The features and burden of headaches within a chiropractic clinical population: A cross-sectional analysis.

Moore, C; Leaver, A; Sibbritt, D; Adams, J

The features and burden of headaches within a chiropractic clinical population: A cross-sectional analysis.

Moore, C

Leaver, A Sibbritt, D

Adams, J

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Publisher:: CHURCHILL LIVINGSTONE
Publication Type:: Journal Article
Citation:: Complementary therapies in medicine, 2020, 48
Issue Date:: 2020-01

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Field	Value	Language
dc.contributor.author	Moore, C https://orcid.org/0000-0002-7966-5229
dc.contributor.author	Leaver, A
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717
dc.date.accessioned	2020-09-25T05:39:08Z
dc.date.available	2019-12-04
dc.date.available	2020-09-25T05:39:08Z
dc.date.issued	2020-01
dc.identifier.citation	Complementary therapies in medicine, 2020, 48
dc.identifier.issn	0965-2299
dc.identifier.issn	1873-6963
dc.identifier.uri	http://hdl.handle.net/10453/142866
dc.description.abstract	OBJECTIVES:The aim of this study is to a) investigate the headache features and level of headache severity, chronicity, and disability found within a chiropractic patient population and b) to ascertain if patient satisfaction with headache management by chiropractors is associated with headache group or reason for consulting a chiropractor. DESIGN AND SETTING:Consecutive adult patients with a chief complaint of headache participated in an online cross-sectional survey (n = 224). Recruitment was via a randomly selected sample of Australian chiropractors (n = 70). Headache features were assessed using International Classification of Headache Disorders criteria and level of headache disability measured using the Headache Impact Test instrument. RESULTS:One in four participants (n = 57; 25.4%) experienced chronic headaches and 42.0% (n = 88) experienced severe headache pain. In terms of headache features, 20.5% (n = 46) and 16.5% (n = 37) of participants had discrete features of migraine and tension-type headache, respectively, while 33.0% (n = 74) had features of more than one headache type. 'Severe' levels of headache impact were most often reported in those with features of mixed headache (n = 47; 65.3%) and migraine (n = 29; 61.7%). Patients who were satisfied or very satisfied with headache management by a chiropractor were those who were seeking help with headache-related stress or to be more in control of their headaches. CONCLUSION:Many with headache who consult chiropractors have features of recurrent headaches and experience increased levels of headache disability. These findings may be important to other headache-related healthcare providers and policymakers in their endeavours to provide coordinated, safe and effective care for those with headaches.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	CHURCHILL LIVINGSTONE
dc.relation.ispartof	Complementary therapies in medicine
dc.relation.isbasedon	10.1016/j.ctim.2019.102276
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1104 Complementary and Alternative Medicine, 1701 Psychology
dc.subject.classification	Complementary & Alternative Medicine
dc.subject.mesh	Humans
dc.subject.mesh	Headache
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Manipulation, Chiropractic
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Headache
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Manipulation, Chiropractic
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Female
dc.subject.mesh	Headache
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Manipulation, Chiropractic
dc.subject.mesh	Middle Aged
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Young Adult
dc.title	The features and burden of headaches within a chiropractic clinical population: A cross-sectional analysis.
dc.type	Journal Article
utslib.citation.volume	48
utslib.location.activity	Scotland
utslib.for	1104 Complementary and Alternative Medicine
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-09-25T05:39:04Z
pubs.publication-status	Published
pubs.volume	48

Abstract:

OBJECTIVES:The aim of this study is to a) investigate the headache features and level of headache severity, chronicity, and disability found within a chiropractic patient population and b) to ascertain if patient satisfaction with headache management by chiropractors is associated with headache group or reason for consulting a chiropractor. DESIGN AND SETTING:Consecutive adult patients with a chief complaint of headache participated in an online cross-sectional survey (n = 224). Recruitment was via a randomly selected sample of Australian chiropractors (n = 70). Headache features were assessed using International Classification of Headache Disorders criteria and level of headache disability measured using the Headache Impact Test instrument. RESULTS:One in four participants (n = 57; 25.4%) experienced chronic headaches and 42.0% (n = 88) experienced severe headache pain. In terms of headache features, 20.5% (n = 46) and 16.5% (n = 37) of participants had discrete features of migraine and tension-type headache, respectively, while 33.0% (n = 74) had features of more than one headache type. 'Severe' levels of headache impact were most often reported in those with features of mixed headache (n = 47; 65.3%) and migraine (n = 29; 61.7%). Patients who were satisfied or very satisfied with headache management by a chiropractor were those who were seeking help with headache-related stress or to be more in control of their headaches. CONCLUSION:Many with headache who consult chiropractors have features of recurrent headaches and experience increased levels of headache disability. These findings may be important to other headache-related healthcare providers and policymakers in their endeavours to provide coordinated, safe and effective care for those with headaches.

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http://hdl.handle.net/10453/142866