Evidence map›Paper›PMID 31548881›Full record

ArticleChiropractic & manual therapies2019

The usefulness of a novel patient management decision aid to improve clinical decision-making skills in final year chiropractic students.

Michael Hobbs, Dirk Crafford, Katherine MacRae, Anneliese Hulme, Stephney Whillier, Hazel Jenkins

Open access · goldAbstract read
In one paragraph

Article in Chiropractic & manual therapies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 29% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Michael HobbsDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.ORCID 0000-0002-5446-7971
Dirk CraffordDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.
Katherine MacRaeDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.
Anneliese HulmeDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.
Stephney WhillierDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.
Hazel JenkinsDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.
Macquarie University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The process of developing patient management plans requires a series of clinical decision-making skills that can take years in practice to develop. For the inexperienced practitioner, providing a logical, systematic patient management framework may assist in clinical scenarios and accelerate their decision-making skill development. The purpose of this study was to assess whether a novel clinical management decision aid would improve the management decision-making of chiropractic students. Methods: A prospective before and after study tracked chiropractic master degree students in their final year of study across a 10-week period from February-May, 2017. Case-based assessments were performed at baseline, after initial exposure to the decision aid, and after repeated exposure over the course of the semester. Outcome measures included the results from the 3 assessments, scored out of 20 by two markers using a standardised marking rubric, then averaged and converted to percentages; and 2 feedback questionnaires, given after initial exposure and at 10 weeks. Results: A total of 75 students (44 males; 31 females) participated in the study. The mean score at baseline was 8.34/20 (41.7%) (95% CI: 7.98, 8.70; SD: 1.56) and after initial exposure was 9.52/20 (47.6%) (95% CI: 9.06, 9.98; SD: 2.02). The mean score after repeated exposure was 15.04/20 (75.2%) (95% CI: 14.46, 15.62; SD: 2.54). From baseline to initial exposure, there was a statistically significant absolute increase in mean score of 1.18/20 (5.9%) (95% CI: 0.6, 1.76; Conclusion: Implementing a clinical management decision aid into the teaching curriculum helped to facilitate the ability of chiropractic students to develop patient management plans.

Indexed as

Clinical Decision-MakingAdultChiropracticDecision Support TechniquesFemaleHumansMaleMiddle AgedPractice ManagementProspective StudiesStudents, MedicalSurveys and QuestionnairesYoung AdultAlgorithmChiropracticConservativeDecision aidManagementMusculoskeletal

Identifiers

PMID31548881
PMCPMC6751823
OpenAlexW2974210772

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.