The prevalence and determinants of physical activity promotion by Australian chiropractors: a cross sectional study

Matthew Fernandez, Craig Moore, Andreas Eklund, Michael Swain, Katie de Luca, David Sibbritt, Jon Adams, Wenbo Peng

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian chiropractors who frequently discuss patient physical activity. Methods: A national cross-sectional survey of chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients. Results: Eighty-five percent of Australian chiropractors reported ‘often’ discussing physical activity as part of their patient management. The strongest factors associated with chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95%CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95%CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95%CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95%CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95%CI: 1.56, 3.06) within their practice setting. Conclusion: Discussing physical activity is a frequent feature of patient management among most chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of chiropractors in promoting this important public health topic among patients and communities is needed.

LanguageEnglish
Pages172-178
Number of pages7
JournalComplementary Therapies in Medicine
Volume45
DOIs
Publication statusPublished - Aug 2019

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Cross-Sectional Studies
Exercise
Odds Ratio
Public Health
Occupational Health
Chiropractic
Exercise Therapy
Health Promotion
Athletes
Sports
Chronic Disease
Rehabilitation
Multivariate Analysis
Smoking
Regression Analysis
Alcohols
Diet
Wounds and Injuries
Research
Pharmaceutical Preparations

Keywords

  • physical activity
  • exercise
  • chiropractic
  • chiropractor
  • practice-based research network

Cite this

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title = "The prevalence and determinants of physical activity promotion by Australian chiropractors: a cross sectional study",
abstract = "Background: Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian chiropractors who frequently discuss patient physical activity. Methods: A national cross-sectional survey of chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients. Results: Eighty-five percent of Australian chiropractors reported ‘often’ discussing physical activity as part of their patient management. The strongest factors associated with chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95{\%}CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95{\%}CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95{\%}CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95{\%}CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95{\%}CI: 1.56, 3.06) within their practice setting. Conclusion: Discussing physical activity is a frequent feature of patient management among most chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of chiropractors in promoting this important public health topic among patients and communities is needed.",
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The prevalence and determinants of physical activity promotion by Australian chiropractors : a cross sectional study. / Fernandez, Matthew; Moore, Craig; Eklund, Andreas; Swain, Michael; de Luca, Katie; Sibbritt, David; Adams, Jon; Peng, Wenbo.

In: Complementary Therapies in Medicine, Vol. 45, 08.2019, p. 172-178.

Research output: Contribution to journalArticleResearchpeer-review

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