257954 Patient characteristics, screening use, and health education in a practice-based chiropractic network: Results from ICON II

Monday, October 29, 2012 : 4:30 PM - 4:45 PM

Marion Evans Jr, DC, PhD, MCHES , Center for Health Promotion and Human Performance, Texas Chiropractic College -Research, Pasadena, TX
Cheryl Hawk, DC, PhD , Clinical Research, Logan College of Chiropractic/University Programs, Chesterfield, MO
Harrison T. Ndetan, MSc, MPH, DrPH , Research Institute, Parker University, Dallas, TX
Ronald Rupert, MS, DC , Research Institute, Parker University, Dallas, TX
The Integrated Chiropractic Outcomes Network (ICON) is a practice-based research network (PBRN). In this preliminary study, participating doctors of chiropractic (DC) collected data on each patient who presented in their office during one designated day, modeled on the National Ambulatory Medical Care Survey (NAMCS), which only surveys medical and osteopathic physicians. Chief complaints, screening procedures, diagnosis, and health education engagement were assessed in 21 U.S. chiropractic practices. 530 patient visits were captured from 27 DCs. The most common complaint was back pain, and over 80% were established patients. Ordering of screenings on the day of the visit was low, including radiography (4%). Most patients paid with private insurance (61%). Nearly half (49%) presented for a new complaint and only 4% for preventive care. 10.5% of the patients used tobacco and over 65% were overweight or obese. Although physical activity/exercise was suggested to over 60%, only 23% of all patients and 28% of obese patients were given advice on diet. Only 9.8% of tobacco users were offered cessation advice that day. The sample represents members of a PBRN and is not necessarily representative of all DCs. Health education opportunities may be being overlooked among these providers, although advice may have been rendered on previous or subsequent visits. Additional investigation into methods to better integrate health education among these providers may be warranted. Methods to encourage DCs to adopt health promotion and disease prevention advising guidelines are also warranted.

Learning Areas:
Administer health education strategies, interventions and programs
Basic medical science applied in public health
Other professions or practice related to public health
Provision of health care to the public

Learning Objectives:
1. Participants will be able to describe common conditions seen by doctors in the ICON Network 2. Participants will be able to identify the most common reasons for which patients were seen in the network and what procedures were performed related to screening 3. Participants will be able to define health education measures that should be performed in a clinical chiropractic environment

Keywords: Screening, Health Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctor of chiropractic, Master Certified Health Education Specialist and have a PhD in health promotion and conducted the 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.