Joel Alcantara, DC, Andrew Whetten, MS, Jeanne Ohm, DC, and Joey Alcantara
Objective: To determine changes in patients’ global physical health (GPH) and global mental health (GMH) following a course of chiropractic care.
Methods: In addition to socio-demographic data and clinical covariates (i.e., motivation for care), baseline and comparative GPH and GMH were measured using the PROMIS global health survey. Statistical analysis utilized a bootstrap paired t-test with a linear mixed model approach with practitioner as random blocking factor to examine the effects of a number of covariates.
Results: A convenience sample of 1419 responders (1060 females; mean age =40.96 years) comprised our study population. The mean number of visits between measures was 4.15 (SD=4.24). Baseline/comparative scores were: GPH (49.52/50.73) and GMH: 50/52.41. The observed mean for the GPH bootstrap sample had a difference of 1.117 (95% CI:0.88, 1.405) with p=0.0071. The observed mean for the GMH bootstrap sample had a difference of 1.453 (95% CI: 1.122, 1.751) with p=0.0128. Increases in GPH and GMH were statistically significant. We found minimal evidence (p>0.05) that covariates (i.e., age, gender, educational level and motivation for care) played a role in the observed improvement in QoL.
Conclusion: The quality of life of patients improved with a course of chiropractic care.
Presented at ACC-RAC 2019: Baltimore, MD 14-16, 2019