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Table 5 Differences in characteristics between chiropractors practising under a musculoskeletal spine-care paradigm versus subluxation-based paradigm (n = 2061; 95.1% of all respondents)

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

Characteristics

Musculoskeletal spine-care n = 1388

n (%) /mean (SD)

Subluxation-based care

n = 573

n (%) /mean (SD)

Sociodemographic characteristics

Mean age (SD) years*

46.7 ± (11.8)

49.1 ± 12.1

Years of practice (years)*

18.8 ± 11.3

21.2 ± 11.6

Degree (e.g., Master’s or PhD)*

1388 (27)

573 (22)

Practice setting characteristics

Sole Proprietor*

1386 (22)

573 (33)

Working with other chiropractors/osteopaths*

1386 (58)

573 (49)

Working with general practitioners/medical specialists#

1387 (11)

573 (7)

Working with allied health practitioners*

1386 (34)

573 (18)

Working with complementary healthcare practitioners*

1387 (55)

573 (41)

Practice setting changes in response to the outbreak

Protective screen added at the reception desk*

1384 (62)

568 (51)

Social distancing with patient seating in the reception and/or treatment area*

1384 (90)

568 (87)

Changes to the spacing of patient bookings*

1384 (82)

568 (73)

Care restricted to emergency/urgent cases only*

1384 (43)

568 (31)

Patient care was stopped*

1384 (42)

568 (25)

Knowledge of health regulator advice on chiropractors use of PPE

No necessity to wear protective clothing*

1386 (35)

573 (27)

Implementation of advised PPE use for chiropractors

Implementing some/all advised PPE for chiropractors*

1363 (94)

563 (90)

Knowledge of health regulator advice on patient use of PPE

Wearing a cloth/standard surgical mask*

1386 (84)

571 (79)

No necessity to wear an N95 respirator/mask*

1387 (95)

572 (91)

No necessity to wear face and/or eye shielding*

1387 (93)

572 (86)

No necessity to use disposable gloves* (n = vs)

1387 (96)

572 (90)

Deeming that patients do not need to use any kind of PPE*

1387 (9)

572 (14)

Implementation of advised PPE use for patients

Implementing some/all advised PPE for patients*

1352 (87)

565 (77)

Approach to patient presenting with COVID-19 or flu-like symptoms

No treatment until the patient had negative COVID-19 test results, completed the 14-day quarantine if positive, or had no more flu-like symptoms*

1385 (97)

573 (89)

Use of teleconferencing/telehealth

Before COVID-19 outbreak*

1381 (5)

571 (3)

During COVID-19 outbreak*

1308 (32)

558 (14)

Public health education

Providing public health education*

1195 (87)

421 (74)

Providing such education through their practice website*

1195 (54)

421 (44)

Providing such education through social media#

1195 (45)

421 (39)

Most trusted sources for COVID-19 information

Information from authorities (e.g., national/regional government, chiropractic associations, World Health Organization, chiropractic registration/regulation boards)*

1368 (94)

556 (84)

Support for public health independent guidelines for chiropractors

In favour of independent guidelines*

1385 (46)

570 (31)

Face-to-face treatments during the peak of COVID-19 outbreak

Decreased as compared to before the outbreak*

1385 (97)

573 (86)

Change in personal income during the peak of COVID-19 outbreak

The same or increased as compared to before the outbreak*

1332 (9)

558 (17)

Seeking financial assistance during the peak of COVID-19 outbreak

Yes*

1381 (70)

568 (59)

Anticipated changes in practice after the COVID-19 pandemic

Temporary leave from work but still employed*

1385 (53)

573 (41)

Decreased work hours/income*

1385 (32)

573 (26)

No substantial changes*

1385 (10)

573 (24)

Changes in patient care after the COVID-19 pandemic

No change*

1387 (9)

573 (27)

Increased disinfecting/cleaning of practice equipment/area*

1387 (74)

573 (56)

Greater use of PPE*

1387 (42)

573 (25)

Greater use of hand sanitiser*

1387 (63)

573 (43)

More social distancing in reception and/or treatment areas*

1387 (36%

573 (25)

More rescheduling if patients have flu-like symptoms*

1387 (59)

573 (36)

More teleconferencing/telehealth patient care*

1387 (14)

573 (5)

  1. All survey items demonstrating significant between-group differences: *P < 0.01; # P < 0.05