Summary

APPENDIX E

Appraisal Guide:

Findings of a Qualitative Study

Citation:

Maiers M, Hondras MA, Salsbury SA, Bronfort G, Evans R. What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial. Man Ther. 2016 Dec;26:183-191. doi: 10.1016/j.math.2016.09.008. Epub 2016 Sep 23. PMID: 27705840

Synopsis

What experience, situation, or subculture does the researcher seek to understand?

The researcher wants to seek the perspective of patients whom do spinal manipulation and home exercises with advice.

Does the researcher want to produce a description of an experience, a social process, or an event, or is the goal to generate a theory?

The researcher believes patients perception may influences the effectiveness and utilization of healthcare interventions especially those involving back related leg pain or sciatica

How was data collected?

In a controlled clinical trial

How did the researcher control his or her biases and preconceptions?

Participants interacted and worked with the providers and staff. They received treatment and contributed to their satisfaction and the nature of the treatment,

Are specific pieces of data (e.g., direct quotes) and more generalized statements (themes, theories) included in the report? Yes, in the research home exercise with advice was liked for it’s convenience and ability to form an exercise habit and most participants reported liking the spinal manipulation especially for stretching methods but also noted that the commitment and discipline for these interventions was least liked.

What are the main findings of the study?

The main findings are the preferences of treatment patients prefer to facilitate in the compliance and satisfaction of the patients care.

Credibility

Is the study published in a source that required peer review?  Yes   No   Not clear

Were the methods used appropriate to the study purpose?  Yes   No   Not clear

Was the sampling of observations or interviews appropriate and varied enough to serve the purpose of the study?  Yes   No   Not clear

*Were data collection methods effective in obtaining in-depth data?  Yes   No   Not clear

Did the data collection methods avoid the possibility of oversight, underrepresentation, or overrepresentation from certain types of sources?  Yes   No   Not clear

Were data collection and analysis intermingled in a dynamic way?  Yes   No   Not clear

*Is the data presented in ways that provide a vivid portrayal of what was experienced or happened and its context?  Yes   No   Not clear

*Does the data provided justify generalized statements, themes, or theory?  Yes   No   Not clear

Are the findings credible?  Yes All   Yes Some   No

Clinical Significance

*Are the findings rich and informative?  Yes   No   Not clear

*Is the perspective provided potentially useful in providing insight, support, or guidance for assessing patient status or progress?  Yes   Some  No  Not clear

Are the findings clinically significant?  Yes All   Yes Some   No

* = Important criteria

Comments

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APP E-2 Brown

Brown APP E-1