Table 1 Classification for treatment and advice on work, activity and bed rest offered at this visit described in the vignette
Question | Vignette | Response option on questionnaire | Authors classification of response |
|---|---|---|---|
Treatment offered at this visit | Vignette 1 and 3 | No intervention or chiropractic adjustment | Strictly in line with guideline recommendations |
|  |  | No intervention or chiropractic adjustment + one other treatment option | Broadly in line with the guideline recommendations |
| Â | Â | 2 treatment options other than no intervention or chiropractic adjustment | Not in line with the guideline recommendations |
| Â | Vignette 2 | No intervention or chiropractic adjustment and/or exercise | Strictly in line with guideline recommendations |
|  |  | No intervention or chiropractic adjustment and/or exercise + one other treatment option | Broadly in line with the guideline recommendations |
| Â | Â | 2 treatment options other than no intervention chiropractic adjustment and/or exercise | Not in line with the guideline recommendations |
| Â | Vignette 4, 5 and 6 | No intervention or chiropractic adjustment, exercise and/or psychosocial evaluation | Strictly in line with guideline recommendations |
|  |  | No intervention or chiropractic adjustment, exercise and/or psychosocial evaluation + one other treatment option | Broadly in line with the guideline recommendations |
| Â | Â | 2 treatment options other than no intervention or chiropractic adjustment, exercise and/or psychosocial evaluation | Not in line with the guideline recommendations |
Advice to return to work | All vignettes | Return to normal work | Strictly in line with guideline recommendations |
| Â | Â | Return to part time or light duties | Broadly in line with guideline recommendations |
| Â | Â | Be off work for a further...weeks (stating number of weeks) | Not in line with guideline recommendations |
| Â | Â | Be off work until pain has improved | Not in line with guideline recommendations |
| Â | Â | Be off work until pain has completely disappeared | Not in line with guideline recommendations |
Advice to bed rest | All vignettes | Avoid resting in bed entirely | Strictly in line with guideline recommendations |
| Â | Â | Avoid resting in bed as much as possible | Broadly in line with guideline recommendations |
| Â | Â | Rest in bed only when pain is severe | Â |
| Â | Â | Rest in bed until pain improves substantially | Not in line with guideline recommendations |
| Â | Â | Rest in bed until pain disappears | Not in line with guideline recommendations |
Advice to stay active | All vignettes | Perform usual activities | Strictly in line with guideline recommendations |
|  |  | Perform activities within the patient’s tolerance | Broadly in line with guideline recommendations |
| Â | Â | Perform only pain free activities | Not in line with guideline recommendations |
| Â | Â | Limit all physical activities until pain disappears | Not in line with guideline recommendations |