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Table 2 Practitioner and practice response to the COVID-19 pandemic (n = 2050)

From: The impact and public health response of chiropractors to the COVID-19 pandemic: a survey across four continents

  Overall n (% yes) Australia n (% yes) Canada n (% yes) Denmark n (% yes) Hong Kong n (% yes) UK n (% yes) USA n (% yes) Others n (% yes)
Changes within practice setting in response to the COVID-19 outbreak
Increased disinfecting of treatment table/equipment* 1942 (94.7%) 270 (96.8%) 704 (97.2%) 131 (85.6%) 61 (88.4%) 447 (96.1%) 301 (91.5%) 28 (90.3%)
Increased disinfecting of high contact areas* 1934 (94.3%) 264 (94.6%) 711 (98.2%) 146 (95.4%) 57 (82.6%) 436 (92.8%) 293 (89.1%) 27 (87.1%)
Increased disinfecting/cleaning of my hands* 1920 (93.7%) 265 (95.0%) 704 (97.2%) 134 (87.6%) 69 (100%) 435 (93.5%) 289 (87.8%) 24 (77.4%)
Providing patient hand sanitiser* 1909 (93.1%) 269 (96.4%) 724 (95.0%) 144 (94.1%) 62 (89.9%) 449 (96.6%) 266 (80.9%) 31 (100%)
Social distance patient seating* 1828 (89.2%) 246 (88.2%) 690 (95.3%) 142 (92.8%) 40 (58.0%) 405 (87.1%) 277 (84.2%) 28 (90.3%)
Change spacing patient bookings* 1629 (79.5%) 186 (66.7%) 663 (91.6%) 98 (64.1%) 23 (33.3%) 416 (89.5%) 223 (67.8%) 20 (64.5%)
Protective screen added to reception desk* 1202 (58.6%) 81 (29.0%) 549 (75.8%) 117 (76.5%) 36 (52.2%) 270 (58.1%) 134 (40.7%) 15 (48.4%)
Care restricted to urgent/emergency cases* 805 (39.3%) 67 (24.0%) 370 (46.0%) 75 (49.0%) 9 (13.0%) 202 (43.4%) 73 (22.2%) 9 (29.0%)
Patient care stopped* 764 (37.3%) 230 (17.6%) 351 (48.5%) 34 (22.2%) 1 (1.4%) 246 (52.9%) 71 (21.6%) 12 (38.7%)
None of the above 10 (0.5%) 0 (0.0%) 3 (0.4%) 0 (0.0%) 0 (0.0%) 2 (0.4%) 4 (1.2%) 1 (3.1%)
Government/regulator advice on practitioner use of personal protective equipment (PPE) in response to COVID-19 (n = 2058)
Wearing cloth/standard surgical mask* 1755 (85.3%) 188 (67.4%) 670 (92.2%) 134 (87.6%) 65 (94.2%) 407 (87.2%) 289 (80.7%) 23 (74.2%)
Wearing face and/or eye shielding* 969 (47.1%) 23 (8.2%) 82 (11.3%) 9 (5.9%) 31 (44.9%) 82 (17.6%) 66 (19.9%) 8 (25.8%)
Wearing new disposable gloves during treatment* 723 (35.1%) 44 (15.8%) 90 (12.4%) 3 (2.0%) 50 (72.5%) 440 (94.2%) 88 (26.5%) 8 (25.8%)
Wearing protective garments/clothing* 673 (32.7%) 15 (5.4%) 180 (24.8%) 0 (0.0%) 10 (14.5%) 427 (91.4%) 39 (11.7%) 2 (6.5%)
Wearing N95 respirator/mask* 301 (14.6%) 23 (8.2%) 82 (11.3%) 9 (5.9%) 31 (44.9%) 82 (17.6%) 66 (19.9%) 8 (25.8%)
None of the above were advised* 86 (4.1%) 46 (16.5%) 15 (2.1%) 2 (2.9%) 2 (2.9%) 5 (1.1%) 12 (14.1%) 23 (74.2%)
Not sure what was advised* 61 (3.0%) 23 (13.6%) 8 (1.1%) 1 (0.7%) 1 (1.4%) 8 (1.7%) 19 (5.7%) 1 (3.2%)
Implementation of advised use of personal protective equipment (PPE) for chiropractors (n = 2025)*
Yes, all that were advised (when available) 1611 (84.8%) 150 (58.8%) 603 (83.3%) 138 (91.4%) 64 (97.0%) 405 (86.9%) 233 (70.2%) 18 (58.1%)
Yes, some of what was advised 253 (12.9%) 40 (15.8%) 93 (12.8%) 10 (6.6%) 1 (1.5%) 48 (10.3%) 55 (16.6%) 6 (19.4%)
Never or rarely 161 (2.3%) 65 (25.5%) 28 (3.9%) 3 (2.0%) 1 (1.5%) 13 (2.8%) 44 (13.3%) 7 (22.6%)
Government/regulator advice on patient use of personal protective equipment (PPE) in response to COVID-19 (n = 2057)
Wearing cloth/standard surgical mask* 1697 (82.5%) 160 (57.8%) 649 (89.3%) 135 (88.2%) 66 (97.1%) 380 (81.4%) 286 (85.9%) 21 (65.6%)
Wearing face and/or eye shielding* 189 (9.2%) 11 (4.0%) 35 (4.8%) 34 (22.2%) 42 (60.9%) 37 (7.9%) 28 (8.4%) 2 (6.3%)
Wearing an N95 respirator/mask* 119 (5.8%) 10 (3.6%) 23 (3.2%) 6 (3.9%) 31 (44.9%) 18 (3.9%) 29 (8.7%) 2 (6.3%)
Wearing new disposable gloves during treatment * 114 (5.5%) 2 (0.7%) 14 (1.9%) 0 (0.0%) 41 (59.4%) 42 (9.0%) 11 (3.3%) 4 (3.5%)
Wearing protective garments/clothing 61 (3.0%) 0.0 (0.0%) 17 (2.3%) 0 (0.0%) 3 (4.3%) 38 (8.1%) 3 (0.9%) 0 (0.0%)
None of the above were advised* 209 (10.2%) 76 (27.3%) 54 (7.4%) 7 (4.6%) 2 (2.9%) 48 (10.3%) 14 (4.2%) 8 (25.0%)
Not sure what was advised* 94 (4.6%) 32 (11.5%) 12 (1.7%) 1 (0.7%) 1 (1.4%) 23 (4.9%) 24 (7.2%) 1 (3.1%)
Implementation of advised use of personal protective equipment (PPE) for patients (n = 2016)*
Yes, all that were advised (when available) 1524 (75.6%) 128 (52.2%) 597 (82.2%) 138 (91.4%) 64 (95.5%) 350 (75.6%) 230 (69.1%) 17 (54.8%)
Yes, some of what was advised 165 (8.2%) 24 (9.8%) 51(7.0%) 5 (3.3%) 2 (3.0%) 32 (19.4%) 47 (14.1%) 17 (54.8%)
Never or rarely 327 (16.2%) 93 (38.1%) 78 (10.7%) 8 (5.3%) 1 (0.3%) 82 (24.8%) 56 (16.8%) 10 (32.3%)
Approach to care recommended for patients presenting with COVID-19 or similar flu-like symptoms (n = 2056)*
Avoid treatment until after testing -ve or after quarantine for at least 2 weeks if + ve 1698 (82.6%) 239 (86.3%) 612 (84.4%) 111 (72.5%) 60 (87.0%) 414 (88.7%) 238 (71.5%) 24 (75.0%)
Advise to avoid treatment until after their symptoms passed 237 (11.5%) 20 (7.2%) 87 (12.0%) 37 (24.2%) 3 (4.3%) 40 (8.6%) 45 (13.5%) 5 (15.6%)
Provide treatment using additional protective measures 90 (4.4%) 16 (5.8%) 19 (2.6%) 4 (2.6%) 4 (5.8%) 8 (1.7%) 39 (11.4%) 1 (3.1%)
Provide treatment without additional protective measures 19 (0.9%) 1 (0.4%) 4 (0.6%) 0 (0.0%) 2 (2.9%) 4 (0.9%) 7 (2.1%) 1 (3.1%)
Not sure what to do 12 (0.6%) 1 (0.4%) 3 (0.4%) 1 (0.7%) 0 (0.0%) 1 (0.2%) 5 (1.5%) 1 (3.1%)
Use of teleconferencing/telehealth before the COVID-19 outbreak began (n = 2051)*
Yes 107 (5.2%) 12 (4.3%) 20 (2.8%) 9 (5.9%) 2 (1.9%) 35 (7.5%) 28 (8.4%) 1 (3.2%)
Use of teleconferencing/telehealth since the COVID-19 outbreak began (n = 1947)*
Yes 515 (26.5%) 33 (12.4%) 176 (25.0%) 24 (16.7%) 1 (1.5%) 196 (45.4%) 76 (25.0%) 9 (29.0%)
Percentage of patient consultations provided through teleconferencing during the peak of the COVID-19 outbreak (n = 621)*
More than 75% 157 (25.2%) 3 (6.7%) 39 (20.0%) 4 (12.1%) 1 (33.3%) 35 (7.5%) 28 (8.4%) 2 (20.0%)
Between 50–75% 19 (2.9%) 1 (5.6%) 5 (2.8%) 0 (0.0%) 0 (0.0%) 7 (3.0%) 5 (4.8%) 0 (0.0%)
Between 25–50% 29 (4.7%) 2 (4.4%) 7 (3.6%) 2 (6.1%) 1 (33.3%) 8 (3.5%) 9 (8.7%) 0 (0.0%)
Between 1–25% 263 (42.4%) 34 (75.6%) 105 (53.8%) 23 (69.7%) 1 (33.3%) 52 (22.5%) 45 (43.3%) 3 (30.0%)
Not in practise during peak 154 (24.8%) 5 (11.1%) 39 (20.0%) 4 (12.1%) 0 (0.0%) 84 (36.4%) 17 (16.3%) 5 (50.0%)
A lack of third-party financial funding as barrier to the use of teleconferencing during COVID-19 (n = 2042)*
No 1154 (56.6%) 160 (57.8%) 468 (65.3%) 129 (84.9%) 52 (75.4%) 156 (33.5%) 174 (52.7%) 15 (46.9%)
Yes 328 (16.1%) 56 (20.2%) 113 (15.8%) 14 (9.2%) 4 (5.8%) 48 (10.3%) 90 (27.4%) 3 (9.4%)
Not relevant (all care is fully patient funded) 560 (20.6%) 61 (10.9%) 136 (19.0%) 9 (5.9%) 13 (18.8%) 261 (56.1%) 66 (20.0%) 14 (43.3%)
Independent guidelines needed for public health procedures for manual therapy practitioners (n = 2053)*
No, same guidelines for all healthcare practitioners 936 (45.6%) 103 (37.1%) 332 (45.8%) 88 (58.3%) 51 (75.0%) 176 (37.7%) 175 (52.7%) 11 (34.4%)
Yes 848 (41.3%) 138 (49.6%) 276 (38.1%) 51 (33.8%) 15 (22.1%) 240 (51.4%) 113 (34.0%) 15 (46.9%)
Unsure 269 (13.1%) 37 (13.3%) 117 (16.1%) 12 (7.9%) 2 (2.9%) 51 (10.9%) 44 (13.3%) 6 (18.8%)
  1. Some items with missing data ranging from 1 to 11 respondents, *P < 0.001