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URL http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Citation&list_uids=15129199
Journal J Manipulative Physiol Ther. 2004 Mar-apr;27(3):170-179
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Peer Review Yes
Publication Type Article
Abstract/Notes OBJECTIVE: To evaluate the ability of a systematic educational intervention strategy to change the plain radiography ordering behavior of chiropractors toward evidence-based practice for patients with acute low back pain (LBP).

DESIGN: A quasi-experimental method was used comparing outcomes before and after the intervention with those of a control community.

SETTING: Two communities in southern Ontario. DATA SOURCE: Mailed survey data on the management of acute LBP.Outcome Measures Plain radiography use rates for acute LBP based on responses to mailed surveys. RESULTS: Following the intervention, there was a 42% reduction in the self-report need for plain radiography for uncomplicated acute LBP (P <.025) and a 50% reduction for patients with acute LBP < 1 month (P <.025) in the intervention community. There was no significant change in the self-report need for plain radiography in the control community (P >.05).

CONCLUSIONS: The educational intervention strategy used in this study appeared to have an effect in reducing the perceived need for plain radiography in acute LBP.

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