Patient attitudes influence recovery outcome

Why do some patients recovery quickly while others are slow to improve? This question reminds me of that children’s game where “one of these things is not like the other” except in the case with patients who have similar injuries and treatment plans, spotting the differences are much more difficult. Dr. Jason Busse, chiropractic researcher at McMaster University is conducting studies that aim to better identify these variables so that it is easier to distinguish patients who are at risk of a longer recovery from those who require less intervention.Dr. Busse’s initial findings uncovered approximately 100 studies identifying dozens of varying factors that play into a patient’s recovery. These factors ranged from things such as age, patient’s education, coping mechanisms and confidence in the healthcare provider. Thirty factors from the studies consistently predicted recovery, 25 factors showed no association to recovery and 60 factors proved inconsistent or lacked evidence to support recovery prediction.Many of the factors that predict recovery were influenced by patient attitudes. The findings suggest that patient beliefs and confidence in their health play a bigger role in recovery than we initially thought. As Dr. Busse puts it “there is a real potential there is seems for the provider by how they convey their impressions to actually influence [the patient’s] prognosis.”The team at McMaster wanted to evaluate the role of patient beliefs and attitudes as a predictor to recovery outcome. A research trial followed a group of patients who required surgery to repair a broken leg, all who received standardized care. Patients were asked to complete a survey one month after surgery about their beliefs and attitudes with recovery and were followed for one year. “What we found was there were 27 items in our survey that separated out the group that had recovered and gone back to work versus the group that has not recovered” reports Dr. Busse, “and all of these variables were potentially modifiable.”This reinforces the importance of the doctor’s role in health as they have the potential to influence the attitudes and behaviours of their patients which could ultimately result in a more favourable patient recovery and sooner return to work. Theoretically, the survey could be given to patients to help gauge their risks and needs. Knowing about these factors can assist health care providers in identifying patients who may require more support with recovery than others. Early intervention with patients who are “high-risk” could ensure a more appropriate course and frequency of treatment. Care could also be better tailored for all patients, depending on their needs detected by the factors.Ultimately, a survey cannot determine how well you will recover; however, it does provide a meaningful tool to help steer health providers in the correct direction. The key is in the doctor’s interpretation of the factors and their delivery of the information to the patient. Dr. Busse’s research is yet another example of the significance of the doctor/patient relationship.

New CCGI Evidence Informed Practice Definition adopted by BCCA

The BCCA recently adopted the Canadian Chiropractic Guideline Initiative (CCGI) Definition of “Evidence Informed Practice”:“Canadian chiropractors adopt evidence-informed practice principles to guide clinical decision making by integrating their clinical expertise, patients’ preferences and values, and the best available scientific evidence.”BC’s Chiropractic Doctors are proud to support the CCGI and their mission to develop evidence-based clinical practice guidelines (CPGs) and best practice recommendations, and facilitate their dissemination and implementation within the chiropractic profession.For more information, visit the CCGI website.

Canadian Chiropractic Association Position Statement on Vaccines

The BC Chiropractic Association formally adopted the Canadian Chiropractic Association’s position statement on Vaccinations and Immunization. Vaccination is outside of the scope of practice of chiropractic and therefore, we encourage the public to seek more appropriate resources and research to obtain information on this topic.

BC Chiropractor Dr. Gerry Ramogida makes his second appearance at the Super Bowl!

Although the Seattle Seahawks were not victorious at Super Bowl XLIX in Arizona, they had a very successful season nonetheless. Part of this success can certainly be attributed to the dedicated professionals who work alongside the team to ensure these high performance athletes are in game ready condition. BC Chiropractor, Dr. Gerry Ramogida is the Hawks go-to doctor on the sidelines for musculoskeletal concerns. Whether a player has a chronic condition or simply wants to prevent an injury, Dr. Ramogida’s education as a chiropractor provides him with the expertise to treat these issues.In fact, more often than not, sports teams include a chiropractic doctor as part of the medical group. Not only do chiropractors help treat injuries that occur as a result of sport, many athletes report that chiropractic helps to elevate their performance.Congratulations to the Seattle Seahawks and Dr. Gerry Ramogida on another outstanding season. As proud 12th men and women, we look forward to cheering you on again in the fall!

Salvation Army Backpack and School Supply Drive

The BC Chiropractic Association put out a call for volunteers to help with the Salvation Army Backpack and School Supply Drive. Several chiropractic doctors responded and came out, some even with their families, to stuff backpacks full of school supplies for elementary school children. After just over an hour, the team completed over 400 bags!2013-08-01_salvation-army-bcca-volunteersThe Association sends their sincere thanks to Dr. Michael Vipond, Sharon Vipond, Dr. Jen Chen, Dr. Colin McKay, Claudia McKay, Kieran McKay, Dr. Margaret Wallace, Dr. Don Nixdorf and Michelle Da Roza for their help with this partnership.Going forward into 2013, our goal is to establish similar events throughout the province so that doctors in other communities can take part. If you would like to aid the cause but were unable to make it to this event, donations are still desperately needed. Monetary or supply donations can be made through participating Staples, Starbucks and Fitness Town locations.The British Columbia Chiropractic Association (BCCA) is once again proud to support the Salvation Army’s Backpack and School Supply Drive which runs from July 15 – September 11. Along with several other committed partners, the BCCA will help to provide over 5,000 BC elementary school students with the best possible start at an education. Backpacks filled with paper, pencils and other essentials for learning will be distributed before the start of the next school year.Help Us Help Kids: From July 15 – September 11, drop off a donation of cash or unused school supplies to participating Starbucks, Staples and Fitness Town locations. Or make a $5 donation through your phone by simply texting “GIVEBC” to 45678.What school supplies do kids need? Find a printable list at the Fitness Town website For more information on how to donate visit the Staples websitePlease help us help BC kids to get off to a great start this upcoming school year!