Journal article
Improvements in sense of coherence and quality of life in 1419 subjects following chiropractic care: a prospective practice-based study
Annals of Vertebral Subluxation Research, Vol.2026, pp.26-42
21/09/2026
Appears in Recent Faculty of Health Publications
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Abstract
<p><strong>Objective: </strong> To evaluate changes in sense of coherence (SOC) and quality of life (QoL) among adult patients following a course of chiropractic care and to identify sociodemographic characteristics, clinical covariates, and QoL domains predictive of changes in SOC.</span></p><p><strong>Methods:</strong> A prospective practice-based research network study assessed SOC and QoL in adult chiropractic patients at baseline and following a course of care using the SOC-29 and PROMIS-29 V2.0. Changes were evaluated using bootstrap paired </span><em>t</em>-tests. Linear mixed models and variable-selection methods, including backward selection and LASSO regression, were used to identify clinical and QoL predictors of change in SOC.</p><p><strong>Results:</strong> Among 1,419 respondents (mean age, 41 years), SOC significantly increased following chiropractic care (mean increase, 1.99; 95% CI, 1.30–2.76; <em>p</em> = .00532), with significant improvements across SOC subdomains and PROMIS-29 QoL measures. Changes in depression, anxiety, sleep disturbance, social participation, and fatigue were important predictors of SOC change, with motivation for care also retained in the final model.</p><p><strong>Conclusion:</strong> Among adults participating in a chiropractic practice-based research network, SOC and multiple QoL domains improved significantly over a course of chiropractic care. Changes in mental, physical, and social QoL, particularly depression, anxiety, sleep disturbance, social participation, and fatigue, were associated with changes in SOC. These findings support further investigation of the relationship between chiropractic care, QoL, and salutogenic outcomes and of the clinical and patient characteristics that may contribute to improvements in SOC</p>
Details
- Title
- Improvements in sense of coherence and quality of life in 1419 subjects following chiropractic care: a prospective practice-based study
- Creators
- Joel Alcantara (Author) - International Chiropractic Pediatric AssociationAndrew Whetten (Author) - International Chiropractic Pediatric AssociationDennis Richards (Author) - Southern Cross University
- Publication Details
- Annals of Vertebral Subluxation Research, Vol.2026, pp.26-42
- Identifiers
- 991013401871902368
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article