248822 Comparison of Health Counselling Scores of Chiropractic Patients Receiving Interprofessional Collaborative Care and Usual Care

Monday, October 31, 2011: 4:42 PM

Silvano Mior, DC, PhD , Department of Graduate Education and Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada
Purpose: Co-managed patients tend to have more chronic conditions and worse health related quality of life scores, suggesting a role for chiropractors. We compared health counselling scores in chiropractic patients receiving interprofessional collaborative care (IPC) and those that did not.

Main outcome: The Counselling Scale of Primary Care Assessment Survey (Scale).

Methods: Cross-sectional design. Data were collected from 2067 patients receiving IPC involving chiropractors and physicians (study) and from 530 patients of chiropractors who were not involved (reference).

Results: Patients in the study group had longer pain duration, lower income levels, and shorter length of provider-relationship than the reference group. There was a substantial difference (p<.001) in Scale scores between the two groups. The majority of reference and study patients reported receiving advice on exercise (83.2% and 76.2%), spine care (79.7% and 91.2%), stress (52.9% and 70.4%), and diet (30.1% and 43.1%), respectively. A minority of patients in both groups received advice on smoking, alcohol use and seat belt use. Almost 90 to 95% of patients in both groups reported taking advice on exercise, stress, and back/spine care; however, fewer in the other categories acted on the advice.

Conclusion: The differences noted between the groups may have been related to the longer chiropractor-patient relationships, reimbursement model, chiropractors' familiarity with patients' underlying conditions, or their related subject knowledge. Chiropractors participating in IPC could become more actively involved in providing advice to encourage healthier living, especially in consideration of the percentage of patients reporting following through with the advice.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
Explain the differences in health counselling advice giving in patients attending for usual chiropractic care and those in an interprofessional collaborative care model.

Keywords: Chiropractic, Patient Perspective

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversaw the development and implementation of a model of interprofessional collaborative care.
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.