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.
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.
Authors: André E Bussières; Andrea M Patey; Jill J Francis; Anne E Sales; Jeremy M Grimshaw; Melissa Brouwers; Gaston Godin; Jan Hux; Marie Johnston; Louise Lemyre; Marie-Pascale Pomey; Anne Sales; Merrick Zwarenstein Journal: Implement Sci Date: 2012-08-31 Impact factor: 7.327
Authors: Gail Sowden; Jonathan C Hill; Kika Konstantinou; Meenee Khanna; Chris J Main; Paula Salmon; Simon Somerville; Simon Wathall; Nadine E Foster Journal: Fam Pract Date: 2011-06-27 Impact factor: 2.267
Authors: Simon D French; Joanne E McKenzie; Denise A O'Connor; Jeremy M Grimshaw; Duncan Mortimer; Jill J Francis; Susan Michie; Neil Spike; Peter Schattner; Peter Kent; Rachelle Buchbinder; Matthew J Page; Sally E Green Journal: PLoS One Date: 2013-06-13 Impact factor: 3.240