Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting
Design Prospective feasibility study.Objectives To inform the design and conduct of a large-scale clinical cohort study investigating adolescents with moderate-to-severe spinal pain.Setting Chiropractic care in Sydney, Australia.Participants Adolescents aged 12–17 years with spinal pain (≥4/10 pain...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e088834.full |
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| author | Steven J Kamper Christopher G Maher Mark J Hancock Simon D French Lise Hestbæk Katherine A Pohlman Michael S Swain Laura RC Montgomery Anika Young Amber Beynon |
| author_facet | Steven J Kamper Christopher G Maher Mark J Hancock Simon D French Lise Hestbæk Katherine A Pohlman Michael S Swain Laura RC Montgomery Anika Young Amber Beynon |
| author_sort | Steven J Kamper |
| collection | DOAJ |
| description | Design Prospective feasibility study.Objectives To inform the design and conduct of a large-scale clinical cohort study investigating adolescents with moderate-to-severe spinal pain.Setting Chiropractic care in Sydney, Australia.Participants Adolescents aged 12–17 years with spinal pain (≥4/10 pain intensity score).Methods Adolescents and chiropractors completed baseline and week-12 follow-up questionnaires, with adolescents reporting pain intensity and recovery weekly via text messages during weeks 1–11. Questionnaire measures included spinal pain, pain coping, quality of life, physical activity, clinical assessment findings and care delivered. Chiropractors provided usual clinical care. We conducted a descriptive feasibility analysis.Primary outcomes (1) Recruitment rate, (2) response rate to each data collection instrument and (3) retention rate.Results From May 2021 to February 2023, 20 chiropractors from 10 clinics were enrolled (invited n=85). 10 chiropractors recruited 45 adolescents (15.4±1.4 years, 43% female) over 13.5 months, excluding an 8-month pause due to COVID-19 disruptions. The average recruitment rate was 0.6 adolescents/recruiting chiropractor/month. We achieved a 100% response to chiropractor baseline and follow-up questionnaires, 98% to adolescent baseline, 94% average response to combined weekly text messages and 93% retention of adolescents at study completion.Conclusions Our high response and retention rates demonstrate feasible data collection methods in this population. Addressing low recruitment by expanding the number and type of clinicians is necessary for a successful larger study. |
| format | Article |
| id | doaj-art-7d8d78059f4e458789608d3d1deec9f5 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-7d8d78059f4e458789608d3d1deec9f52025-02-01T05:50:08ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-088834Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic settingSteven J Kamper0Christopher G Maher1Mark J Hancock2Simon D French3Lise Hestbæk4Katherine A Pohlman5Michael S Swain6Laura RC Montgomery7Anika Young8Amber Beynon9Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaDepartment of Health Sciences, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, AustraliaDepartment of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, AustraliaDepartment of Sports and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkResearch Center, Parker University, Dallas, Texas, USADepartment of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, AustraliaFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaDepartment of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, AustraliaCurtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, AustraliaDesign Prospective feasibility study.Objectives To inform the design and conduct of a large-scale clinical cohort study investigating adolescents with moderate-to-severe spinal pain.Setting Chiropractic care in Sydney, Australia.Participants Adolescents aged 12–17 years with spinal pain (≥4/10 pain intensity score).Methods Adolescents and chiropractors completed baseline and week-12 follow-up questionnaires, with adolescents reporting pain intensity and recovery weekly via text messages during weeks 1–11. Questionnaire measures included spinal pain, pain coping, quality of life, physical activity, clinical assessment findings and care delivered. Chiropractors provided usual clinical care. We conducted a descriptive feasibility analysis.Primary outcomes (1) Recruitment rate, (2) response rate to each data collection instrument and (3) retention rate.Results From May 2021 to February 2023, 20 chiropractors from 10 clinics were enrolled (invited n=85). 10 chiropractors recruited 45 adolescents (15.4±1.4 years, 43% female) over 13.5 months, excluding an 8-month pause due to COVID-19 disruptions. The average recruitment rate was 0.6 adolescents/recruiting chiropractor/month. We achieved a 100% response to chiropractor baseline and follow-up questionnaires, 98% to adolescent baseline, 94% average response to combined weekly text messages and 93% retention of adolescents at study completion.Conclusions Our high response and retention rates demonstrate feasible data collection methods in this population. Addressing low recruitment by expanding the number and type of clinicians is necessary for a successful larger study.https://bmjopen.bmj.com/content/15/1/e088834.full |
| spellingShingle | Steven J Kamper Christopher G Maher Mark J Hancock Simon D French Lise Hestbæk Katherine A Pohlman Michael S Swain Laura RC Montgomery Anika Young Amber Beynon Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting BMJ Open |
| title | Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting |
| title_full | Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting |
| title_fullStr | Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting |
| title_full_unstemmed | Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting |
| title_short | Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting |
| title_sort | clinical course of spinal pain in adolescents a feasibility study in a chiropractic setting |
| url | https://bmjopen.bmj.com/content/15/1/e088834.full |
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