European research Priorities for Osteopathic Care (PROCare): a sequential exploratory investigation and survey
Por:
Vaucher, P, Carnes, D, Hohenschurz-Schmidt, D, Thomson, O, Vogel, S, Arienti, C, Bright, P, Bustins, GA, Esteves, J, Esteves, NK, Fawkes, C, Rinne, S, Roura, S, Treffel, L, Wagner, A, Draper-Rodi, J
Publicada:
15 oct 2025
Resumen:
Objectives The aim of this study is to identify and analyse research priorities across the osteopathic profession internationally, to determine how different interested parties conceptualise research importance and to examine how contextual factors influence research prioritisation.Design A mixed methods sequential exploratory design combining an umbrella review, a thematic analysis, an expert consensus agreement and an international cross-sectional survey was used to define, validate and evaluate research priorities.Setting An international online survey, available in nine languages, was distributed through professional osteopathic organisations and network worldwide, a patient representative organisation and social media.Participants 2229 respondents including patients (7.4%), practitioners (42.1%), students (17.4%), educators (13.5%), researchers (5.0%) and policy makers (4.3%) from across 42 countries.Primary and secondary outcome measures Primary outcomes were interested party's conceptualisation of research importance and validation of the priorities in Research for Osteopathic Care (PROCare) framework. Secondary outcomes included current research priorities across interested parties groups and influence of contextual factors on prioritisation.Results Three distinct approaches to priority-setting emerged: conservative (42.9%), sceptic (20.2%) and enthusiast (36.9%). Organising research priorities as a construct built from domains and subdomains was shown to be internally valid (Cronbach's alpha=0.911). 'Patient safety' (nominated by 82% of relevant countries) and 'physical activities and mobility' (51.0%) were the most prioritised subdomains. 'Digital health' ranked lowest (28th of 28 subdomains). Significant geographic variations were observed mainly for the overall importance to most research domains. Strong consensus emerged around core priorities including patient safety, physical activity promotion and understanding treatment mechanisms.Conclusions The PROCare framework provides a validated structure for evaluating osteopathic research priorities across diverse interested parties. While geographic variations exist in priority emphasis, fundamental agreement on key research domains suggests potential for internationally coordinated research strategies. Future work should focus on developing mechanisms to ensure balanced representation of conservative, sceptic and enthusiast perspectives in research planning.
Filiaciones:
Vaucher, P:
Hlth Sci Univ UCO Sch Osteopathy, Ctr Osteopath Res & Leadership CORaL, London, England
Swiss Distance Univ Appl Sci, Dept Hlth, Zurich, Switzerland
Univ Appl Sci Western Switzerland HES SO, Dept Hlth, Fribourg, Switzerland
Fdn COME Collaborat, Pescara, Italy
Carnes, D:
Hlth Sci Univ UCO Sch Osteopathy, Ctr Osteopath Res & Leadership CORaL, London, England
Hohenschurz-Schmidt, D:
Imperial Coll London, Sch Publ Hlth, Imperial Clin Trials Unit, London, England
Thomson, O:
Hlth Sci Univ UCO Sch Osteopathy, Ctr Osteopath Res & Leadership CORaL, London, England
UTS ARCCIM, Fac Publ Hlth, Sydney, NSW, Australia
Vogel, S:
Hlth Sci Univ UCO Sch Osteopathy, Ctr Osteopath Res & Leadership CORaL, London, England
Arienti, C:
Humanitas Univ, Clin Epidemiol Res Ctr CERC, Dept Biomed Sci, Milan, Italy
Bright, P:
Hlth Sci Univ UCO Sch Osteopathy, Ctr Osteopath Res & Leadership CORaL, London, England
Bustins, GA:
Biomed Res Inst St Pau, Iberoamerican Cochrane Ctr, Barcelona, Spain
Blanquerna Univ Ramon Llull Fac Ciencies Salut, Dept Phys Therapy, Barcelona, Spain
Esteves, J:
Fdn COME Collaborat, Pescara, Italy
Escola Super Saude Atlant, Barcarena, Portugal
Esteves, NK:
Univ Southampton, Sch Hlth Sci, Skin Sensing Res Grp, Thermosenselab, Southampton, England
Fawkes, C:
Hlth Sci Univ UCO Sch Osteopathy, Ctr Osteopath Res & Leadership CORaL, London, England
Natl Council Osteopath Res, London, England
Rinne, S:
Metropol Univ Appl Sci, Helsinki, Finland
Roura, S:
Biomed Res Inst St Pau, Iberoamerican Cochrane Ctr, Barcelona, Spain
Univ Autonoma Barcelona, Med Dept, Barcelona, Spain
Treffel, L:
Hlth Sci Univ UCO Sch Osteopathy, Ctr Osteopath Res & Leadership CORaL, London, England
UTS ARCCIM, Fac Publ Hlth, Sydney, NSW, Australia
Inst Toulousain Osteopathie, Toulouse, France
Wagner, A:
Fdn COME Collaborat, Pescara, Italy
Ctr Europeen Enseignement Super Osteopathie, Paris, France
Draper-Rodi, J:
Hlth Sci Univ UCO Sch Osteopathy, Ctr Osteopath Res & Leadership CORaL, London, England
UTS ARCCIM, Fac Publ Hlth, Sydney, NSW, Australia
Natl Council Osteopath Res, London, England
Green Submitted, gold
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