Development of a national osteopathic Practice-Based Research Network (PBRN): the NCOR Research Network

Abstract

This original research details the development of the UK's first osteopathic Practice-Based Research Network (PBRN), the NCOR Research Network, which represents a significant advancement in research capacity. This intellectually coherent framework provides essential baseline data on practitioners, their clinical activities, and patient demographics, with significant potential to influence professional development, education, and healthcare policy. Data were collected through a cross-sectional online survey study conducted between September 2023 and December 2023. The study included 570 osteopaths registered with the General Osteopathic Council who consented to participate in the NCOR Research Network. We examined demographic characteristics of osteopaths, details of their clinical practice, patient demographics, common presenting complaints, treatment approaches, and attitudes towards evidence-based practice. The median age bracket of participants was 50-59 years, with 55% identifying as women. Participants had a median of 17 years of clinical experience. Most worked in private practice (71% as principals, 32% as associates), seeing 20-39 h of patients per week. The majority (87%) regularly treated adults aged 65 or older. Low back pain was the most common complaint seen daily (56%). Spinal articulation/mobilization (79%) and soft tissue massage (78%) were the most frequently used techniques. Participants reported positive views towards evidence-based practice but cited lack of research skills and time as barriers to engagement. The NCOR Research Network provides a foundation for future osteopathic research in the UK. While the sample was not fully representative of UK osteopaths, it offers insights into current osteopathic practice. The network aims to foster collaboration between clinicians and academics, potentially bridging the gap between research and practice in osteopathy. Protocol registration: https://doi.org/10.17605/OSF.IO/HPWG4.

Keywords: Allied health professions; Evidence-based practice; Osteopathy; Practice-based research network; Primary care.