Spine pain Musculoskeletal Diseases
Conditions
Interventions
The 16 patient-management teams of Canadian Memorial Chiropractic College (CMCC) are assigned to two groups, one receiving the intervention and the other one on the wait list (controls). The intervent
Sponsors
McGill University
Canadian Memorial Chiropractic College
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Clinicians: Supervisory clinicians are eligible to participate if they: 1. Are licenced chiropractors 2. Work either part-time or full-time at one of the participating clinics Interns: The interns are eligible to participate if: 1. They are in their final year at Canadian Memorial Chiropractic College 2. In one of 16 "patient management teams" who accept to participate in the study 3. Provide chiropractic treatment to a least two adults (age 18-65 years) with spine pain each week Patients: Patients are deemed eligible if they are: 1. Between 18-65 years 2. Receiving treatment by a consenting chiropractic intern 3. Able to read English and hold a conversation in English
Exclusion criteria
Exclusion criteria: Interns: Interns are excluded from the study if they have already attended the BAP webinar or educational online module Patients: Patients are excluded in the presence of: 1. 'Red flags' (i.e. indicators of serious pathologies including malignancy, infection, fracture, inflammatory disease) 2. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinicians and interns: 1. Recruitment rate, measured as a proportion of clinicians and interns potentially eligible for participating. It is the number of clinicians and interns agreeing to participate divided by the number of eligible clinicians and interns. 2. Retention rate: the number of clinicians or interns who completed follow-up of all outcome measures at 6 months divided by the number of clinicians, interns or patients who were randomized 3. Adherence to the knowledge translation intervention: for those randomized to the intervention arm, measured through the rates of attendance of the online training (baseline), practice and feedback session (3 months), and workshop training (3 months) Patients: Retention rate: the number of patients who completed follow-up of all outcome measures at 2 months divided by the number of patients who were randomized | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinicians and interns: 1. Perceived skills measured using the BAP skills survey at four timepoints: baseline, immediately after the online training, 3 and 6 months. 2. Self-efficacy measured using the BAP Tool Experience at four timepoints: baseline, immediately after the online training, 3 and 6 months. 3. Perceived importance related to the brief action planning measured using the BAP Tool Experience at four timepoints: baseline, immediately after the online training, 3 and 6 months Patients: 1. Level of confidence with SMS measured using the Brief Action Planning Survey at three timepoints: baseline, 2 and 8 weeks 2. Compliance with their action plan measured using the Patient Activation Measure at three timepoints: baseline, 2 and 8 weeks 3. Pain intensity measured using the Numerical Rating Scale at three timepoints: baseline, 2 and 8 weeks 4. Disability measured using the Bournemouth Questionnaire at three timepoints: baseline, 2 and 8 weeks 5. Self-efficacy measured using the Patient Activation Measure at four timepoints: baseline, immediately after the online training, 3 and 6 months 6. Quality of life measured using the PROMIS Global Health Questionnaire at three timepoints: baseline, 2 and 8 weeks 7. Satisfaction with care measured using the Patient Activation Measure at three timepoints: baseline, 2 and 8 weeks | — |
Countries
Canada
Outcome results
None listed