Table 1
Summary scores for chiropractors’ responses to 12 questions regarding the IMPACT clinical protocol. Responses were solicited at baseline and follow-up through the Delphi method.
| Survey Question | Time | Survey Responders (1–11) | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | Median | Mean | SDa | ||
| 1.The protocol is reflective of an evidence-based chiropractic approach for managing episodic migraine headaches. | Baseline | 4 | 6 | 7 | 7 | 6 | 6 | 6 | 7 | 7 | 6 | 5 | 6 | 6.09 | 0.94 |
| Follow-up | 6 | 6 | 7 | 7 | 5 | 6 | 7 | 6 | 7 | 7 | 7 | 6 | 6.45 | 0.69 | |
| 2.The protocol is reflective of the average chiropractor's ability and training. | Baseline | 6 | 6 | 6 | 7 | 6 | 5 | 4 | 7 | 7 | 4 | 5 | 6 | 5.73 | 1.10 |
| Follow-up | 5 | 3 | 6 | 7 | 3 | 6 | 5 | 6 | 7 | 6 | 7 | 6 | 5.55 | 1.44 | |
| 3.The protocol accurately represents a chiropractor's typical approach to migraine headache management. | Baseline | 4 | 4 | 6 | 4 | 5 | 6 | 4 | 6 | 2 | 4 | 3 | 4 | 4.36 | 1.29 |
| Follow-up | 4 | 3 | 6 | 5 | 3 | 6 | 5 | 6 | 7 | 6 | 4 | 5 | 5.00 | 1.34 | |
| 4.There are additional chiropractic treatment approaches that should be included in the treatment protocol. | Baseline | 1 | 4 | 2 | 6 | 7 | 5 | 1 | 6 | 6 | 2 | 6 | 5 | 4.18 | 2.27 |
| Follow-up | 6 | 1 | 6 | 7 | 4 | 6 | 7 | 7 | 7 | 7 | 6 | 6 | 5.82 | 1.83 | |
| 5.The protocol includes treatments that are not usual and customary to the average chiropractor's practice. | Baseline | 4 | 2 | 2 | 1 | 2 | 2 | 4 | 5 | 6 | 5 | 3 | 2 | 3.27 | 1.62 |
| Follow-up | 6 | 2 | 6 | 7 | 3 | 6 | 3 | 6 | 7 | 6 | 6 | 6 | 5.27 | 1.74 | |
| 6. There are additional exercises that should be included in the treatment protocol. | Baseline | 1 | 4 | 2 | 2 | 4 | 5 | 1 | 1 | 4 | 2 | 2 | 2 | 2.55 | 1.44 |
| Follow-up | 6 | 4 | 6 | 7 | 4 | 5 | 7 | 6 | 7 | 7 | 6 | 6 | 5.91 | 1.14 | |
| 7. There are additional self-care approaches that should be included in the treatment protocol. | Baseline | 2 | 6 | 2 | 6 | 6 | 5 | 1 | 1 | 4 | 4 | 5 | 4 | 3.82 | 1.99 |
| Follow-up | 6 | 4 | 6 | 7 | 4 | 6 | 7 | 6 | 7 | 7 | 6 | 6 | 6.00 | 1.10 | |
| 8.The protocol is manageable in a standard practice with respect to billing, time constraints, and support staff. | Baseline | 4 | 6 | 6 | 4 | 6 | 6 | 6 | 5 | 2 | 4 | 7 | 6 | 5.09 | 1.45 |
| Follow-up | 5 | 6 | 5 | 6 | 6 | 6 | 6 | 5 | 7 | 5 | 6 | 6 | 5.73 | 0.65 | |
| 9.The treatment protocol will be effective in reducing migraine frequency, severity, or duration. | Baseline | 4 | 5 | 6 | 6 | 6 | 6 | 5 | 7 | 4 | 6 | 6 | 6 | 5.55 | 0.93 |
| Follow-up | 4 | 4 | 6 | 6 | 6 | 6 | 6 | 7 | 7 | 7 | 6 | 6 | 5.91 | 1.04 | |
| 10.The frequency and duration of care is sufficient to measure a treatment response. | Baseline | 4 | 2 | 6 | 7 | 6 | 6 | 7 | 3 | 2 | 6 | 7 | 6 | 5.09 | 1.97 |
| Follow-up | 6 | 3 | 6 | 7 | 6 | 7 | 6 | 3 | 7 | 7 | 6 | 6 | 5.82 | 1.47 | |
| 11.The treatment protocol appears safe. | Baseline | 7 | 6 | 6 | 7 | 7 | 7 | 7 | 7 | 7 | 6 | 6 | 7 | 6.64 | 0.50 |
| Follow-up | 7 | 6 | 6 | 7 | 6 | 7 | 6 | 7 | 7 | 7 | 7 | 7 | 6.64 | 0.50 | |
| 12.The selection criteria represent a cohort that is likely to respond to the treatment protocol. | Baseline | 4 | 6 | 7 | 4 | 6 | 6 | 6 | 7 | 4 | 6 | 7 | 6 | 5.73 | 1.19 |
| Follow-up | 5 | 5 | 6 | 6 | 6 | 6 | 6 | 6 | 7 | 6 | 6 | 6 | 5.91 | 0.54 | |