Mean (SD) # chiropractic visits/month |
2.3 (2.2) |
2.3 (2.0) |
.900 |
Enabling factors |
Some insurance coverage for chiropractic |
590 (69.2%) |
475 (67.4%) |
.520 |
Unknown insurance coverage |
44 (5.2%) |
28 (4.0%) |
|
Need factors – pain characteristics |
Rating of pain past 7 days (0–10), mean (SD) |
3.7 (2.1) |
4.0 (2.1) |
.004 |
Oswestry or Neck Disability Index score (0–100), mean (SD) |
20.5 (12.5) |
22.6 (12.5) |
.001 |
Have both CLBP and CNP |
444 (52.1%) |
428 (60.7%) |
.001 |
Years of pain |
|
|
.278 |
Less than 1 year |
107 (12.6%) |
80 (11.3%) |
|
1 year to less than 2 years |
58 (6.8%) |
38 (5.4%) |
|
2 years to less than 5 years |
115 (13.5%) |
112 (15.9%) |
|
5 years to less than 10 years |
134 (15.7%) |
133 (18.9%) |
|
10+ years |
418 (49.1%) |
324 (46.0%) |
|
Unknown |
20 (2.3%) |
18 (2.6%) |
|
Need factors – lifestyle and point in care |
No heavy labor |
401 (47.1%) |
375 (53.2%) |
.063 |
Non-workday heavy labor: > 0% but < 20% |
108 (12.7%) |
68 (9.6%) |
|
Workday heavy labor: > 0% but < 20% |
163 (19.1%) |
140 (19.9%) |
|
Non-workday heavy labor: > 20% |
30 (3.5%) |
15 (2.1%) |
|
Workday heavy labor: > 20% |
87 (10.2%) |
58 (8.2%) |
|
Heavy labor: missing |
63 (7.4%) |
49 (7.0%) |
|
New patient (< 30 days) |
94 (11.0%) |
73 (10.4%) |
.763 |
Unknown time with this chiropractor |
145 (17.0%) |
113 (16.0%) |
|
Ended care during study period |
57 (6.7%) |
29 (4.1%) |
0.027 |
Perceived need factors – goals for treatment |
|
|
.001 |
Goal: prevent pain getting worse |
120 (14.1%) |
84 (11.9%) |
|
Goal: prevent pain coming back; prevent reinjury |
178 (20.9%) |
107 (15.2%) |
|
Goal: ease or make pain go away temporarily |
268 (31.5%) |
290 (41.1%) |
|
Goal: make pain go away permanently |
276 (32.4%) |
218 (30.9%) |
|
Goal: other or missing |
10 (1.2%) |
6 (0.9%) |
|
Perceived need factors – pain beliefs |
Believe their pain is chronic |
572 (67.1%) |
474 (67.2%) |
.967 |
What pain would be if didn’t see chiropractor 0–10, mean (SD) |
6.8 (2.3) |
6.9 (2.2) |
.179 |
Chronic pain will never go away: agree/strongly agree |
235 (27.6%) |
198 (28.1%) |
<.001 |
Important to understand causes of pain: agree/strongly agree |
801 (94.0%) |
669 (94.9%) |
.452 |
Unsafe to be physically active: agree/strongly agree |
53 (6.2%) |
25 (3.5%) |
.016 |
Perceived need factors – other psychological influences |
Pain management self-efficacy (0–10), mean (SD) |
7.5 (1.8) |
7.7 (1.7) |
.061 |
Expect chiropractic very-extremely successful |
611 (71.7%) |
542 (76.9%) |
.021 |
Expect a lot to quite a bit of improvement |
538 (63.1%) |
447 (63.4%) |
.916 |
Worry about pain: mod to all the time |
152 (17.8%) |
116 (16.5%) |
.471 |
Has depression according to PROMIS items |
215 (25.2%) |
188 (26.7%) |
.521 |
Catastrophizing (0–12 scale), mean (SD) |
2.3 (2.3) |
2.2 (2.3) |
.389 |
Predisposing factors |
Age in years |
48.5 (14.9) |
45.8 (13.2) |
<.001 |
Female |
558 (65.5%) |
579 (82.1%) |
<.001 |
Education: At least a 4-year degree |
462 (54.2%) |
413 (58.6%) |
.085 |
Chiropractor practice characteristics |
Average number of patients treated per day |
25.3 (12.8) |
25.6 (12.3) |
.612 |
Percentage of patients on preventive/maintenance |
23.7 (17.3) |
24.1 (17.4) |
.660 |
In practice 5 to 10 years |
100 (11.7%) |
84 (11.9%) |
.598 |
In practice > 10 to 20 years |
268 (31.5%) |
222 (31.5%) |
|
In practice > 20 to 30 years |
258 (30.3%) |
231 (32.8%) |
|
In practice > 30 years |
226 (26.5%) |
168 (23.8%) |
|
Clinic location is urban (> 50,000 population) |
541 (63.5%) |
477 (67.7%) |
.086 |
Average number of physical modalities used |
3.3 (1.4) |
3.2 (1.4) |
.849 |
College from which chiropractor graduated |
|
|
.344 |
Life College |
79 (9.3%) |
63 (8.9%) |
|
National College of Chiropractic [fix order later] |
46 (5.4%) |
42 (6.0%) |
|
Los Angeles College of Chiropractic |
28 (3.3%) |
29 (4.1%) |
|
New York Chiropractic College |
90 (10.6%) |
54 (7.7%) |
|
Northwestern Chiropractic College |
212 (24.9%) |
199 (28.2%) |
|
Palmer Chiropractic College |
106 (12.4%) |
94 (13.3%) |
|
Parker Chiropractic College |
73 (8.6%) |
45 (6.4%) |
|
Texas Chiropractic College |
81 (9.5%) |
58 (8.2%) |
|
University of Western States |
106 (12.4%) |
97 (13.8%) |
|
Other |
31 (3.6%) |
24 (3.4%) |
|
State/Region |
|
|
.038 |
California |
130 (15.3%) |
125 (17.7%) |
|
Florida |
71 (8.3%) |
56 (7.9%) |
|
Minnesota |
208 (24.4%) |
199 (28.2%) |
|
New York |
155 (18.2%) |
99 (14.0%) |
|
Oregon |
117 (13.7%) |
111 (15.7%) |
|
Texas |
171 (20.1%) |
115 (16.3%) |
|