{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T16:30:16Z","timestamp":1765816216070,"version":"3.48.0"},"reference-count":29,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T00:00:00Z","timestamp":1738195200000},"content-version":"unspecified","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian Government Research Training Program (RTP) scholarship","award":["NA"],"award-info":[{"award-number":["NA"]}]},{"name":"National Health and Medical Research Council of Australia Fellowship","award":["1194769"],"award-info":[{"award-number":["1194769"]}]},{"name":"Chiropractic Australia Research Foundation (CARF) PhD Scholarship","award":["NA"],"award-info":[{"award-number":["NA"]}]},{"name":"Macquarie Chiropractic Alumni Research Fund","award":["NA"],"award-info":[{"award-number":["NA"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,1,12]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective feasibility study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To inform the design and conduct of a large-scale clinical cohort study investigating adolescents with moderate-to-severe spinal pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Chiropractic care in Sydney, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adolescents aged 12\u201317\u2009years with spinal pain (\u22654\/10 pain intensity score).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adolescents and chiropractors completed baseline and week-12 follow-up questionnaires, with adolescents reporting pain intensity and recovery weekly via text messages during weeks 1\u201311. Questionnaire measures included spinal pain, pain coping, quality of life, physical activity, clinical assessment findings and care delivered. Chiropractors provided usual clinical care. We conducted a descriptive feasibility analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcomes<\/jats:title>\n                    <jats:p>(1) Recruitment rate, (2) response rate to each data collection instrument and (3) retention rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From May 2021 to February 2023, 20 chiropractors from 10 clinics were enrolled (invited n=85). 10 chiropractors recruited 45 adolescents (15.4\u00b11.4 years, 43% female) over 13.5 months, excluding an 8-month pause due to COVID-19 disruptions. The average recruitment rate was 0.6 adolescents\/recruiting chiropractor\/month. We achieved a 100% response to chiropractor baseline and follow-up questionnaires, 98% to adolescent baseline, 94% average response to combined weekly text messages and 93% retention of adolescents at study completion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our high response and retention rates demonstrate feasible data collection methods in this population. Addressing low recruitment by expanding the number and type of clinicians is necessary for a successful larger study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-088834","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T01:26:05Z","timestamp":1738286765000},"page":"e088834","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1634-0846","authenticated-orcid":false,"given":"Laura RC","family":"Montgomery","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven J","family":"Kamper","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anika","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amber","family":"Beynon","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1536-112X","authenticated-orcid":false,"given":"Katherine A","family":"Pohlman","sequence":"additional","affiliation":[{"name":"Research Center, Parker University, Dallas, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lise","family":"Hestb\u00e6k","sequence":"additional","affiliation":[{"name":"Department of Sports and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark J","family":"Hancock","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon D","family":"French","sequence":"additional","affiliation":[{"name":"Department of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1628-7857","authenticated-orcid":false,"given":"Christopher G","family":"Maher","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S","family":"Swain","sequence":"additional","affiliation":[{"name":"Department of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,30]]},"reference":[{"key":"2025121508270203000_15.1.e088834.1","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2458-14-447","article-title":"An international survey of pain in adolescents","volume":"14","author":"Swain","year":"2014","journal-title":"BMC Public Health"},{"key":"2025121508270203000_15.1.e088834.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.016"},{"key":"2025121508270203000_15.1.e088834.3","doi-asserted-by":"crossref","first-page":"741","DOI":"10.2519\/jospt.2017.7376","article-title":"Understanding Adolescent Low Back Pain From a Multidimensional Perspective: Implications for Management","volume":"47","author":"O\u2019Sullivan","year":"2017","journal-title":"J Orthop Sports Phys Ther"},{"key":"2025121508270203000_15.1.e088834.4","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-037315","article-title":"What are important consequences in children with non-specific spinal pain? 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