‘I did not pay her to show me methods to repair my again’: a centered ethnographic examine exploring chiropractors’ and chiropractic sufferers’ experiences and beliefs concerning train adherence.
J Can Chiropr Assoc. 2017 Dec;61(three):219-230
Authors: Stilwell P, Harman Ok
Summary
Purpose: To tell future analysis and train prescription for sufferers with continual low again ache (CLBP), this examine explored chiropractors’ and chiropractic sufferers’ experiences and beliefs concerning the limitations 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: Boundaries and facilitators to prescribed train adherence revolved round 4 themes: diagnostic and remedy beliefs motivating conduct, passive-active remedy 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. Nevertheless, altering chiropractors’ and sufferers’ diagnostic and remedy beliefs which are limitations to train adherence seems difficult. Coaching chiropractors in ache neuroscience training and the intentional use of conduct change methods warrants future investigation.
PMID: 29430052 [PubMed]