Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study

Am J Public Health. 2002 Oct;92(10):1628-33. doi: 10.2105/ajph.92.10.1628.

Abstract

Objectives: This study examined the difference in satisfaction between patients assigned to chiropractic vs medical care for treatment of low back pain in a managed care organization.

Methods: Satisfaction scores (on a 10-50 scale) after 4 weeks of follow-up were compared among 672 patients randomized to receive medical or chiropractic care.

Results: The mean satisfaction score for chiropractic patients was greater than the score for medical patients (crude difference = 5.5; 95% confidence interval = 4.5, 6.5). Self-care advice and explanation of treatment predicted satisfaction and reduced the estimated difference between chiropractic and medical patients' satisfaction.

Conclusions: Communication of advice and information to patients with low back pain increases their satisfaction with providers and accounts for much of the difference between chiropractic and medical patients' satisfaction.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • California
  • Chiropractic*
  • Combined Modality Therapy
  • Family Practice*
  • Humans
  • Linear Models
  • Low Back Pain / therapy*
  • Managed Care Programs
  • Middle Aged
  • Patient Education as Topic
  • Patient Satisfaction / statistics & numerical data*
  • Physical Therapy Modalities*
  • Self Efficacy
  • Surveys and Questionnaires