title: Exploring patient satisfaction: a secondary analysis of a randomized clinical trial of spinal manipulation, home exercise, and medication for acute and subacute neck pain.
abstract: OBJECTIVE
  The purpose of this study was to assess satisfaction with specific aspects of care for acute neck pain and explore the relationship between satisfaction with care, neck pain, and global satisfaction.
  
  
  METHODS
  This study was a secondary analysis of patient satisfaction from a randomized trial of spinal manipulation therapy (SMT) delivered by doctors of chiropractic, home exercise and advice (HEA) delivered by exercise therapists, and medication (MED) prescribed by a medical doctors for acute/subacute neck pain. Differences in satisfaction with specific aspects of care were analyzed using a linear mixed model. The relationship between specific aspects of care and (1) change in neck pain (primary outcome of the randomized trial) and (2) global satisfaction were assessed using Pearson's correlation and multiple linear regression.
  
  
  RESULTS
  Individuals receiving SMT or HEA were more satisfied with the information and general care received than MED group participants. Spinal manipulation therapy and HEA groups reported similar satisfaction with information provided during treatment; however, the SMT group was more satisfied with general care. Satisfaction with general care (r = -0.75 to -0.77; R(2) = 0.55-0.56) had a stronger relationship with global satisfaction compared with satisfaction with information provided (r = -0.65 to 0.67; R(2) = 0.39-0.46). The relationship between satisfaction with care and neck pain was weak (r = 0.17-0.38; R(2) = 0.08-0.21).
  
  
  CONCLUSIONS
  Individuals with acute/subacute neck pain were more satisfied with specific aspects of care received during spinal manipulation therapy or home exercise interventions compared to receiving medication. The relationship between neck pain and satisfaction with care was weak.
authors.affiliation: Research Fellow, Integrative Health & Wellbeing Research Program, Center for Spirituality & Healing, University of Minnesota, Minneapolis, MN. Electronic address: lein0122@umn.edu.
authors.forename: Brent D
authors.initials: BD
authors.lastname: Leininger
authors.affiliation: Associate Professor, Integrative Health & Wellbeing Research Program, Center for Spirituality & Healing, University of Minnesota, Minneapolis, MN.
authors.forename: Roni
authors.initials: R
authors.lastname: Evans
authors.affiliation: Professor, Integrative Health & Wellbeing Research Program, Center for Spirituality & Healing, University of Minnesota, Minneapolis, MN.
authors.forename: Gert
authors.initials: G
authors.lastname: Bronfort
mesh_terms: D059787:Acute Pain / Q000188:drug therapy / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005081:Exercise Therapy; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D020393:Manipulation, Spinal; D008875:Middle Aged; D019547:Neck Pain / Q000188:drug therapy / Q000628:therapy*; D059408:Pain Management / Q000379:methods; D017060:Patient Satisfaction; D055815:Young Adult
keywords: Chiropractic; Clinical Trial; Exercise Therapy; Musculoskeletal Manipulations; Neck Pain; Patient Satisfaction; Pharmaceutical Preparations