Index to Chiropractic Literature
Index to Chiropractic Literature
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Saturday, December 21, 2024
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ID 28039
  Title Waste not, want not: Call to action for spinal manipulative therapy researchers [personal narrative]
URL https://chiromt.biomedcentral.com/articles/10.1186/s12998-024-00539-y
Journal Chiropr & Manual Ther. 2024 ;32(16):10
Author(s)
Subject(s)
Peer Review No
Publication Type Personal Narrative
Abstract/Notes

Background: Research waste is defined as research outcomes with no or minimal societal benefits. It is a widespread problem in the healthcare field. Four primary sources of research waste have been defined: (1) irrelevant or low priority research questions, (2) poor design or methodology, (3) lack of publication, and (4) biased or inadequate reporting. This commentary, which was developed by a multidisciplinary group of researchers with spinal manipulative therapy (SMT) research expertise, discusses waste in SMT research and provides suggestions to improve future research.

Main text: This commentary examines common sources of waste in SMT research, focusing on design and methodological issues, by drawing on prior research and examples from clinical and mechanistic SMT studies. Clinical research is dominated by small studies and studies with a high risk of bias. This problem is compounded by systematic reviews that pool heterogenous data from varying populations, settings, and application of SMT. Research focusing on the mechanisms of SMT often fails to address the clinical relevance of mechanisms, relies on very short follow-up periods, and has inadequate control for contextual factors.

Conclusions: This call to action is directed to researchers in the field of SMT. It is critical that the SMT research community act to improve the way research is designed, conducted, and disseminated. We present specific key action points and resources, which should enhance the quality and usefulness of future SMT research.

Author keywords: Spinal manipulative therapy - Research waste - Methodology

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. Online access only.

 
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