PROTOCOL: THE IMPACT OF ACTIVITY GOAL SETTING ON PAIN/DISABILITY RATINGS OF OLDER VETERANS RECEIVING CHIROPRACTIC CARE FOR LOW BACK PAIN

Main Article Content

Casey Rogers
Madeleine Hackney
Lisa Zubkoff
Katharina Echt

Keywords

Patient Goals, Chronic Low Back Pain, Geriatrics, Veterans Health

Abstract

Objective: There is no literature addressing the impact chiropractic services have on older adults achieving individualized specific goals throughout a course of care for chronic low back pain. This study will explore the effect of setting a self-determined, “what matters most” activity/goal of rehabilitation care with relevant activities as part of standard chiropractic care on the self-rated pain and disability of older Veterans.


Methods: Participants will be randomized into 2 groups. The first is an experimental group where participants will identify a goal and receive standard chiropractic care. The second will be a control group that receives standard chiropractic care only. Participants will receive 6 sessions of care.


Results: Outcome assessment tools, including an individualized goal setting measurement tool will be utilized at pre, post, and 6-week follow-up for both groups as primary measures. Relationships between clinical and demographic patient characteristics such as age, sex, and comorbid conditions will be explored with correlation regression as secondary measures.


Conclusion: The results of this pilot may aid in recognizing the value of employing patient-priorities/“what matters most” goal-setting as a means of amplifying the effect of chiropractic services on return to self-identified goals or activities that impact the quality of life among older Veterans.

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