Index to Chiropractic Literature
Index to Chiropractic Literature
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Wednesday, February 5, 2025
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ID 28148
  Title Evaluation of chiropractic students’ knowledge and attitudes following pain interventions: A randomized educational trial at 2 institutions
URL https://pubmed.ncbi.nlm.nih.gov/39373022/
Journal J Chiropr Educ. 2024 Oct;38(2):106-113
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: To examine chiropractic students’ attitudes regarding knowledge of pain neuroscience, chronic pain, and patient-centered care before and after educational interventions. Secondarily, this study aimed to compare measures of these skills between cohorts at different timepoints throughout training programs.

Methods: Using stratified randomization, 281 Year 3 chiropractic students at 2 institutions were allocated into 1 of 3 educational interventions and served as active-control comparison groups: pain neuroscience education, chronic pain education, or patient-centered care. Participants completed validated surveys regarding their experience with the education interventions immediately pre- and post-lecture and 12 weeks after completion. For further comparison, surveys were also completed by 160 Year 1 students and 118 Year 2 students at 1 of the institutions. Independent sample t tests and 1-way analysis of variance were used for data analysis.

Results: All Year 3 lecture groups showed immediate improvements (pain neuroscience education: 3.99 + 3.09/100, p = .18 [95% CI: 10.10 to −1.77]; chronic pain education: 0.42 + 0.74/7, p = .02 [95% CI: 0.72 to 0.07]; patient-centered care: 0.25 + 0.12/6, p = .05 [95% CI: 0.12–0.51]), but these were not sustained at the 12-week follow-up (pain neuroscience education: −6.25 + 4.36/100, p = .15 [95% CI: 14.93 to −2.42]; chronic pain education: 0.33 + 0.16/7, p = .19 [95% CI, 0.66 to 0.01]; patient-centered care: 0.13 + 0.13/6, p = .30 [95% CI: 0.41 to −0.13]). Compared to active controls, only the patient-centered care group showed an immediate statistically significant difference.

Conclusions: While this study found that immediate improvement in targeted competencies is possible with focused interventions, they were not sustained long term.

Author keywords: Chiropractic, Education, Biopsychosocial Model, Chronic Pain, Patient-centered Care

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.


 

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