2025
The Impact of Chiropractic Care on Opioid Prescriptions in Veterans Health Administration Patients Receiving Low Back Pain Care
Lisi A, Bastian L, Brandt C, Coleman B, Fenton B, King J, Goulet J. The Impact of Chiropractic Care on Opioid Prescriptions in Veterans Health Administration Patients Receiving Low Back Pain Care. Journal Of General Internal Medicine 2025, 1-9. PMID: 40394439, DOI: 10.1007/s11606-025-09556-w.Peer-Reviewed Original ResearchLow back painPrimary care providersVeterans Health AdministrationChiropractic careOpioid prescriptionsCare usersLow back pain careLow back pain visitsVA primary care providersElectronic health record dataVeterans Health Administration patientsBack pain careDesignCross-sectional analysisHealth record dataReceipt of opioid prescriptionsPain careCare providersPropensity-matched sampleFollow-upBack painHealthcare servicesVHA patientsHealth AdministrationVA patientsPotential confoundersAn exploration of trauma-informed care curricula in chiropractic programs: A scoping document analysis protocol
Bensel V, Cupler Z, Poppen O, Joyce J, Allgeier M, Wiles M, Driscoll M, Carbonelli-Cloutier K, Coleman B. An exploration of trauma-informed care curricula in chiropractic programs: A scoping document analysis protocol. PLOS ONE 2025, 20: e0321498. PMID: 40343894, PMCID: PMC12063856, DOI: 10.1371/journal.pone.0321498.Peer-Reviewed Original ResearchConceptsDoctor of chiropractic programTrauma-informed careChiropractic educationChiropractic programsTrauma-informed care trainingTrauma-informed care curriculumRisk of re-traumatizationSubstance Abuse and Mental Health Services AdministrationMental Health Services AdministrationSignificant public health issueHealth Services AdministrationPublic health issueChiropractic careChiropractic trainingImprove patient outcomesEnhance careCare curriculumHealthcare deliveryHealthcare settingsPhysical healthTrauma-exposed patientsServices AdministrationHealth issuesData extractionUnited StatesIdentifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis
Coleman B, Corcoran K, Brandt C, Goulet J, Luther S, Lisi A. Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis. JMIR Medical Informatics 2025, 13: e66466. PMID: 40173367, PMCID: PMC12038758, DOI: 10.2196/66466.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresVeterans Health AdministrationChiropractic careNatural language processingPROM useNatural language processing approachCare quality dataCare quality metricsHealth care systemText notesText matchingClinical textHealth cohortVisit notesCare systemHealth AdministrationNatural language processing modelsMeasure documentationBag-of-wordsConvolutional neural networkOutcome measuresQuality improvementCareRule-based methodClinical notesComplementary and integrative health approaches used for pain management by U.S. adults with chronic fatigue syndrome/myalgic encephalomyelitis: Findings from the 2022 National Health Interview Survey
Adamowicz J, Sirotiak Z, Thomas E, Lund B, Hadlandsmyth K, Driscoll M. Complementary and integrative health approaches used for pain management by U.S. adults with chronic fatigue syndrome/myalgic encephalomyelitis: Findings from the 2022 National Health Interview Survey. European Journal Of Integrative Medicine 2025, 75: 102443. DOI: 10.1016/j.eujim.2025.102443.Peer-Reviewed Original ResearchIntegrative health approachesHealth approachChronic fatigue syndrome/myalgic encephalomyelitisPain-relatedDepressive symptomsNational Health Interview Survey dataU.S. National Health Interview Survey dataPain managementHealth Interview Survey dataNational Health Interview SurveyIntegrative health modalityRao-Scott chi-square testsHealth Interview SurveyInterview Survey dataChiropractic careHealth modalitiesInterview SurveySurvey weightsChi-square testU.S. adultsRao-ScottExperience painAssociated with usageHealth useCFS/MEForecasting the use of chiropractic services within the Veterans Health Administration.
Bensel V, Corcoran K, Lisi A. Forecasting the use of chiropractic services within the Veterans Health Administration. PLOS ONE 2025, 20: e0316924. PMID: 39804852, PMCID: PMC11729958, DOI: 10.1371/journal.pone.0316924.Peer-Reviewed Original ResearchConceptsCommunity Care NetworkVeterans Health AdministrationChiropractic servicesHealth AdministrationFiscal yearVA chiropractic servicesVA Corporate Data WarehouseCorporate Data WarehouseCross-sectional analysisChiropractic careVA usersCare networkHealthcare usersCareOverall useCompound annual growth rateUse ratesResource needsVeteransUse dataServicesIncreased useUseYearsData warehouse
2024
The impact of chiropractic care on prescription opioid use for non-cancer spine pain: protocol for a systematic review and meta-analysis
Emary P, Corcoran K, Coleman B, Brown A, Ciraco C, DiDonato J, Wang L, Couban R, Sud A, Busse J. The impact of chiropractic care on prescription opioid use for non-cancer spine pain: protocol for a systematic review and meta-analysis. Systematic Reviews 2024, 13: 232. PMID: 39267131, PMCID: PMC11394937, DOI: 10.1186/s13643-024-02654-6.Peer-Reviewed Original ResearchConceptsChiropractic careSpine painRandomized Controlled TrialsPrescription opioid useOdds ratioConfidence intervalsHazard ratioSystematic reviewAssociated with lower oddsHealth care providersObservational studyPairs of reviewersPrescription opioidsRisk-of-bias assessmentOpioid useCertainty of evidencePeer-reviewed publicationsChiropractic LiteratureChiropractic servicesRandom-effects modelCare providersWeb of ScienceMusculoskeletal painSources of heterogeneityDiscussionOur reviewIntegrating Chiropractic Care and Tai Chi Training for the Treatment of Chronic Nonspecific Neck Pain in Nurses: A Single-Arm Mixed-Methods Pilot Trial
Burton W, Wayne P, Litrownik D, Long C, Vining R, Rist P, Kilgore K, Lisi A, Kowalski M. Integrating Chiropractic Care and Tai Chi Training for the Treatment of Chronic Nonspecific Neck Pain in Nurses: A Single-Arm Mixed-Methods Pilot Trial. Journal Of Alternative And Complementary Medicine 2024, 30: 1189-1199. PMID: 39169834, PMCID: PMC11659466, DOI: 10.1089/jicm.2024.0043.Peer-Reviewed Original ResearchChronic nonspecific neck painMultimodal chiropractic careNonspecific neck painTai ChiNeck painChiropractic careTreatment of chronic nonspecific neck painBaseline to 16-week follow-upTai Chi trainingDisability-related outcomesHealth care workersDecreased job satisfactionManual therapyTC interventionImprove postureFeasibility outcomesTC classesNursesMultiple painsAdherence ratesCare workersQualitative feedbackEmergent themesQualitative interviewsWork-related performanceThe World Federation of Chiropractic Global Patient Safety Task Force: a call to action
Coleman B, Rubinstein S, Salsbury S, Swain M, Brown R, Pohlman K. The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. Chiropractic & Manual Therapies 2024, 32: 15. PMID: 38741191, PMCID: PMC11092090, DOI: 10.1186/s12998-024-00536-1.Commentaries, Editorials and LettersConceptsWorld Federation of ChiropracticChiropractic professionSafety Task ForcePatient safetyWorld Health OrganizationTask ForcePatient safety competencyPatient safety culturePatient safety proceduresImprove patient safetyAction planChiropractic careChiropractic communitySafety competenciesWorld FederationFamily engagementSafety cultureClinical interactionsTraining programAction stepsHealth OrganizationHealthcareSystemic obstaclesProfessionChiropractic
2023
P68. The impact of chiropractic care on opioid prescriptions in Veterans Health Administration patients receiving care for low back conditions
Lisi A. P68. The impact of chiropractic care on opioid prescriptions in Veterans Health Administration patients receiving care for low back conditions. The Spine Journal 2023, 23: s140. DOI: 10.1016/j.spinee.2023.06.293.Peer-Reviewed Original ResearchVeterans Health Administration patientsOpioid prescriptionsChiropractic careNumerical rating scaleIncident visitsLB diagnosisPropensity scoreIndex visitHazard ratioChiropractic visitsPrimary carePain intensity numerical rating scaleFunctional Comorbidity Index scoresNon-pharmacological treatment optionsCox proportional hazards regressionFirst opioid prescriptionOpioid-sparing strategiesReceipt of opioidsComorbidity Index scoreCharacteristics of patientsFirst-line therapyPrimary care clinicsProportional hazards regressionElectronic health record dataMental health diagnosesEvaluating rates of chiropractic use and utilization by patient sex within the United States Veterans Health Administration: a serial cross-sectional analysis
Graham S, Coleman B, Zhao X, Lisi A. Evaluating rates of chiropractic use and utilization by patient sex within the United States Veterans Health Administration: a serial cross-sectional analysis. Chiropractic & Manual Therapies 2023, 31: 29. PMID: 37563677, PMCID: PMC10416500, DOI: 10.1186/s12998-023-00497-x.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationUnited States Veterans Health AdministrationSerial cross-sectional analysisChiropractic careVHA facilitiesChiropractic clinicCross-sectional analysisChiropractic visitsChiropractic useHealth AdministrationChiropractic servicesProportion of patientsElectronic health record dataNumber of patientsHealth record dataHealthcare usersUS healthcare systemCare visitsChiropractic patientsOverall patientsRate of useTotal patientsVHA patientsCare utilizationPatient sexExtracting Pain Care Quality Indicators from U.S. Veterans Health Administration Chiropractic Care Using Natural Language Processing
Coleman B, Finch D, Wang R, Luther S, Heapy A, Brandt C, Lisi A. Extracting Pain Care Quality Indicators from U.S. Veterans Health Administration Chiropractic Care Using Natural Language Processing. Applied Clinical Informatics 2023, 14: 600-608. PMID: 37164327, PMCID: PMC10411229, DOI: 10.1055/a-2091-1162.Peer-Reviewed Original ResearchConceptsCare quality indicatorsVeterans Health AdministrationVisit typePain assessmentChiropractic careConsultation visitCare qualityClinic visit typePain care qualityComprehensive pain assessmentWomen Veterans Cohort StudyCare visitsCohort studyMusculoskeletal painManagement visitsVisit notesHealth AdministrationConsultation notesChiropractic servicesVisitsQuality indicatorsMean numberTreatment planningPatientsDescriptive statistics
2022
Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis
Roytman G, Cheung K, Bathulapalli H, Goertz C, Long C, Lisi A. Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis. Journal Of Manipulative And Physiological Therapeutics 2022, 45: 615-622. PMID: 37294219, PMCID: PMC10254439, DOI: 10.1016/j.jmpt.2023.04.002.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationCharlson Comorbidity IndexTelehealth visitsCross-sectional analysisComorbidity indexPatient characteristicsChiropractic careHealth AdministrationUS Veterans Health AdministrationRetrospective cross-sectional analysisCOVID-19 pandemicMarital statusNon-white raceYears of ageChiropractic patientsVHA patientsUnique patientsMusculoskeletal complaintsMusculoskeletal conditionsVisit typeMultinomial logistic regressionPatientsLatino ethnicityLogistic regressionVisitsAssociation Between Exposure to Complementary and Integrative Therapies and Opioid Analgesic Daily Dose Among Patients on Long-term Opioid Therapy
Black AC, Zeliadt SB, Kerns RD, Skanderson M, Wang R, Gelman H, Douglas JH, Becker WC. Association Between Exposure to Complementary and Integrative Therapies and Opioid Analgesic Daily Dose Among Patients on Long-term Opioid Therapy. The Clinical Journal Of Pain 2022, 38: 405-409. PMID: 35440528, DOI: 10.1097/ajp.0000000000001039.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyMorphine equivalent daily doseVeterans Health AdministrationDaily doseCIH exposureOpioid doseOpioid therapyWhole health systemCIH useVHA electronic health recordsIntegrative health modalitiesOpioid analgesic doseMean starting doseMental health diagnosesElectronic health recordsAnalgesic doseCIH therapiesNonopioid treatmentCohort entryOpioid taperingStarting doseAdverse eventsPain intensityChiropractic careVHA facilitiesCharacteristics and productivity of the chiropractic workforce of the Veterans Health Administration
Corcoran KL, Peterson DR, Zhao X, Moran EA, Lisi AJ. Characteristics and productivity of the chiropractic workforce of the Veterans Health Administration. Chiropractic & Manual Therapies 2022, 30: 18. PMID: 35410303, PMCID: PMC8996387, DOI: 10.1186/s12998-022-00429-1.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationTotal work relative value unitsHealth AdministrationChiropractic workforceWork relative value unitsUnited States Veterans Health AdministrationFull-time equivalentsCharacteristics of chiropractorsVHA administrative dataHealthcare systemMultivariable regression modelsClinical full-time equivalentChiropractic careClinical productivityVHA facilitiesVHA's experienceCare deliveryOlder ageChiropractorsRelative value unitsFiscal year 2016Administrative dataAdministrationThe rate of use of Veterans Affairs chiropractic care: a 5-year analysis
Burdick R, Corcoran KL, Zhao X, Lisi A. The rate of use of Veterans Affairs chiropractic care: a 5-year analysis. Chiropractic & Manual Therapies 2022, 30: 4. PMID: 35062971, PMCID: PMC8781440, DOI: 10.1186/s12998-022-00413-9.Peer-Reviewed Original ResearchConceptsChiropractic careCorporate Data WarehouseChiropractic useVA facilitiesVeterans AffairsChiropractic servicesVeteran populationVA Corporate Data WarehouseFacility characteristicsCommunity care useMethodsCross-sectional analysisVA chiropractic servicesNon-pharmacologic treatmentsCommunity care providersCare delivery mechanismsUnique veteransRate of useMusculoskeletal conditionsCare useSite careHigh prevalenceCare providersVeterans' useChiropractic workforceUS populationNon-pharmacological Treatment for Chronic Pain in US Veterans Treated Within the Veterans Health Administration: Implications for Expansion in US Healthcare Systems
Mannes Z, Stohl M, Fink D, Olfson M, Keyes K, Martins S, Gradus J, Saxon A, Maynard C, Livne O, Gutkind S, Hasin D. Non-pharmacological Treatment for Chronic Pain in US Veterans Treated Within the Veterans Health Administration: Implications for Expansion in US Healthcare Systems. Journal Of General Internal Medicine 2022, 37: 3937-3946. PMID: 35048300, PMCID: PMC8769678, DOI: 10.1007/s11606-021-07370-8.Peer-Reviewed Original ResearchConceptsNon-pharmacological treatment modalitiesVeterans Health AdministrationVeterans Health Administration patientsVeterans Health Administration's HealthcareUS healthcare systemNon-VHA veteransHealthcare systemChronic painHealth AdministrationUS veteransVeterans Health Administration policyNational Health Interview SurveyVeterans Health Administration treatmentHealth Interview SurveyIntegrated healthcare systemMedical care settingsPhysical health indicatorsAssociated with greater likelihoodSymptoms of depressionNon-pharmacological treatmentChiropractic careResultsChronic painChronic pain treatmentCare settingsInterview Survey
2021
Characteristics and Practice Patterns of U.S. Veterans Health Administration Doctors of Chiropractic: A Cross-sectional Survey
Halloran SM, Coleman BC, Kawecki T, Long CR, Goertz C, Lisi AJ. Characteristics and Practice Patterns of U.S. Veterans Health Administration Doctors of Chiropractic: A Cross-sectional Survey. Journal Of Manipulative And Physiological Therapeutics 2021, 44: 535-545. PMID: 35282855, PMCID: PMC8959397, DOI: 10.1016/j.jmpt.2021.12.005.Peer-Reviewed Original ResearchConceptsCross-sectional surveyCurrent clinical practice guidelinesIntegrated health care systemFlexion-distraction techniqueNew patient consultationsSelf-management adviceClinical practice guidelinesPrimary care providersPhysical medicine departmentLow back conditionsHealth care systemMyofascial therapyChiropractic careMean ageTherapeutic exercisePatient referralPractice patternsPractice guidelinesPractice parametersCare providersClinical careMedicine departmentPeer-reviewed publicationsTreatment approachesMajority of respondentsChanges in the Use of Telehealth and Face-To-Face Chiropractic Care in the Department of Veterans Affairs Before and After the COVID-19 Pandemic
Roytman GR, Coleman BC, Corcoran KL, Goertz CM, Long CR, Lisi AJ. Changes in the Use of Telehealth and Face-To-Face Chiropractic Care in the Department of Veterans Affairs Before and After the COVID-19 Pandemic. Journal Of Manipulative And Physiological Therapeutics 2021, 44: 584-590. PMID: 35249749, PMCID: PMC8742605, DOI: 10.1016/j.jmpt.2021.12.002.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationTelehealth visitsChiropractic careMonthly visitsFace visitsCOVID-19 pandemicVHA administrative dataU.S. Veterans Health AdministrationCross-sectional studyUse of telehealthUnique patientsPre-pandemic levelsPre-pandemic phaseTelehealth useHealth AdministrationVeterans AffairsVisitsCareAdministrative dataTelehealthMonthly numberMonthsPandemicEarly stagesLow number
2020
Veteran Response to Dosage in Chiropractic Therapy (VERDICT): Study Protocol of a Pragmatic Randomized Trial for Chronic Low Back Pain
Long CR, Lisi AJ, Vining RD, Wallace RB, Salsbury SA, Shannon ZK, Halloran S, Minkalis AL, Corber L, Shekelle PG, Krebs EE, Abrams TE, Lurie JD, Goertz CM. Veteran Response to Dosage in Chiropractic Therapy (VERDICT): Study Protocol of a Pragmatic Randomized Trial for Chronic Low Back Pain. Pain Medicine 2020, 21: s37-s44. PMID: 33313732, PMCID: PMC7734654, DOI: 10.1093/pm/pnaa289.Peer-Reviewed Original ResearchConceptsChronic low back painLow back painBack painChiropractic careHealth care facilitiesCare facilitiesVeterans Affairs health care facilitiesRoland-Morris Disability QuestionnaireVeterans Affairs sitesMorris Disability QuestionnaireChronic pain managementDifferent dosing regimensPragmatic Randomized TrialNeeds of patientsPhase 1Week 52Disability QuestionnaireChiropractic visitsPain managementPrimary outcomeTreatment visitsDosing regimensNonpharmacological therapiesRandomized trialsTreatment armsExploring supervised machine learning approaches to predicting Veterans Health Administration chiropractic service utilization
Coleman BC, Fodeh S, Lisi AJ, Goulet JL, Corcoran KL, Bathulapalli H, Brandt CA. Exploring supervised machine learning approaches to predicting Veterans Health Administration chiropractic service utilization. Chiropractic & Manual Therapies 2020, 28: 47. PMID: 32680545, PMCID: PMC7368704, DOI: 10.1186/s12998-020-00335-4.Peer-Reviewed Original ResearchConceptsSpinal pain conditionsService utilizationPain conditionsChiropractic careConservative interventionsChiropractic servicesVA chiropractic servicesRetrospective cohort studyHealthcare service utilizationHealthcare cost burdenLimited clinical utilityLower healthcare costsCohort entryCohort studyDiagnosis cohortPain statusPrimary outcomeChiropractic visitsClinical featuresUS adultsClinical utilityHealthcare costsDifferent clinical populationsVisitsClinical populations
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