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Open Access Methodology

Conducting practice-based projects among chiropractors: a manual

Iben Axén1* and Charlotte Leboeuf-Yde2

Author Affiliations

1 Karolinska Institutet, Unit of Intervention & Implementation Research, Institute of Environmental Medicine, Nobels väg 13, S-171 77, Stockholm, Sweden

2 Research Department, Spinecenter of Southern Denmark, Institute of Regional Health Research, University of Southern Denmark, Hospital Lillebælt, Østre Hougvej 55, DK-5500, Middelfart, Denmark

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Chiropractic & Manual Therapies 2013, 21:8  doi:10.1186/2045-709X-21-8

Published: 1 February 2013



Practice-based research is a challenge as clinicians are busy with their patients and any participation in research activities will be secondary to the needs of the patients and the clinic. As a result, it is difficult to obtain high compliance among clinicians. A method to enhance compliance in multicentre practice-based research has been developed and refined for use in the chiropractic setting and possibly also by other researchers in different settings.


This manual provides a stringent step-by-step approach for conducting clinic-based research. It describes the competencies and requirements of an effective working group, how to recruit participating clinicians and how to empower, encourage and support these clinicians to obtain good compliance.


The main advantage of the method is the high compliance of participating clinicians compared to many other clinical studies. Difficulties with the method are described and suggestions for solutions are presented.


This manual is a description of a method that may be of use for clinical researchers in the chiropractic setting.

Clinical study; Compliance; Multicentre