R01 CA137375-01A1
6 · The paper itself

Abstract

backgroundComplementary and alternative medicine (CAM) use has steadily increased globally over the past two decades and is increasingly playing a role in the healthcare system in the United States. CAM practice-based effectiveness research requires an understanding of the settings in which CAM practitioners provide services. This paper describes and quantifies practice environment characteristics for a cross-sectional sample of doctors of chiropractic (DCs), licensed acupuncturists (LAcs), and licensed massage therapists (LMTs) in the United States.

methodsUsing a cross-sectional telephone survey of DCs (n = 32), LAcs (n = 70), and LMTs (n = 184) in the Tucson, AZ metropolitan area, we collected data about each location where practitioners work, as well as measures on practitioner and practice characteristics including: patient volume, number of locations where practitioners worked, CAM practitioner types working at each location, and business models of practice.

resultsThe majority of practitioners reported having one practice location (93.8% of DCs, 80% of LAcs and 59.8% of LMTs) where they treat patients. Patient volume/week was related to practitioner type; DCs saw 83.13 (SD = 49.29) patients/week, LAcs saw 22.29 (SD = 16.88) patients/week, and LMTs saw 14.21 (SD =10.25) patients per week. Practitioners completed surveys for N = 388 practice locations. Many CAM practices were found to be multidisciplinary and/or have more than one practitioner: 9/35 (25.7%) chiropractic practices, 24/87 (27.6%) acupuncture practices, and 141/266 (53.0%) massage practices. Practice business models across CAM practitioner types were heterogeneous, e.g. sole proprietor, employee, partner, and independent contractor.

conclusionsCAM practices vary across and within disciplines in ways that can significantly impact design and implementation of practice-based research. CAM research and intervention programs need to be mindful of the heterogeneity of CAM practices in order to create appropriate interventions, study designs, and implementation plans.

Indexed as

AcupunctureChiropracticComplementary TherapiesDelivery of Health CareMassagePhysical Therapy SpecialtyProfessional PracticeAcupuncture TherapyAdultCross-Sectional StudiesFemaleHumansMaleManipulation, ChiropracticResearch DesignSurveys and Questionnaires

Identifiers

PMID25933801
PMCPMC4429345

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.