Research Brief
Chiropractors in the United States Rarely Perform Spinal Manipulation for Chronic Lower Back or Neck Pain When It Is Inappropriate
Across a sample of patients seen by chiropractors, spinal manipulation was rated by experts as appropriate for most patients with chronic lower back pain and as equivocal (uncertain) for most patients with chronic neck pain.
Mar 12, 2021
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 4: Putting Practice Back Into Evidence-based Practice by Recruiting Clinics and Patients
This study found that clinics can be successfully recruited for practice-based studies, and patients can be recruited using iPads. Obtaining patient records presents considerable challenges, and clinics varied in whether they had electronic files, nonelectronic records, or a mixture.
2019
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 3: Designing Instruments With Patient Input
This article documents the challenges and the efforts involved in designing data collection tools to facilitate the inclusion of patient data into appropriateness decisions.
2019
Journal Article
Coping and Management Techniques Used by Chronic Low Back Pain Patients Receiving Treatment From Chiropractors
Persons with chronic back pain were proactive in their coping strategies and frequently used self-care coping strategies like those provided by chiropractors in patient education. In alignment with patients' beliefs that their condition was chronic and lifelong, many patients attempted a wide range of coping strategies to relieve their pain.
2019
Journal Article
Eat, Pray, Move: A Pilot Cluster Randomized Controlled Trial of a Multilevel Church-Based Intervention to Address Obesity Among African Americans and Latinos
Implementing a multilevel intervention across diverse congregations resulted in small improvements in obesity outcomes. A longer time line is needed to fully implement and assess effects of community and congregation environmental strategies and to allow for potential larger impacts of the intervention.
2019
Journal Article
Feasibility and Acceptability of a Mobile Messaging Program Within a Church-Based Healthy Living Intervention for African Americans and Latinos
This study explores the feasibility of using text messaging to send healthy eating and active living messages to congregants from churches whose membership were predominantly AA or Latino that participated in an intervention to address obesity.
Oct 15, 2019
Journal Article
Clinical Scenarios for Which Spinal Mobilization and Manipulation Are Considered by an Expert Panel to Be Inappropriate (and Appropriate) for Patients With Chronic Low Back Pain
This study used the RUAM to determine the appropriateness of spinal mobilization and manipulation for different types of patients with CLBP, and the key patient characteristics associated with appropriateness.
Jun 10, 2019
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part I
In this series of articles, we describe how we gathered the varied and detailed data required to achieve the following study objectives: (1) to measure the appropriateness of M/M for CLBP and CCP and (2) to determine whether patient preferences and costs affect appropriateness, and further, whether appropriateness affects outcomes.
Jun 10, 2019
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 2: What Every Researcher and Practitioner Should Know About the Health Insurance Portability and Accountability Act and Practice-based Research in the United States
In this series of articles, we describe how we gathered the varied and detailed data required to achieve the following study objectives: (1) to measure the appropriateness of M/M for CLBP and CCP and (2) to determine whether patient preferences and costs affect appropriateness, and further, whether appropriateness affects outcomes.
Jun 10, 2019
Report
Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Low Back Pain: Indications and Ratings by a Multidisciplinary Expert Panel
This report describes the results and methodology of convened panels of back pain experts who met to discuss and rate appropriateness of 450 indications for spinal manipulation and mobilization for chronic low back pain.
Jul 24, 2018
Report
Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Neck Pain: Indications and Ratings by a Multidisciplinary Expert Panel
This report describes the results and methodology of convened panels of neck pain experts who met to discuss and rate appropriateness of 186 indications for spinal manipulation and mobilization for chronic neck pain.
Jul 24, 2018
Journal Article
Retrospective Review of Comorbid Conditions in a Multidisciplinary Pediatric Weight Management Clinic
Multidisciplinary pediatric obesity clinics can help patients make healthy lifestyle choices.
Dec 7, 2017
Report
Stakeholder Perspectives on a Culture of Health: Key Findings
RAND engaged stakeholders to support development of an action framework and measurement strategy for Robert Wood Johnson's Culture of Health vision, in which "everyone in our diverse society leads healthier lives now and for generations to come."
Jan 14, 2016
Journal Article
Multidisciplinary Pediatric Obesity Clinic Via Telemedicine Within the Los Angeles Metropolitan Area: Lessons Learned
Telemedicine has been shown to be effective for rural populations, but little is reported on pediatric obesity care via telemedicine in urban settings.
Jul 28, 2015