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Table 3 Hierarchical linear model results predicting chiropractic visit frequency for patients with chronic spinal pain

From: Predictors of visit frequency for patients using ongoing chiropractic care for chronic low back and chronic neck pain; analysis of observational data

 

Chronic Low Back Pain (n = 852)

p-values for coefficients in block

Chronic Neck Pain (n = 705)

p-values for coefficients in block

Enabling factors - p-values for block1

0.032

 

0.986

 

Some insurance coverage for chiropractic – Reference = No coverage

0.44

.008

0.14

.408

Unknown insurance coverage

0.06

.845

−0.15

.689

Need factors – pain characteristics - p-values for block1

<.001

 

<.001

 

Rating of pain past 7 days (0–10), mean (SD)

0.06

.238

0.00

.972

Oswestry or Neck Disability Index score (0–100), mean (SD)

0.02

.024

0.03

<.001

Have both CLBP and CNP

0.09

.508

0.15

.309

Years of pain - Reference = < 1 year

 1 year to less than 2 years

0.38

.231

0.36

.307

 2 years to less than 5 years

−0.26

.338

− 0.07

.787

 5 years to less than 10 years

− 0.29

.259

− 0.11

.674

 10+ years

−0.39

.088

−0.03

.894

 Unknown

−0.10

.839

−0.01

.986

Need factors – lifestyle and point in care - p-values for block1

<.001

 

<.001

 

Heavy labor - Reference = No heavy labor

 Non-workday heavy labor: > 0% but < 20%

0.41

.055

−0.28

.244

 Workday heavy labor: > 0% but < 20%

0.47

.010

−0.06

.732

 Non-workday heavy labor: > 20%

0.23

.533

−0.02

.971

 Workday heavy labor: > 20%

0.22

.350

0.19

.458

 Heavy labor: missing

0.43

.104

0.30

.282

New patient (< 30 days)

0.63

.006

0.69

.005

Unknown time with this chiropractor

0.32

.082

0.45

.019

Ended care during study period

−1.21

<.001

−1.57

<.001

Perceived need factors – goals for treatment - p-values for block1

0.636

 

0.237

 

Perceived need factors – pain beliefs - p-values for block1

0.063

 

0.766

 

Perceived need factors – other psychological factors - p-values for block1

0.295

 

0.100

 

Predisposing factors - p-values for block1

0.048

 

0.171

 

Age in years

0.01

.104

0.01

.111

Female

−0.37

.013

−0.12

.525

Education: At least a 4-year degree

0.04

.805

−0.15

.307

Chiropractor practice characteristics - p-values for block1

<.001

 

<.001

 

Average number of patients treated per day

0.03

<.001

0.04

<.001

Percentage of patients on preventive/maintenance

0.01

.259

0.01

.020

Years in practice - Reference = 5 to 10 years

 In practice > 10 to 20 years

−0.50

.072

−0.16

.567

 In practice > 20 to 30 years

−0.72

.014

−1.01

.001

 In practice > 30 years

0.24

.487

−0.13

.704

Clinic location is urban (> 50,000 population)

−0.20

.318

−0.18

.387

Average number of physical modalities used

−0.12

.067

−0.04

.624

College from which chiropractor graduated - p-value for block1

0.130

 

0.060

 

State/Region - p-value for block1

0.014

 

0.072

 

State/Region - Reference = California

 Florida

−0.67

.096

−0.66

.109

 Minnesota

−0.57

.625

−1.31

.205

 New York

−1.49

.001

−1.20

.010

 Oregon

0.48

.558

0.20

.802

 Texas

−0.30

.574

−0.05

.927

  1. 1P-value for the likelihood-ratio test of the incremental explanatory power of each block of variables added to a model containing all previous blocks