An exploration of trauma-informed care curricula in chiropractic programs: A scoping document analysis protocol

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(5), P. e0321498 - e0321498

Published: May 9, 2025

Background Trauma is a significant public health issue that affects both mental and physical health. Healthcare delivery based on trauma-informed care (TIC) principles designed to mitigate the risk of re-traumatization in healthcare settings improve patient outcomes. Chronic pain common comorbidity trauma reason people seek healthcare, including chiropractic care. The extent which TIC training integrated into education Doctor Chiropractic Programs (DCPs) remains unclear. Objective This study aims evaluate presence educational curricula documents from accredited DCPs across United States Canada identify potential gaps trauma-sensitive within training. Methods A scoping document analysis will be conducted using (program handbooks, course catalogs, syllabi) by Council Education (CCE-USA). Documents evaluated for TIC-related search terms established frameworks Substance Abuse Mental Health Services Administration Harvard Medical School Core Competencies. assess such as safety, trust, empowerment, cultural sensitivity. phased approach used data extraction, ensuring comprehensive review integration. Results quantify inclusion trends or related education. Conclusion Our findings can inform future curriculum development, integrate effectively enhance trauma-exposed patients.

Language: Английский

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Hands-On Versus Hands-Off Treatment of Hip-Related Nonspecific Musculoskeletal Diseases: A Systematic Review

Journal of Functional Morphology and Kinesiology, Journal Year: 2024, Volume and Issue: 9(4), P. 262 - 262

Published: Dec. 7, 2024

A manual approach combined with therapeutic exercise versus alone is a debated issue in the literature. The American College of Rheumatology guidelines "conditionally recommended against" therapy for management hip osteoarthritis. Manual followed by exercise, instead, appears to lead faster return sport than adductor groin pain. There need understand which most effective treatment nonspecific musculoskeletal diseases. aim this systematic review determine between and subjects

Language: Английский

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Same patient but different worlds: A state-of-the-art review translating best practice psychosocial care from musculoskeletal care to the orthopaedic context

BMC Musculoskeletal Disorders, Journal Year: 2024, Volume and Issue: 25(1)

Published: Dec. 5, 2024

Abstract Background Individuals with chronic musculoskeletal conditions experience persistent pain and disability that has deleterious impacts on physical function, psychological health, social engagement, relationships, work participation. This impact is greater in people psychosocial risk factors, best practice care recommends a biopsychosocial approach to management. Orthopaedic surgery often an effective management for conditions, but research only recently explored the links between differing patient outcomes after orthopaedic factors. Implementing approaches taken great strides primary setting however, implementation of brings complexity as context changes from hospital based secondary care. The aim this review therefore explore elective context, informed by evidence Assessment factors Several composite screening tools or ‘yellow flags’ are recommended use alongside comprehensive interview. However, measures have focused discharge destination, there not universal interview incorporating approach. A range been developed setting, yet few surgery. Implementation into enormous potential all stakeholders, several barriers exist at level individual practitioner, workforce, health service society. We discussed key considerations including workforce composition, patient-centred shared decision making, literacy, continuity care, consideration preferences women culturally diverse communities. Conclusion considers current literature exploring presents critical opportunity provide optimised, equitable, high-value,

Language: Английский

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Factors that contribute to the perceived treatment effect of spinal manipulative therapy in a chiropractic teaching clinic: a qualitative study

Chiropractic & Manual Therapies, Journal Year: 2024, Volume and Issue: 32(1)

Published: Dec. 18, 2024

Abstract Background Despite the progress made in better understanding potential mechanisms of spinal manipulative therapy (SMT) and its treatment effects, a knowledge gap continues to exist when identifying specific factors that contribute perceived effect associated with SMT. The purpose study was explore perceptions chiropractic clinicians, interns, patients regarding what during doctor-patient encounter Methods This used convenience sampling enroll participants from teaching clinic United States. Semi-structured interviews were as main form data collection, which took place January-April 2024. subsequently analyzed using thematic analysis organized into themes through an iterative open coding process. Results Six rounds conducted for total 18 interviews. Each round consisted one patient who received including SMT, intern performed treatment, clinician oversaw treatment. After analyzing interview data, following five identified: Treatment Outcome, Therapeutic Alliance, Adjunctive Therapies, Significance Cavitation, Psychomotor Skills. theme multiple subthemes mentioned by participant groups at varying frequencies. Patients frequently importance improvement symptoms well good communication skills use adjunctive therapies. Interns valued functional change while clinicians focused on confidence levels psychomotor skills. There differing views significance cavitation, ranging indifference indication successful Conclusion qualitative identified several describe may In addition required perform educators practitioners should consider such therapeutic alliance between provider, therapies, assessment outcome intervention.

Language: Английский

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