Swiss Chiropractic Cohort (Swiss ChiCo) Study: A Nationwide Practice-Based Research Network Project

Musculoskeletal Pain Clinical Trial

Official title:

Swiss Chiropractic Cohort (Swiss ChiCo) Study: A Nationwide Practice-Based Research Network Project

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05046249
• Other study ID #: SwissChiCo-PBRN
• Status: Completed
• Start date: September 9, 2021
• Est. completion date: December 19, 2021

Study information

• Verified date: April 2023
• Source: Balgrist University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The Swiss chiropractic cohort (Swiss ChiCo) practice-based research network (PBRN) is nationwide research project with the aim to develop a musculoskeletal focused PBRN within the Swiss chiropractic setting and describe the characteristics of clinicians recruited. Development of the PBRN has been guided through participatory engagement of multiple stakeholders including patients, clinicians, scientists, and policymakers.

Description:

Management of musculoskeletal (MSK) conditions is moving away from traditional medical treatments such as pain medication and towards more physical and preventative approaches. As a result, there is a need to describe manual care approaches to make informed decisions on how best to use this capacity in the current health care system. While this literature is emerging, very little is collected from clinical settings where the large majority of MSK care occurs. The lack of clinically collected data creates gaps in patient-centred research and difficulties with knowledge implementation in treatment settings. To help bridge this divide, countries such as the United Kingdom, Canada, Sweden, and Australia have established MSK-focused practice-based research networks (PBRNs). PBRNs are sustained collaborations between practitioners and academicians. This collaboration allows patient recruitment from diverse clinical settings and allows practitioners to be more actively involved in the research process. As a result data collected, and subsequent recommendations may have greater clinical utility than that which comes from more traditional research-only settings. This study aims to develop a MSK focused PBRN within the Swiss chiropractic setting and describe the characteristics of clinicians recruited. It represents a collaborative effort of international researchers, Swiss chiropractic clinicians, and the chiropractic patient and clinical associations in Switzerland (Pro Chiropractic Switzerland and ChiroSuisse). Clinicians will endorse participation in the PBRN by completing an electronic study form. Once established, nested sub-studies will be conducted within this new clinical research environment. Through stakeholder engagement and institutional support, the Swiss ChiCo PBRN can serve as an important resource to advance chiropractic and MSK health services research.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 151
• Est. completion date: December 19, 2021
• Est. primary completion date: December 19, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Active clinician members of the Swiss Chiropractic Association (ChiroSuisse)

Related Conditions & MeSH terms

• Musculoskeletal Pain

Locations

Country	Name	City	State
Switzerland	Balgrist University Hospital	Zurich

Sponsors (5)

Lead Sponsor	Collaborator
Balgrist University Hospital	Swiss Chiropractic Association (ChiroSuisse), Swiss Chiropractic Patient Association (Pro Chiropractic Switzerland), University of Southern Denmark, Department of Sports Science and Clinical Biomechanics, University of Zurich, Epidemiology, Biostatistics and Prevention Institute

Country where clinical trial is conducted

Switzerland, 

References & Publications (2)

Lalji R, Hofstetter L, Kongsted A, von Wyl V, Puhan MA, Hincapie CA. Swiss chiropractic practice-based research network and musculoskeletal pain cohort pilot study: protocol of a nationwide resource to advance musculoskeletal health services research. BMJ Open. 2022 Jul 13;12(7):e059380. doi: 10.1136/bmjopen-2021-059380. — View Citation

Lalji R, Hofstetter L, Kongsted A, von Wyl V, Puhan MA, Hincapie CA. The Swiss chiropractic practice-based research network: a population-based cross-sectional study to inform future musculoskeletal research. Sci Rep. 2023 Apr 6;13(1):5655. doi: 10.1038/s — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Self-confidence in clinical management of patients with low back pain	Assessment via practitioner self-confidence scale (PCS, 4-20). The PCS contains four items with a total score of 20 where 4 represents greatest self-confidence and 20 represents the lowest self-confidence towards clinical management of patients with low back pain.	Baseline
Primary	Biomedical versus biopsychosocial treatment orientation	Assessment via pain attitudes and beliefs scale musculoskeletal version (PABS-MSK). The PABS-MSK contains two domains, a higher score on the biomedical domain (PABS-MSK-BM, score range 10-60) represents a higher biomedical orientation. A higher score on the biopsychosocial domain (PABS-MSK-BPS, score range 10-60) represents a higher biopsychosocial orientation.	Baseline
Primary	Participation proportion (feasibility outcome)	Proportion of eligible clinicians who participate	Baseline
Primary	Motivation for clinician participation in a PBRN sub-study (feasibility outcome)	Assessment via visual analog scale (VAS, 0-100). A higher score reflects higher motivation for clinician participation in a PBRN sub-study.	Baseline

External Links

•   Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Project webpage
•   Musculoskeletal Epidemiology Research Group, Balgrist University Hospital, Project webpage