A Survey of US Chiropractors on Clinical Preventive Services

Long, Cynthia R.; Perillo, Michael; Boulanger, Karen T.

doi:10.1016/j.jmpt.2004.04.002

Cited by 39 publications

(65 citation statements)

References 4 publications

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“…With chiropractic students, attitudes towards vaccinations in particular bear scrutiny because this is the area where chiropractic practitioners traditionally have deviated the farthest from the public health mainstream. 5,6 Hawk et al 16 conducted a survey of chiropractic practitioners, faculty and students, and found that the majority were favorably inclined to provide health education services, especially in the areas of physical activity and nutrition. However, they found that students (80%) and faculty (91%) were much more likely to believe that chiropractors should provide both positive and negative information about vaccinations to their patients than private practitioners (62%).…”

Section: Discussionmentioning

confidence: 99%

“…24 In the case of chiropractic education, many of the practitioners who influence students are against vaccinations. 6,16 SCU, like most chiropractic colleges, mostly addresses vaccinations formally in a second year community health course and does little to counter the hidden curriculum in the students' later years. Thus, higher year students would be likely to have poorer attitudes towards vaccinations.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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Factors Associated with Changes in Knowledge and Attitude towards Public Health Concepts among Chiropractic College Students Enrolled in a Community Health Class

Rose

Ayad

2008

Journal of Chiropractic Education

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Purpose: This survey was conducted to identify factors that may be associated with changes in knowledge and attitudes towards basic health promotion and public health concepts among chiropractic students enrolled in a course in community health. Methods: Anonymous surveys were conducted of students before and after a second-year chiropractic college course in community health. Results were analyzed using percentages and Chi Square statistics as appropriate. Results: Students' knowledge of health promotion and public health concepts improved significantly by the end of the course. Students' attitudes towards these also improved, although to a lesser degree. Students indicated that they had a favorable impression of the importance of utilizing health promotion in practice and working with other public health professionals. However, vaccinations were still looked upon unfavorably by half of the students by the end of the course. Pre-class, a positive attitude towards public health concepts was associated with being female, older, Latino, having children, having a poorer perceived health status, conservative politically and religious. These differences tended to lessen by the end of the course. Conclusions: A course in community health was successful in adding to students' knowledge and positive attitudes towards health promotion and public health. However, additional educational strategies are needed to ensure changes in future practice behavior, particularly in the area of vaccinations. (J Chiropr Educ 2008;22(2):127-137)

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Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Factors Associated with Changes in Knowledge and Attitude towards Public Health Concepts among Chiropractic College Students Enrolled in a Community Health Class

Rose

Ayad

2008

Journal of Chiropractic Education

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“…3,4,5 In addition, research has called for the adoption of health promotion by DCs to meet the national health outcomes measures set forth by the Healthy People 2010 initiative. 7,8 Stacey et al 9 state that "The challenge and opportunity facing chiropractors is to consider how they as individual practitioners and a professional group can engage more fully in health promotion."…”

Section: Chiropractic and Health Promotionmentioning

confidence: 99%

“…1,2 Although doctors of chiropractic (DCs) mainly treat musculoskeletal ailments, 3 surveys suggest that most practitioners also consider themselves providers of www.journalchiromed.com services aimed at the promotion of health and prevention of disease. 3,4,5 These services typically include some level of nutritional advice and exercise recommendations and often focus on specific strength and flexibility exercises for stabilizing spinal musculature. 3 With many of the top 10 causes of death in America seen as preventable, the offering of these health-promoting and disease prevention services by DCs could have a measurable effect on a community's health status.…”

Section: Introductionmentioning

confidence: 99%

Public health advocacy and chiropractic: a guide to helping your community reach its health objectives

Evans

Williams

Perko

2008

Journal of Chiropractic Medicine

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Objective: Doctors of chiropractic (DCs) provide health educational and promotion efforts in the communities they serve by counseling patients at the individual level. This article outlines a method and model in which DCs can effectively serve as public health advocates within their community. Discussion: The social ecological model of health education and health promotion serves as an excellent template for taking into account every antecedent to disease within a community and how to prevent it through health promotion. A step-by-step guide to getting the DC involved in the community can be centered on this model, with the DC serving as a health advocate for his or her community. Resources are provided to assist in this process. Conclusion: The DC can and should engage his or her community in areas that are conducive to health through involvement and advocacy roles where these are suitable. A community's health can be enhanced with greater health care provider involvement, and DCs need to consider themselves a part of this process.

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“…One of the few published reports to date on the screening practices of chiropractors 88 indicated that less than one third of practicing doctors of chiropractic actually screen patients regularly, even though a majority endorse the importance of early detection of domestic violence. Although Hawk and colleagues 88 are to be commended for their attempt to provide a preliminary estimate on the rate of preventive service activities, the low (27%) response rate compromises interpretation of the results and raises questions about whether these self-reported data may overestimate actual detection efforts.…”

Section: Chiropractic Standards Ahead Of Chiropractic Researchers Andmentioning

confidence: 99%

How Much Health Promotion and Disease Prevention Is Enough? Should Chiropractic Colleges Focus on Efficacy Training in Screening for Family Violence?

Terre

Pfefer

2006

Journal of Chiropractic Education

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Introduction:Although family violence has been identified as a major public health issue, it has received little attention in the chiropractic literature. Accordingly, this article provides a conceptual overview on family violence, discusses the role of chiropractors in its detection, and raises several issues germane to chiropractic education that deserve further attention in future chiropractic publications. Methods: A selective review of the empirical literature on family violence was conducted with a focus on issues relevant to chiropractic training and professional identity. Results: Extrapolating from the research, several models for medical training and continuing education have been proposed that emphasize a multidisciplinary, developmental approach to infusing knowledge, skill building, and mentored practice experiences into professional education experiences. Conclusion: As chiropractors become more mainstream portal-of-entry providers, there is a clear need to translate the didactics of family violence into the clinical setting. Clinical education may provide students the opportunity to master basic competencies for managing challenging family violence problems. The clinical environment may be appropriate for inculcating skills commensurate with those of other primary care providers. Yet, the extent to which training priorities and approaches extrapolated from other health care disciplines should be accepted wholesale by the chiropractic profession merits further discussion, including issues around the professional identity of chiropractic, the impact of accreditation standards and practice guidelines on actual professional practice behaviors, and the possible limits and unintended consequences associated with expanding the traditional chiropractic scope of practice from a specialty to a primary care profession.

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A Survey of US Chiropractors on Clinical Preventive Services

Cited by 39 publications

References 4 publications

Factors Associated with Changes in Knowledge and Attitude towards Public Health Concepts among Chiropractic College Students Enrolled in a Community Health Class

Factors Associated with Changes in Knowledge and Attitude towards Public Health Concepts among Chiropractic College Students Enrolled in a Community Health Class

Public health advocacy and chiropractic: a guide to helping your community reach its health objectives

How Much Health Promotion and Disease Prevention Is Enough? Should Chiropractic Colleges Focus on Efficacy Training in Screening for Family Violence?

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