I am excited for the opportunity to discuss chiropractic research with Drs. Peterson and Humphreys in the near future. Cynthia Peterson, RN, DC, DACBR, M.Med.Ed. has worked as a chiropractic radiologist, researcher and educator in 4 countries.  She retired from her positions as Professor and researcher, Radiology Department, Orthopaedic University hospital Balgrist and Professor, Chiropractic Medicine Programme, University of Zürich in 2017.  She is currently a Visiting Professor for the Chiropractic Department in the Faculty of Health at the University of Johannesburg, South Africa and is the Quality Assurance Consultant for the European Council on Chiropractic Education.  Barry Kim Humphreys, BSc, DC, PhD, is Professor Emeritus, Faculty of Medicine, University of Zurich. He retired in July 2017, after 9 years as the first Professor for Chiropractic Medicine in Switzerland. During this time, Professor Humphreys was responsible for the development and accreditations of the chiropractic education program, research portfolio and teaching clinic within the university, medical faculty and teaching hospital. He has been active in research including chiropractic clinical outcome studies for back and neck pain, functional MRI studies of chronic pain patients and back pain in various gravitational environments (parabolic flight).  Please comment below if you have any questions for us during the interview. I might choose some of them for our conversation.

Chiropractic care can be complicated for patients because of its specialized terminology for assessment, treatment plans, symptom trajectories, and potential for benign adverse events.  One solution is for chiropractors to adopt functional health literacy, interactive health literacy, and critical health literacy into patient-centered chiropractic care. Health literacy empowers patients of all backgrounds to “read” and “listen” to their bodies, verbally communicate their thoughts and needs during the chiropractic visit, and access print and digital technologies to optimize their health outcomes. See here for our recent poster describing health literacy within the chiropractic profession (https://chiropracticscience.com/advancing-a-framework-for-chiropractic-health-literacy/). 

Based upon several U.S. and international consensus studies (2017), we advocate for chiropractors and D.C. students to use, implement, and practice health literacy competencies developed by Coleman et al. (2013 & 2017). We propose the adoption of a Health Literacy Curriculum (HLC) for chiropractors, because other health and medical professionals are adopting these competencies also.

The top consensus recommendation by the Coleman et al study (2017) was to use a “teach back” or “show me” technique with patients to check for understanding and correct misunderstandings, during the clinical visit and and during the informed consent process. In this regard, patients are asked to demonstrate their level of understanding by repeating back in their own words the information the professional has communicated to them.  To learn more about the other health literacy recommendations, please look at our poster or visit the link below to the Coleman study.

References:

Coleman, C., Hudson, S., & Pederson, B. (2017). Prioritized health literacy and clear communication practices for health care professionals. HLRP: Health Literacy Research and Practice, 1(3): e91-e99 https://doi.org/10.3928/24748307-20170503-01

Coleman, C. A., Hudson, S., & Maine, L.L. (2013). Health literacy practices and educational competencies for health professionals: a consensus study.Journal of Health communication,18 Suppl 1(Suppl 1), 82-102.

This video is an introduction to Chiropractic Science – the podcast and the website as well as some ideas for how to integrate chiropractic science into your practice to reduce the evidence-practice gap.  

Jeff Hebert, DC, PhD is a Professor and the CCRF/NBHRF Chair of Musculoskeletal Health Research at the University of New Brunswick, as well as an Adjunct Professor at Murdoch University in Australia. Jeff’s career to date includes 18 years of experience in faculty, clinical, and administrative positions in Canada, the United States, and Australia.  Most recently, he was the Associate Dean (Research) in Murdoch University’s School of Psychology and Exercise Science. Previous appointments include positions as a Senior Lecturer of Rehabilitation Science (Murdoch University) and Assistant Professor of Neurosurgery (University of Utah). He serves as an Associate Editor for the journal Chiropractic & Manual Therapies. Jeff worked as an outpatient and hospital-based clinician in multidisciplinary environments including as pain medicine, sports medicine, and spine surgery. Please comment below if you have any questions for us during the interview. I might choose some of them for our conversation.

Upcoming interview with Dr. Martha Funabashi. Martha Funabashi, PhD is currently working as a clinical research scientist at CMCC. She is also a CARL fellow and the co-lead study coordinator of SafetyNET – an international and multidisciplinary research team to support patient safety among spinal manipulative therapy (SMT) providers. Martha has a Bachelor’s Degree in Physiotherapy and a Master’s Degree in Neuroscience from the University of Sao Paulo – Brazil. She completed her PhD in Rehabilitation Sciences at the University of Alberta under the supervision of Dr. Greg Kawchuk and her post-doctoral fellowship also at the University of Alberta with Dr. Sunita Vohra. Martha’s research interests and passion are on the SMT’s biomechanics, underlying mechanisms, force-time characterization and its safety aspects. Martha has 26 peer-reviewed scientific journal publications, over 40 conference presentations and is on the editorial boards for peer review journals, such as Chiropractic and Manual Therapies. Martha has won research prizes, including the New Investigator Award at the World Federation of Chiropractic Conference 2017 and works in collaboration with emerging and well-known researchers around the world. Please comment below if you have any questions for us during the interview. I might choose some of them for our conversation.

This was a poster we presented in Berlin at the 15th WFC Biennial Congress (2019) entitled, “Advancing a Framework for Chiropractic Health Literacy”.

Upcoming interview with Dr. J. David Cassidy. Dr. Cassidy is a Professor of Epidemiology and Health Policy at the Dalla Lana School of Public Health at the University of Toronto. His research focus is injury epidemiology, neurotrauma, musculoskeletal disorders and evidence-based health care and policy. He has published over 300 research papers and chapters in textbooks over his career, including papers in the New England Journal of Medicine, the British Medical Journal, Annals of Internal Medicine, JAMA Psychiatry and the Archives of Physical and Rehabilitation Medicine to name a few. He is particularly interested in the psychosocial determinants of injury recovery and long-term consequences of injury. Please comment below if you have any questions for us during the interview. I might choose some of them for our conversation.

Upcoming interview with Dr. Anthony Lisi.  We will be discussing chiropractic research and the state of chiropractic in the VA. Dr. Lisi is the Chiropractic Program Director for the US Veterans Health Administration, overseeing all national programmatic issues related to the integration of chiropractic clinical services, education and research. He is also an Associate Research Scientist at the Yale Center for Medical Informatics, Yale University School of Medicine. He has authored numerous peer-reviewed publications on topics including low back pain management, spinal manipulation, interprofessional education, and chiropractic services. Dr. Lisi received the American Chiropractic Associations’ 2015 Academician of the Year award, and the 2017 Chiropractor of the Year award.   Please comment below if you have any questions for us during the interview. I might choose some of them for our conversation.