Evidence map›Paper›PMID 41071126›Full record

ArticleJournal of manipulative and physiological therapeutics

Training, Professional Skills, and Experiences of Doctors of Chiropractic Working in U.S. Federally Qualified Health Centers: A Mixed Methods Study.

Andrea K Albertson, Michele J Maiers, Alane G Lucht, Paul Ratté, Charles E Sawyer

Abstract read
In one paragraph

Article in Journal of manipulative and physiological therapeutics. 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
–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

1 citing paper in PubMed.

  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

5 authors.

Andrea K AlbertsonCenter for Healthcare Innovation and Policy, Northwestern Health Sciences University, Bloomington, Minnesota. Electronic address: aalbertson@nwhealth.edu.
Michele J MaiersCenter for Healthcare Innovation and Policy, Northwestern Health Sciences University, Bloomington, Minnesota; RAND Research Across Complementary and Integrative Health Institutions (REACH) Center, Santa Monica, California.
Alane G LuchtCenter for Healthcare Innovation and Policy, Northwestern Health Sciences University, Bloomington, Minnesota.
Paul RattéCenter for Healthcare Innovation and Policy, Northwestern Health Sciences University, Bloomington, Minnesota.
Charles E SawyerCenter for Healthcare Innovation and Policy, Northwestern Health Sciences University, Bloomington, Minnesota.

Funding

RAND REACH CenterU24AT012549 · NCCIH · RAND CORPORATION · PI COULTER, IAN DOUGLASS, HERMAN, PATRICIA M · 2023 to 2025
$6.2M
NCCIH NIH HHS U24 AT012549
6 · The paper itself

Abstract

objectiveThe purpose of this study was to examine the training, professional skills, and experiences of Doctors of Chiropractic (DCs) working in Federally Qualified Health Centers (FQHCs).

methodsIdentified FQHC-employed DCs in the United States were invited to participate in a survey about their training and practice, administered between November and December 2023. A subset of these DCs, along with FQHC administrators and colleagues, participated in qualitative interviews to explore their experiences and the skills necessary for a DC to practice effectively in FQHCs, between February and May 2024. Survey analysis utilized descriptive statistics and content analysis, while reflexive thematic analysis was applied to the interviews by identifying notable themes and creating a codebook.

resultsOf 206 DCs invited, 101 completed the survey (49.0%). Respondents averaged 18.2 years in practice (range: 1-48), and 44.8% participated in the Public Services Loan Forgiveness program. Fewer than half reported prior experience in multidisciplinary settings (47.4%), additional training through certificates (43.8%), or advanced degrees (28.1%). Many (41.8%) reported using a non-English language with patients, predominantly Spanish (80.5%). DCs frequently performed joint manipulation and soft tissue therapies, primarily for spinal and chronic pain. Interviews involved 12 DCs, 10 administrators, and 7 colleagues. Each group appreciated DCs' instructional abilities (eg, communication, patient education), patient-centered orientation, and interprofessional competencies (eg, teamwork, collaboration). DCs valued providing chiropractic access to underserved communities and focusing on patient care over business practices.

conclusionsDCs working in FQHCs demonstrated a "team mentality" including patient-centered care, interprofessional collaboration, and communication. Their integration into FQHCs enhances team-based care and expands access to nonpharmacologic pain management.

Indexed as

ChiropracticClinical CompetenceAdultFemaleHumansMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesUnited StatesCenters, Community healthChiropracticManipulation, SpinalMedically underserved areasSkills, Clinical

Identifiers

PMID41071126
PMCPMC13476015

What OpenQuestion holds

Textmetadata
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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.