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dc.contributor.authorMoore, Craig
dc.contributor.authorWong, Arnold Y. L.
dc.contributor.authorde Luca, Katie
dc.contributor.authorDe Carvalho, Diana
dc.contributor.authorJohansson, Melker S.
dc.contributor.authorPohlman, Katherine A.
dc.contributor.authorMiller, Amy
dc.contributor.authorFunabashi, Martha
dc.contributor.authorDougherty, Paul
dc.contributor.authorFrench, Simon
dc.contributor.authorAdams, Jon
dc.contributor.authorKawchuk, Greg
dc.date.accessioned2023-12-04T10:32:59Z
dc.date.available2023-12-04T10:32:59Z
dc.date.issued2022-05-09
dc.identifier.citationMoore, C., Wong, A. Y. L., de Luca, K., De Carvalho, D., Johansson, M. S., Pohlman, K. A., Miller, A., Funabashi, M., Dougherty, P., French, S., Adams, J., & Kawchuk, G. (2022). The impact and public health response of chiropractors to the COVID-19 pandemic: a survey across four continents. Chiropractic & manual therapies, 30(1), 24. https://doi.org/10.1186/s12998-022-00432-6en
dc.identifier.issn2045-709X
dc.identifier.urihttps://aecc.archive.knowledgearc.net/handle/123456789/203
dc.descriptionAvailable under License - Creative Commons Attribution: https://creativecommons.org/licenses/by/4.0/en
dc.description.abstractBackground: The unprecedented impact of COVID-19 on healthcare professionals has implications for healthcare delivery, including the public health guidance provided to patients. This study aims to assess the response and impact of COVID-19 on chiropractors internationally, and examines the public health response of chiropractors to the COVID-19 pandemic practising under a musculoskeletal spine-care versus subluxation-based care paradigm. Methods: A survey was distributed to chiropractors in Australia, Canada, Denmark, Hong Kong, United Kingdom and United States (Oct. 2nd–Dec. 22nd, 2020) via professional bodies/publications, and social media. Questions were categorised into three domains: socio-demographic, public health response and business/financial impact. Multivariable logistic regression explored survey items associated with chiropractors practising under different self-reported paradigms. Results: A total of 2061 chiropractors representing four global regions completed the survey. Our recruitment method did not allow the calculation of an accurate response rate. The vast majority initiated COVID-19 infection control changes within their practice setting, including increased disinfecting of treatment equipment (95%), frequent contact areas (94%) and increased hand hygiene (94%). While findings varied by region, most chiropractors (85%) indicated that they had implemented regulator advice on the use of personal protective equipment (PPE). Suspension of face-to-face patient care during the peak of the pandemic was reported by 49% of the participants with 26% implementing telehealth since the pandemic began. Chiropractors practising under a musculoskeletal spine-care paradigm were more likely to implement some/all regulator advice on patient PPE use (odds ratio [OR] = 3.25; 95% confidence interval [CI]: 1.57, 6.74) and practitioner PPE use (OR = 2.59; 95% CI 1.32, 5.08); trust COVID-19 public health information provided by government/World Health Organisation/chiropractic bodies (OR = 2.47; 95% CI 1.49, 4.10), and initiate patient telehealth in response to COVID-19 (OR = 1.46; 95% CI 1.02, 2.08) compared to those practising under a subluxation-based paradigm. Conclusions: Chiropractors who responded to our survey made substantial infectious control changes in response to COVID-19. However, there was regional variation in the implementation of the advised practitioner and patient use of PPE and limited overall use of telehealth consultations by chiropractors during COVID-19. Musculoskeletal spine-care chiropractors were more adaptive to certain COVID-19 public health changes within their practice setting than subluxation-based chiropractors.en
dc.language.isoenen
dc.publisherChiropractic & Manual Therapiesen
dc.subjectCOVID-19en
dc.subjectInfection controlen
dc.subjectChiropractorsen
dc.subjectBehavioursen
dc.subjectTelehealthen
dc.titleThe impact and public health response of chiropractors to the COVID-19 pandemic: a survey across four continentsen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.1186/s12998-022-00432-6


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