Access to Chiropractic Care During the COVID-19 Healthcare Emergency in Spain
Study Details
Study Description
Brief Summary
This is a pragmatic controlled clinical trial taking place in the first phase of COVID-19 lockdown re-opening in Spain. Patients of 52 chiropractic clinics were invited to participate in a pseudo-random order (one out of every three contacted patients) as they were contacted to either schedule an appointment with their current chiropractor or not, depending on the clinic's and the patient's availability. Patients would receive chiropractic in-person care (one or more than one visits) or no care at all, for a two-week period. According to the care received, they were assigned to one of three groups (receiving no care, receiving care once, and more than once). Participants filled an online questionnaire with self-reported outcome-measures at the beginning of the two week period. A follow-up questionnaire was completed 14 days after.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: Group Control Patients having no access to chiropractic treatment during the trial |
|
| Experimental: Group Chiropractic Care one session Patients having access to in-person chiropractic treatment once during the trial |
Other: Chiropractic care (one visit)
One visit to the chiropractor based on the use of spinal manipulative therapy, mobilization and other forms of manual therapy, exercise therapy, patient education, advice and reassurance
Other Names:
|
| Experimental: Group Chiropractic Care multiple sessions Patients having access to in-person chiropractic treatment more than once during the trial |
Other: Chiropractic care (more than one visit)
More than one visit to the chiropractor based on the use of spinal manipulative therapy, mobilization and other forms of manual therapy, exercise therapy, patient education, advice and reassurance
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Pain intensity [14 days]
Numerical rating scale (0-10, 0 meaning no pain, 10 meaning worst pain imaginable)
- Pain frequency [14 days]
Likert Scale from better (1) to worst (4) outcomes, 1: occasionally, 4: constantly
- Pain evolution [14 days]
Likert Scale of self-perceived improvement, from better (1) to worst (5) outcomes, 1: much better, 5: much worse
- Pain interference [14 days]
Validated subscale form the Brief Pain Inventory, 6 categories from 0 to 10 each, the lower, the better outcomes, out of a minimal of 0 and total of 60.
Secondary Outcome Measures
- Pain Catastrophizing Scale [14 days]
Validated questionnaire. Short version 4 items, Likert scale from 0 to 4, lowest score (0) better outcomes, highest score (16) worst outcomes
- Tampa Scale Kinesiophobia [14 days]
Validated questionnaire. Short version 11 items, Likert scale from 1 to 4, lowest score (11) better outcomes, highest score (44) worst outcomes
- General Anxiety Disorder scale [14 days]
Validated questionnaire 7 items, Likert scale from 0 to 3, lowest score (0) better outcomes, highest score (21) worst outcomes
- Intolerance of Uncertainty Scale [14 days]
Validated questionnaire. Short version 12 items, Likert scale from 1 to 5, lowest score (12) better outcomes, highest score (60) worst outcomes
- General Self-Efficacy scale [14 days]
Validated questionnaire 10 items, Likert scale from 1 to 10, lowest score (10) WORST outcomes, highest score (100) BETTER outcomes
- Fear of Illness and Virus Evaluation [14 days]
Questionnaire, subscale 10 items, Likert scale from 1 to 4, lowest score (1) WORST outcomes, highest score (40) BETTER outcomes
Eligibility Criteria
Criteria
Inclusion Criteria:
- chiropractic patients active when lockdown was declared, over the age of 14
Exclusion Criteria:
- new patients in the clinic, patients with no current pain at the time of the trial
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Real Centro Universitario María Cristina | San Lorenzo De El Escorial | Madrid | Spain | 28200 |
Sponsors and Collaborators
- Real Centro Universitario Maria Cristina
- Université du Québec à Trois-Rivières
- University of Birmingham
Investigators
- Principal Investigator: Arantxa Ortega de Mues, PhD, Madrid College of Chiropractic - Real Centro Universitario Maria Cristina
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ChiroCOVID19