Tags

Type your tag names separated by a space and hit enter

Considerations for practice-based research: a cross-sectional survey of chiropractic, acupuncture and massage practices.
BMC Complement Altern Med. 2015 May 02; 15:140.BC

Abstract

BACKGROUND

Complementary 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.

METHODS

Using 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.

RESULTS

The 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.

CONCLUSIONS

CAM 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.

Authors+Show Affiliations

Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. lford@email.arizona.edu.Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. howerter@email.arizona.edu.Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. evam@email.arizona.edu.School of Anthropology, University of Arizona, 1009 E. South Campus Drive, Tucson, AZ, 85721, USA. nichtermark@gmail.com.Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. jkcunnin@email.arizona.edu.Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. ritenbau@email.arizona.edu.Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. judithg@email.arizona.edu.Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ, 85719, USA. myram@email.arizona.edu.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

25933801

Citation

Floden, Lysbeth, et al. "Considerations for Practice-based Research: a Cross-sectional Survey of Chiropractic, Acupuncture and Massage Practices." BMC Complementary and Alternative Medicine, vol. 15, 2015, p. 140.
Floden L, Howerter A, Matthews E, et al. Considerations for practice-based research: a cross-sectional survey of chiropractic, acupuncture and massage practices. BMC Complement Altern Med. 2015;15:140.
Floden, L., Howerter, A., Matthews, E., Nichter, M., Cunningham, J. K., Ritenbaugh, C., Gordon, J. S., & Muramoto, M. L. (2015). Considerations for practice-based research: a cross-sectional survey of chiropractic, acupuncture and massage practices. BMC Complementary and Alternative Medicine, 15, 140. https://doi.org/10.1186/s12906-015-0659-7
Floden L, et al. Considerations for Practice-based Research: a Cross-sectional Survey of Chiropractic, Acupuncture and Massage Practices. BMC Complement Altern Med. 2015 May 2;15:140. PubMed PMID: 25933801.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Considerations for practice-based research: a cross-sectional survey of chiropractic, acupuncture and massage practices. AU - Floden,Lysbeth, AU - Howerter,Amy, AU - Matthews,Eva, AU - Nichter,Mark, AU - Cunningham,James K, AU - Ritenbaugh,Cheryl, AU - Gordon,Judith S, AU - Muramoto,Myra L, Y1 - 2015/05/02/ PY - 2014/09/25/received PY - 2015/04/21/accepted PY - 2015/5/3/entrez PY - 2015/5/3/pubmed PY - 2015/12/15/medline SP - 140 EP - 140 JF - BMC complementary and alternative medicine JO - BMC Complement Altern Med VL - 15 N2 - BACKGROUND: Complementary 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. METHODS: Using 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. RESULTS: The 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. CONCLUSIONS: CAM 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. SN - 1472-6882 UR - https://www.unboundmedicine.com/medline/citation/25933801/Considerations_for_practice_based_research:_a_cross_sectional_survey_of_chiropractic_acupuncture_and_massage_practices_ DB - PRIME DP - Unbound Medicine ER -