Identifying and addressing patient substance use: a survey of chiropractic clinicians
Abstract Background Chiropractors commonly encounter patients who present for spine pain with parallel substance use. There is currently no widespread training within the chiropractic profession to prepare chiropractors to recognize and address substance use in clinical practice. The purpose of this...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Chiropractic & Manual Therapies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12998-023-00490-4 |
| _version_ | 1797784482963521536 |
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| author | Jordan A. Gliedt Maureen Reynolds Steffany Moonaz Cynthia R. Long Robb Russell Michael J. Schneider |
| author_facet | Jordan A. Gliedt Maureen Reynolds Steffany Moonaz Cynthia R. Long Robb Russell Michael J. Schneider |
| author_sort | Jordan A. Gliedt |
| collection | DOAJ |
| description | Abstract Background Chiropractors commonly encounter patients who present for spine pain with parallel substance use. There is currently no widespread training within the chiropractic profession to prepare chiropractors to recognize and address substance use in clinical practice. The purpose of this study was to examine chiropractors’ confidence, self-perceptions, and interest in education associated with identifying and addressing patient substance use. Methods A 10-item survey was developed by the authors. The survey addressed chiropractors’ assessment of their training, experiences, and educational interest/needs regarding identifying and addressing patient substance use. The survey instrument was uploaded to Qualtrics and was electronically distributed to chiropractic clinicians at active and accredited English-speaking Doctor of Chiropractic degree programs (DCPs) in the United States. Results A total of 175 individual survey responses were returned from a total of 276 eligible participants (63.4% response rate) from 16 out of 18 active and accredited English-speaking DCPs (88.8% of DCPs) in the United States. Nearly half of respondents strongly disagreed or disagreed (n = 77, 44.0%) that they were confident in their ability to identify patients who misuse prescription medication. The majority of respondents (n = 122, 69.7%) indicated that they did not have an established referral relationship with local clinical providers who provide treatment for individuals who use drugs or misuse alcohol or prescription medications. Most respondents strongly agreed or agreed (n = 157, 89.7%) that they would benefit from participating in a continuing education course on topics related to patients who use drugs or misuse alcohol or prescription medications. Conclusions Chiropractors indicated a need for training to help them identify and address patient substance use. There is a demand among chiropractors to develop clinical care pathways for chiropractic referrals and collaboration with health care professionals who provide treatment for individuals who use drugs or misuse alcohol or prescription medications. |
| first_indexed | 2024-03-13T00:40:32Z |
| format | Article |
| id | doaj.art-51347082860e4734b5e72316e5e0165b |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-03-13T00:40:32Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-51347082860e4734b5e72316e5e0165b2023-07-09T11:19:44ZengBMCChiropractic & Manual Therapies2045-709X2023-07-013111610.1186/s12998-023-00490-4Identifying and addressing patient substance use: a survey of chiropractic cliniciansJordan A. Gliedt0Maureen Reynolds1Steffany Moonaz2Cynthia R. Long3Robb Russell4Michael J. Schneider5Department of Neurosurgery, Medical College of WisconsinSchool of Pharmacy, University of PittsburghSouthern California University of Health SciencesPalmer Center for Chiropractic Research, Palmer College of ChiropracticSouthern California University of Health SciencesDepartment of Physical Therapy, University of PittsburghAbstract Background Chiropractors commonly encounter patients who present for spine pain with parallel substance use. There is currently no widespread training within the chiropractic profession to prepare chiropractors to recognize and address substance use in clinical practice. The purpose of this study was to examine chiropractors’ confidence, self-perceptions, and interest in education associated with identifying and addressing patient substance use. Methods A 10-item survey was developed by the authors. The survey addressed chiropractors’ assessment of their training, experiences, and educational interest/needs regarding identifying and addressing patient substance use. The survey instrument was uploaded to Qualtrics and was electronically distributed to chiropractic clinicians at active and accredited English-speaking Doctor of Chiropractic degree programs (DCPs) in the United States. Results A total of 175 individual survey responses were returned from a total of 276 eligible participants (63.4% response rate) from 16 out of 18 active and accredited English-speaking DCPs (88.8% of DCPs) in the United States. Nearly half of respondents strongly disagreed or disagreed (n = 77, 44.0%) that they were confident in their ability to identify patients who misuse prescription medication. The majority of respondents (n = 122, 69.7%) indicated that they did not have an established referral relationship with local clinical providers who provide treatment for individuals who use drugs or misuse alcohol or prescription medications. Most respondents strongly agreed or agreed (n = 157, 89.7%) that they would benefit from participating in a continuing education course on topics related to patients who use drugs or misuse alcohol or prescription medications. Conclusions Chiropractors indicated a need for training to help them identify and address patient substance use. There is a demand among chiropractors to develop clinical care pathways for chiropractic referrals and collaboration with health care professionals who provide treatment for individuals who use drugs or misuse alcohol or prescription medications.https://doi.org/10.1186/s12998-023-00490-4ChiropracticAlcohol useSubstance useOpioid usePrescription drug misuseSurveys |
| spellingShingle | Jordan A. Gliedt Maureen Reynolds Steffany Moonaz Cynthia R. Long Robb Russell Michael J. Schneider Identifying and addressing patient substance use: a survey of chiropractic clinicians Chiropractic & Manual Therapies Chiropractic Alcohol use Substance use Opioid use Prescription drug misuse Surveys |
| title | Identifying and addressing patient substance use: a survey of chiropractic clinicians |
| title_full | Identifying and addressing patient substance use: a survey of chiropractic clinicians |
| title_fullStr | Identifying and addressing patient substance use: a survey of chiropractic clinicians |
| title_full_unstemmed | Identifying and addressing patient substance use: a survey of chiropractic clinicians |
| title_short | Identifying and addressing patient substance use: a survey of chiropractic clinicians |
| title_sort | identifying and addressing patient substance use a survey of chiropractic clinicians |
| topic | Chiropractic Alcohol use Substance use Opioid use Prescription drug misuse Surveys |
| url | https://doi.org/10.1186/s12998-023-00490-4 |
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