Evidence map›Paper›PMID 42533957›Full record

ArticleJournal of military, veteran and family health2024

A feasibility study assessing a program of care for chiropractors managing spinal pain in Canadian Armed Forces personnel.

Silvano Mior, Carol Cancelliere, Corey Hofkirchner, Gaelan Connell, Deborah Sutton, Ellen Vogel, Pierre Côté, Simon D French, Margareta Nordin, Audrey Laporte

Abstract read
In one paragraph

Article in Journal of military, veteran and family health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Silvano MiorInstitute for Disability and Rehabilitation Research, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
Carol CancelliereInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada.
Corey HofkirchnerInstitute for Disability and Rehabilitation Research, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
Gaelan ConnellInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada.
Deborah SuttonInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada.
Ellen VogelInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada.
Pierre CôtéInstitute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada.
Simon D FrenchDepartment of Chiropractic, Macquarie University, Sydney, New South Wales, Australia.
Margareta NordinDepartments of Orthopaedics and Environmental Medicine, New York University, New York, New York, United States.
Audrey LaporteInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chronic back and lower and upper limb disorders are common and responsible for 42% of medical releases from the Canadian Armed Forces (CAF). Chiropractors care for CAF personnel off base, but collaboration with Canadian Forces Health Services (CFHS) varies among Canadian Forces Bases (CFBs). Developing a program of care (PoC) could address such variation. This study aimed to develop and assess the feasibility of implementing a PoC to improve chiropractors' communication with CFHS and delivery of spine care to active duty CAF personnel. Methods: This mixed-methods feasibility study involved two CFBs. Eligible participants included Medavie Blue Cross registered chiropractors, active duty CAF members with spinal pain, and CFHS personnel. Feasibility metrics included participation rates, attendance at meetings, completeness of clinical reports and patient outcome questionnaires, adherence to guidelines, and participants' experiences with study protocols and care. Data were analyzed descriptively and thematically. Results: Participants were 55% (11/20) of invited chiropractors and 85% (22/26) of referred CAF and invited CFHS personnel. All chiropractors and CFHS personnel attended on-base meetings. Training sessions, meetings, and educational materials enhanced understanding of military culture and treatment expectations. 98% of clinical reports and outcome questionnaires were completed, and practice guidelines were followed. Participants suggested that communication between chiropractors and CFHS personnel improved compared with prior experience. Discussion: Implementing a PoC that enhances communication with CFHS personnel and delivers evidence-based spine care to CAF members is feasible. Future work is needed to determine whether such care improves outcomes among CAF members with spinal pain.

Indexed as

active dutyCAFCanadian Armed Forceschiropracticfeasibility studyhealth servicesinterprofessional collaborationmilitarymilitary medicinemusculoskeletal painpainprogram of carespine

Identifiers

PMID42533957
PMCPMC13293152

What OpenQuestion holds

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Registered trials

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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.