“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors

Abstract Background Remote consultations (RCs) enable clinicians to continue to support patients when face-to-face appointments are not possible. Restrictions to face-to-face care during the COVID-19 pandemic has accelerated a pre-existing trend for their adoption. This is true for many health profe...

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Autores principales:	Shane Derbyshire, Jonathan Field, Jane Vennik, Marc Sanders, Dave Newell
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Remote consultation Chiropractic Survey COVID-19 Coronavirus Telehealth RZ201-275 Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/2d52ec5a475040ebbbba977b8a15dd16
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spelling	oai:doaj.org-article:2d52ec5a475040ebbbba977b8a15dd162021-11-28T12:40:46Z“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors10.1186/s12998-021-00404-22045-709Xhttps://doaj.org/article/2d52ec5a475040ebbbba977b8a15dd162021-11-01T00:00:00Zhttps://doi.org/10.1186/s12998-021-00404-2https://doaj.org/toc/2045-709XAbstract Background Remote consultations (RCs) enable clinicians to continue to support patients when face-to-face appointments are not possible. Restrictions to face-to-face care during the COVID-19 pandemic has accelerated a pre-existing trend for their adoption. This is true for many health professionals including some chiropractors. Whilst most chiropractors in the UK have used RCs in some form during the pandemic, others have not. This study seeks to understand the views of chiropractors not using RCs and to explore perceived potential barriers. Methods A national online survey was completed by 534 registered practicing UK chiropractors on the use of RCs. Respondents had the opportunity of providing open-ended responses concerning lack of engagement in RCs during the COVID-19 pandemic. Textual responses obtained from 137 respondents were coded and analysed using thematic analysis. Results The use of RCs provided an opportunity for chiropractors to deliver ongoing care during the COVID-19 pandemic. However, many chiropractors expressed concern that RCs misaligned with their strong professional identity of providing ‘hands-on’ care. Some chiropractors also perceived that patients expected physical interventions during chiropractic care and thus considered a lack of demand when direct contact is not possible. In the absence of a physical examination, some chiropractors had concerns about potential misdiagnosis, and perceived lack of diagnostic information with which to guide treatment. Clinic closures and change in working environment led to practical difficulties of providing remote care for a few chiropractors. Conclusions The COVID-19 pandemic may have accelerated changes in the way healthcare is provided with RCs becoming more commonplace in primary healthcare provision. This paper highlights perceived barriers which may lead to reduced utilisation of RCs by chiropractors, some of which appear fundamental to their perceived identity, whilst others are likely amenable to change with training and experience.Shane DerbyshireJonathan FieldJane VennikMarc SandersDave NewellBMCarticleRemote consultationChiropracticSurveyCOVID-19CoronavirusTelehealthChiropracticRZ201-275Diseases of the musculoskeletal systemRC925-935ENChiropractic & Manual Therapies, Vol 29, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Remote consultation Chiropractic Survey COVID-19 Coronavirus Telehealth Chiropractic RZ201-275 Diseases of the musculoskeletal system RC925-935
spellingShingle	Remote consultation Chiropractic Survey COVID-19 Coronavirus Telehealth Chiropractic RZ201-275 Diseases of the musculoskeletal system RC925-935 Shane Derbyshire Jonathan Field Jane Vennik Marc Sanders Dave Newell “Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors
description	Abstract Background Remote consultations (RCs) enable clinicians to continue to support patients when face-to-face appointments are not possible. Restrictions to face-to-face care during the COVID-19 pandemic has accelerated a pre-existing trend for their adoption. This is true for many health professionals including some chiropractors. Whilst most chiropractors in the UK have used RCs in some form during the pandemic, others have not. This study seeks to understand the views of chiropractors not using RCs and to explore perceived potential barriers. Methods A national online survey was completed by 534 registered practicing UK chiropractors on the use of RCs. Respondents had the opportunity of providing open-ended responses concerning lack of engagement in RCs during the COVID-19 pandemic. Textual responses obtained from 137 respondents were coded and analysed using thematic analysis. Results The use of RCs provided an opportunity for chiropractors to deliver ongoing care during the COVID-19 pandemic. However, many chiropractors expressed concern that RCs misaligned with their strong professional identity of providing ‘hands-on’ care. Some chiropractors also perceived that patients expected physical interventions during chiropractic care and thus considered a lack of demand when direct contact is not possible. In the absence of a physical examination, some chiropractors had concerns about potential misdiagnosis, and perceived lack of diagnostic information with which to guide treatment. Clinic closures and change in working environment led to practical difficulties of providing remote care for a few chiropractors. Conclusions The COVID-19 pandemic may have accelerated changes in the way healthcare is provided with RCs becoming more commonplace in primary healthcare provision. This paper highlights perceived barriers which may lead to reduced utilisation of RCs by chiropractors, some of which appear fundamental to their perceived identity, whilst others are likely amenable to change with training and experience.
format	article
author	Shane Derbyshire Jonathan Field Jane Vennik Marc Sanders Dave Newell
author_facet	Shane Derbyshire Jonathan Field Jane Vennik Marc Sanders Dave Newell
author_sort	Shane Derbyshire
title	“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors
title_short	“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors
title_full	“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors
title_fullStr	“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors
title_full_unstemmed	“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors
title_sort	“chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2d52ec5a475040ebbbba977b8a15dd16
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“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors

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