‘I did not pay her to show me the right way to repair my again’: a centered ethnographic research exploring chiropractors’ and chiropractic sufferers’ experiences and beliefs relating to train adherence.
J Can Chiropr Assoc. 2017 Dec;61(three):219-230
Authors: Stilwell P, Harman Okay
Summary
Goal: To tell future analysis and train prescription for sufferers with persistent low again ache (CLBP), this research explored chiropractors’ and chiropractic sufferers’ experiences and beliefs relating to the obstacles and facilitators to prescribed train adherence.
Strategies: A centered ethnographic method was used involving 16 semi-structured interviews, together with pilot interviews (n = four) adopted by interviews with chiropractors (n = 6) and chiropractic sufferers with CLBP (n = 6).
Outcomes: Obstacles and facilitators to prescribed train adherence revolved round 4 themes: diagnostic and therapy beliefs motivating conduct, passive-active therapy steadiness, the therapeutic alliance and patient-centered care, and train supply.
Conclusion: Train adherence could also be facilitated in sufferers with CLBP with easy train prescription adjustments made by chiropractors. Nonetheless, altering chiropractors’ and sufferers’ diagnostic and therapy beliefs which might be obstacles to train adherence seems difficult. Coaching chiropractors in ache neuroscience schooling and the intentional use of conduct change strategies warrants future investigation.
PMID: 29430052 [PubMed]