This report is one of two reports derived from this cross-sectional survey, the other report addresses the quantitative aspects of the survey, further details as to the design and dissemination of the survey can be found in this report. Potential participants were provided with information about the study prior to recruitment and were informed that submitting the completed survey would constitute consent to participate.
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Requests to complete the survey were sent via email by the UK national registration body, the General Chiropractic Council (GCC) as well as national member associations (British Chiropractic Association (BCA), McTimoney Chiropractic Association (MCA), United Chiropractic Association (UCA), and Scottish Chiropractic Association (SCA)). The aim of this nested qualitative work was to explore the perceptions, views and perspectives of chiropractors who had not adopted RCs as a method of consulting during the pandemic, and to understand potential perceived barriers to their wider implementation in UK chiropractic practice following the COVID-19 pandemic.Īn online national cross-sectional survey was sent to all registered practicing chiropractors in the UK in May 2020 (n = 3131).
Whilst two thirds of the 534 survey respondents reported adopting or planning to adopt a form of RC during the pandemic, a third had no plans to implement RCs in their practice. The cross-sectional survey, developed and administered by MS, JF, and DN was designed to evaluate the frequency and pattern of use of RCs by the UK chiropractic profession during the pandemic, and to explore attitudes to their wider use in chiropractic healthcare provision. The use of RCs pre, during, and post the COVID-19 pandemic and the views of chiropractors towards RCs were explored in a survey distributed to all registered UK practicing chiropractors. Like those from other countries, some UK chiropractors turned to RCs to continue to support their patients when face-to-face care was no longer an option.
The self-evident benefits of RCs in the presence of a viral pandemic such as COVID-19 is that they remove the risk of transmission of infection and allow for clinical encounters when patient or care giver are unable to travel to attend a clinical setting. In response to the pandemic and in line with government guidelines, some UK national chiropractic organisations issued statements recommending the pause of face-to-face consultations in March 2020.
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SARS-CoV-2 virus particles are spread more easily in indoor settings due to poorer ventilation, close range distances of less than 1 m, and through direct contact all of which are common features of the clinical setting and interventions that manual therapy clinicians work within and provide. The start of the global COVID-19 pandemic in 2020 posed a challenge to provision of healthcare due to the way in which the SARS-CoV-2 virus is transmitted, especially for clinicians who provide manual therapy which is close-contact by nature. Problems reported with RCs include technical issues, perceptions around clinically inadvisability, provision of impersonal care, and potentially creating barriers to the development of a good clinician-patient relationship. They are felt to bring potential benefits in access to healthcare, reduced travel time, reduced non-attendance, increased patients’ self-awareness, ability to self-manage and lower costs. These digital approaches in healthcare have experienced a slow but steady growth over the past two decades. One form of telehealth, virtual or remote consultations (RCs), allows healthcare providers to communicate with patients remotely, via voice and/or video. Telehealth is the use of electronic and telecommunication technologies for providing patient care. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.