203021 Health Promotion and Prevention Practice in a Chiropractic Teaching Clinic

Monday, November 9, 2009: 3:18 PM

Harrison T. Ndetan, MSc, MPH, DrPH , Research, Parker College of Chiropractic, Dallas, TX
Marion Willard Evans, DC, PhD, CHES , Director of Wellness Initiatives, Parker College Research Institute, Dallas, TX
Michael Ramcharan, DC , Clinic, Cleveland Chiropractic College, Overland Park, KS
Sejong Bae, PhD , Department of Biostatistics, School of Public Health, UNT Health Science Center School of Public Health, Forth Worth, TX
Karan P. Singh, PhD , Department of Biostatistics, University of North Texas Health Science Center, School of Public Health, Fort Worth, TX
Ronald Rupert, MS, DC , Research Institute, Parker College of Chiropractic, Dallas, TX
Cathy Evans , Research, Cleveland Chiropractic College, Overland Park, KS

The routine use of health promotion (HP) in integrative health care has been emphasized among health care providers. Although chiropractic principles emphasize wellness, recent analysis of National Health Interview Survey (NHIS-2006) did not indicate the support of HP practice for preventive care among practicing doctors of chiropractic (DC) to a significant extent. The Council on Chiropractic Education (CCE) has put in place a new standard for the delivery of health promotion (HP) and “wellness” based education for America's chiropractic colleges. Although recent studies have shown a high intention of chiropractic interns to practice HP, no study has been conducted to support this claim during actual practice. This study is designed to explore whether chiropractic interns are practicing HP with patients in relation to red-flagged health conditions.


The study is a retrospective review of a random selection of patient files in a chiropractic teaching clinic. Data is being collected using a data collection form designed by the investigators. This comprised of the following sections: specific health conditions, family history of the conditions, existing red flags, health maintenance, HP recommendations/plans by chiropractic interns and approval/support from staff doctors. Data analyses will include multiple logistic regression and chi-squared testing. IRB approved


Identifying and quantifying how interns affect modifiable risk behaviors and adhere to health promotion/education campaign may be very insightful in training a new generation of chiropractors that would embrace HP/ preventive health care practice with their patients.

Learning Objectives:
1.To explore how frequently chiropractic interns make recommendations to their patients on health promotion/prevention. 2.To examine the rate of intern’s advice on lifestyle related conditions that correlate with existing red-flagged conditions among their patients. 3.To evaluate the role of staff doctors to intern’s effort on advising patients.

Keywords: Health Promotion, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Have an MPH degree, currently a Dr.PH student and have been involved in chiropractic research
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.