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Do chiropractic college faculty understand informed consent? A pilot study.
The Palmer Center for Chiropractic Research is located on Palmer’s Davenport campus in the William and Jo Harris Building.
Palmer Center for Chiropractic Research sign

AUTHORS: Dana Lawrence, D.C.; Maria Hondras, D.C., M.P.H. 

Whenever researchers use humans in their studies, ethical issues must be addressed. We understand that the participant must give free informed consent to participate, yet the legalities of this can be misunderstood by even experienced researchers. In order to help fashion better understanding of the intricacies, we are conducting a survey of all full-time faculty at Palmer’s Davenport campus. The survey asks the respondent to select from three possible courses of action for four research-related scenarios. In addition, the respondent indicates which department he or she works for, as well as years of service. Each faculty member is provided an opportunity to offer specific comments if any explanation is needed.

A study of electromyographic (EMG) response to Activator treatment.

AUTHORS: James DeVocht, D.C., Ph.D.; Robert Rowell, D.C.; Edward Owens, D.C., M.S. 

This study will develop a better understanding of the physiological mechanisms evoked by chiropractic manipulation for back pain. It seeks to quantify change, after a chiropractic treatment using the Activator method protocol, in muscle activity in areas with initially elevated activity levels. This is done by attaching surface EMG electrodes to the paraspinal muscles over the lumbar region. Angular movement and EMG data will be taken while each patient stands and goes to full flexion to capture the flexion-relaxation phenomenon. EMG activity will be monitored for 15 seconds while the participant rests in the prone position. Two five-minute segments follow, randomly assigned to either treatment or continued rest, with 15 seconds of EMG taken after each segment. After those two segments, there will be two 10-minute segments with 15 seconds of EMG after the end of each treatment to monitor the stability of any changes from the treatment.

Barriers and opportunities to the implementation of best practice recommendations: report of a focus group

AUTHORS: Dana Lawrence D.C.; Judith Polipnick M.S., D.C., Ph.D.; Ilke Schwarz, D.C.; William Meeker, D.C., M.P.H.; Marc Micozzi, M.D., Ph.D. 

As part of a larger project investigating development of best practice recommendations for the use of spinal manipulation for low back pain, we conducted a focus group to investigate stakeholder and practitioner concerns regarding best practice statements. In the focus group, the primary inclusion criterion is that the individual serves in a leadership position in a specific area, including: policy, research, academia, academic administration, insurance, or managed care. The narratives from the focus group provide the primary source data for the study. Participants were selected using a purposive sampling strategy. Participants first completed a demographic questionnaire and provided a written response about what they hoped to get from the meeting. They were then asked a list of semi-structured interview questions to ensure consistency in the data collection process. Transcripts were developed from the audio recordings. Content analysis of the focus group transcripts will be performed to identify key themes and concepts, using categories of narratives.

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