A Public Health Immunization Resource Web Site for Chiropractors: Discussion of Current Issues and Future Challenges for Evidence-Based Initiatives for the Chiropractic Profession

Khorsan, Raheleh; Smith, Monica; Haas, Mitchell

doi:10.1016/j.jmpt.2009.06.011

Cited by 9 publications

(5 citation statements)

References 14 publications

(10 reference statements)

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“…The literature search terms were limited and may have missed additional relevant or more recently published articles in the area of health promotion, disease prevention, and wellness. [78][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97] There was meager evidence in the literature to inform the panel about whether periodic screenings and manipulation of asymptomatic joint and muscle dysfunction can reduce the recurrence of future episodes of musculoskeletal pain or slow down the degenerative process. Chiropractic care for prevention of injury is a theory that should be investigated in future longitudinal observational research and cost-effectiveness studies to determine the preventive benefits of such care.…”

Section: Limitations and Future Studiesmentioning

confidence: 99%

Consensus Process to Develop a Best-Practice Document on the Role of Chiropractic Care in Health Promotion, Disease Prevention, and Wellness

Hawk

Schneider

Evans

et al. 2012

Journal of Manipulative and Physiological Therapeutics

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Section: Limitations and Future Studiesmentioning

confidence: 99%

Consensus Process to Develop a Best-Practice Document on the Role of Chiropractic Care in Health Promotion, Disease Prevention, and Wellness

Hawk

Schneider

Evans

et al. 2012

Journal of Manipulative and Physiological Therapeutics

Self Cite

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“…Other sources encourage providers to: explicitly promote vaccination to patients (n = 3); avoid advising clients against vaccination (n = 1); avoid advising clients to violate compulsory vaccination laws (n = 1); offer counsel for vaccination in adherence with recommendations and provisions from state laws, public health authorities, and evidence-based medicine (n = 3); keep up-to-date on the current state of vaccine research (n = 1); and present vaccine-related information in a way that is consistent with leading evidence and free from personal bias (n = 4). Khorsan and colleagues [ 61 , p. 501] assert:…”

Section: Resultsmentioning

confidence: 99%

Vaccination discourses among chiropractors, naturopaths and homeopaths: A qualitative content analysis of academic literature and Canadian organizational webpages

et al. 2020

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Vaccine hesitancy-the reluctance to receive recommended vaccination because of concerns and doubts about vaccines-is recognized as a significant threat to the success of vaccination programs and has been associated with recent major outbreaks of vaccinepreventable diseases. Moreover, the association between complementary and alternative medicine (CAM) use and vaccine hesitancy and/or refusal has been frequently reported in the literature. To date, significant gaps persist in our understanding of contemporary Canadian CAM providers' beliefs regarding vaccination and how socio-professional influences may shape their vaccine-related attitudes and behaviours. To address the latter gap, the current study aims to explore the content of professional guidelines, recommendations and other discourses among CAM providers as they concern vaccination by analyzing both academic, peer-reviewed literature and Canadian organizational webpages prepared by and/or for practicing chiropractors, naturopaths and homeopaths. In the academic literature, we identified a number of complex and diverging views on vaccination that spanned topics of effectiveness; safety; theoretical, empirical, and ethical soundness; political justifiability; and compatibility with CAM philosophy and professional boundaries. However, in its current state the CAM literature cannot be described in broad strokes as being either pro-or antivaccination without considering finer areas of disagreement. Compared to the academic literature, which focuses more on the conceptual and evidentiary basis of vaccination, a greater proportion of vaccine-related content on Canadian CAM organizations' webpages seems to be dedicated to offering specific directives and prescriptions to providers. Guidelines and standards of practice address a number of issues, including vaccine

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“…11 Yet the inclusion of spirit and soul into Palmer's definition of chiropractic set the stage for traditionalists who advocated for concepts such as CVS and the spine as the center of good health as opposed to others who argued for practice that focuses on musculoskeletal problems with or without a philosophy; it may be further complicated by groups within both camps that advocate for evidence-based techniques and treatments, as opposed to others who seemingly ignore the clinical application of knowledge gained by scientific research. 22,28,[33][34][35] Scientists in other health professions 36 point out that philosophy should guide the process of research rather than be detached from it. For example, in the nursing profession, Ivey points out that the philosophical view of the research method chosen may dictate use of a phenomenological theoretical approach.…”

Section: Modern Science For Chiropractic Begins In 1972mentioning

confidence: 99%

Doing the Same Thing and Expecting a Different Outcome: It Is Time for a Questioning Philosophy and Theory-Driven Chiropractic Research

Leach¹

2019

Journal of Chiropractic Humanities

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Objective: The purpose of this commentary is to discuss the philosophical and hypothetical underpinnings of chiropractic and consider whether there is a need for chiropractic to have a questioning philosophy and theory-driven process to guide future scientific endeavors in the profession. Discussion: The earliest beliefs of the chiropractic founders centered on chiropractic vertebral subluxation but differed on whether this was a static, bone-out-of-place misalignment or a lesion whereby joints had lost their normal direction or range of motion. More recently, new hypotheses such as dyskinesia, inflammation, and neuroplasticity attempt to explain the purported clinical effects of chiropractic. Yet practitioners and students advocate for both traditional viewpoints that typically tout misalignment and embrace a science of chiropractic. I propose that chiropractors should not have to choose between philosophy and science. Instead, they should advocate for adoption of a modern questioning philosophy that not only informs their clinical questions and drives their theories, but also that is in turn influenced by outcomes from their research. Such a questioning philosophy is in stark contrast with the dogma that some have mislabeled as "philosophy" in the profession. I recommend that a review of chiropractic hypotheses and a theory-driven research process is needed to help guide the profession's research agenda given its wide range of clinical activities and limited resources. As the chiropractic profession increasingly embraces evidenceinformed practice, enhanced integration within the wider health care community may then result in further gains in utilization. Conclusion: Theory-driven research that results from and subsequently informs a questioning philosophy may expose truths related to practice behaviors, activities, and outcomes, and spur more complete integration of chiropractic within the wider health care community.

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A Public Health Immunization Resource Web Site for Chiropractors: Discussion of Current Issues and Future Challenges for Evidence-Based Initiatives for the Chiropractic Profession

Cited by 9 publications

References 14 publications

Consensus Process to Develop a Best-Practice Document on the Role of Chiropractic Care in Health Promotion, Disease Prevention, and Wellness

Consensus Process to Develop a Best-Practice Document on the Role of Chiropractic Care in Health Promotion, Disease Prevention, and Wellness

Vaccination discourses among chiropractors, naturopaths and homeopaths: A qualitative content analysis of academic literature and Canadian organizational webpages

Doing the Same Thing and Expecting a Different Outcome: It Is Time for a Questioning Philosophy and Theory-Driven Chiropractic Research

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