Exploring patient satisfaction: A secondary analysis of a randomized clinical trial of spinal manipulation, home exercise, and medication for acute and subacute neck pain

Brent D. Leininger; Roni Evans; Gert Bronfort

doi:10.1016/j.jmpt.2014.08.005

Exploring patient satisfaction: A secondary analysis of a randomized clinical trial of spinal manipulation, home exercise, and medication for acute and subacute neck pain

Brent D. Leininger, Roni Evans, Gert Bronfort

Center for Spirituality and Healing

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

Objective: The purpose of this study was to assess satisfaction with specific aspects of care for acute neck pain and explore the relationship between satisfaction with care, neck pain, and global satisfaction.

Methods: This study was a secondary analysis of patient satisfaction from a randomized trial of spinal manipulation therapy (SMT) delivered by doctors of chiropractic, home exercise and advice (HEA) delivered by exercise therapists, and medication (MED) prescribed by a medical doctors for acute/subacute neck pain. Differences in satisfaction with specific aspects of care were analyzed using a linear mixed model. The relationship between specific aspects of care and (1) change in neck pain (primary outcome of the randomized trial) and (2) global satisfaction were assessed using Pearson's correlation and multiple linear regression.

Results: Individuals receiving SMT or HEA were more satisfied with the information and general care received than MED group participants. Spinal manipulation therapy and HEA groups reported similar satisfaction with information provided during treatment; however, the SMT group was more satisfied with general care. Satisfaction with general care (r = -0.75 to -0.77; R² = 0.55-0.56) had a stronger relationship with global satisfaction compared with satisfaction with information provided (r = -0.65 to 0.67; R² = 0.39-0.46). The relationship between satisfaction with care and neck pain was weak (r = 0.17-0.38; R² = 0.08-0.21).

Conclusions: Individuals with acute/subacute neck pain were more satisfied with specific aspects of care received during spinal manipulation therapy or home exercise interventions compared to receiving medication. The relationship between neck pain and satisfaction with care was weak.

Original language	English (US)
Pages (from-to)	593-601
Number of pages	9
Journal	Journal of manipulative and physiological therapeutics
Volume	37
Issue number	8
DOIs	https://doi.org/10.1016/j.jmpt.2014.08.005
State	Published - Oct 1 2014

Bibliographical note

Funding Information:
“Research reported in this publication was supported by the National Center For Complementary and Alternative Medicine of the National Institutes of Health under Award Numbers R01AT000707 and F32AT007507. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.” The study was funded by the National Institutes of Health's National Center for Complementary and Alternative Medicine (R01 AT000707). The primary author, Brent Leininger, is funded through a training award from the National Institutes of Health's National Center for Complementary and Alternative Medicine (F32AT007507). No conflicts of interest were reported for this study.

Publisher Copyright:
© 2014 by National University of Health Sciences.

Keywords

Clinical
Exercise Therapy
Manipulations
Musculoskeletal
Neck
Pain Patient
Pharmaceutical Preparations
Satisfaction
Trial Chiropractic

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10.1016/j.jmpt.2014.08.005

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Exploring patient satisfaction: A secondary analysis of a randomized clinical trial of spinal manipulation, home exercise, and medication for acute and subacute neck pain. / Leininger, Brent D.; Evans, Roni ; Bronfort, Gert.
In: Journal of manipulative and physiological therapeutics, Vol. 37, No. 8, 01.10.2014, p. 593-601.

Research output: Contribution to journal › Article › peer-review

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abstract = "Objective: The purpose of this study was to assess satisfaction with specific aspects of care for acute neck pain and explore the relationship between satisfaction with care, neck pain, and global satisfaction.Methods: This study was a secondary analysis of patient satisfaction from a randomized trial of spinal manipulation therapy (SMT) delivered by doctors of chiropractic, home exercise and advice (HEA) delivered by exercise therapists, and medication (MED) prescribed by a medical doctors for acute/subacute neck pain. Differences in satisfaction with specific aspects of care were analyzed using a linear mixed model. The relationship between specific aspects of care and (1) change in neck pain (primary outcome of the randomized trial) and (2) global satisfaction were assessed using Pearson's correlation and multiple linear regression.Results: Individuals receiving SMT or HEA were more satisfied with the information and general care received than MED group participants. Spinal manipulation therapy and HEA groups reported similar satisfaction with information provided during treatment; however, the SMT group was more satisfied with general care. Satisfaction with general care (r = -0.75 to -0.77; R2 = 0.55-0.56) had a stronger relationship with global satisfaction compared with satisfaction with information provided (r = -0.65 to 0.67; R2 = 0.39-0.46). The relationship between satisfaction with care and neck pain was weak (r = 0.17-0.38; R2 = 0.08-0.21).Conclusions: Individuals with acute/subacute neck pain were more satisfied with specific aspects of care received during spinal manipulation therapy or home exercise interventions compared to receiving medication. The relationship between neck pain and satisfaction with care was weak.",

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N2 - Objective: The purpose of this study was to assess satisfaction with specific aspects of care for acute neck pain and explore the relationship between satisfaction with care, neck pain, and global satisfaction.Methods: This study was a secondary analysis of patient satisfaction from a randomized trial of spinal manipulation therapy (SMT) delivered by doctors of chiropractic, home exercise and advice (HEA) delivered by exercise therapists, and medication (MED) prescribed by a medical doctors for acute/subacute neck pain. Differences in satisfaction with specific aspects of care were analyzed using a linear mixed model. The relationship between specific aspects of care and (1) change in neck pain (primary outcome of the randomized trial) and (2) global satisfaction were assessed using Pearson's correlation and multiple linear regression.Results: Individuals receiving SMT or HEA were more satisfied with the information and general care received than MED group participants. Spinal manipulation therapy and HEA groups reported similar satisfaction with information provided during treatment; however, the SMT group was more satisfied with general care. Satisfaction with general care (r = -0.75 to -0.77; R2 = 0.55-0.56) had a stronger relationship with global satisfaction compared with satisfaction with information provided (r = -0.65 to 0.67; R2 = 0.39-0.46). The relationship between satisfaction with care and neck pain was weak (r = 0.17-0.38; R2 = 0.08-0.21).Conclusions: Individuals with acute/subacute neck pain were more satisfied with specific aspects of care received during spinal manipulation therapy or home exercise interventions compared to receiving medication. The relationship between neck pain and satisfaction with care was weak.

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KW - Pharmaceutical Preparations

KW - Satisfaction

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Exploring patient satisfaction: A secondary analysis of a randomized clinical trial of spinal manipulation, home exercise, and medication for acute and subacute neck pain

Abstract

Bibliographical note

Keywords

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