Evidence-Based Chiropractic Care (EBCC)

Evidence-Based Chiropractic Care (EBCC): Enhancing patient care through evidence-based practice insights

Grounded in seven scholarly papers, the OCA’s Evidence-Based Chiropractic Care (EBCC) initiative explores how chiropractors integrate research evidence, clinical expertise and patient preferences to deliver high-quality care.

Explore the Published EBCC Paper Series

The OCA’s seven published papers advance a shared understanding of Evidence-Based Practice (EBP) by examining how research evidence, clinical expertise, and patient preferences and values intersect in clinical care. Explore the published papers below and read their plain-language summaries.

Preface
Introduction Paper

Introduces the EBCC initiative, including how and why it was accomplished.

Evidence Pyramid
Narrative Review

Reviews evidence hierarchies, summarizing current understandings, limitations, and contextual factors affecting their use in clinical decision-making.

➔ Click to read the lay summary

Clinical Expertise
Narrative Review

Reviews clinical expertise in EBP – its meaning, development and integrative function.

➔ Click to read the lay summary

Person-Centred Care
Commentary

Explores person-centred care in chiropractic, addressing barriers and strategies for more consistent, evidence-informed delivery.

➔ Click to read the lay summary

Bridging the Knowledge-to-Action Gap
Narrative Review

Reviews barriers to applying research in clinical practice and offers knowledge translation strategies to enhance the use of evidence in everyday care.

➔ Click to read the lay summary

Clinical Decision Tool
Clinical Guideline

Offers a clinical-decision framework for evidence-based decisions when research is limited.

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Biological Plausibility
Commentary

Explores the role of the nervous system in chronic Musculoskeletal pain and how spinal manipulation therapy may help manage it.

➔ Click to read the lay summary

What is EBCC?

EBCC was born out of the Evidence Based Framework Advisory Council (EBFAC), which was established in 2019 to strengthen evidence-based, patient-centred and interprofessional chiropractic care.

This initiative:

• Explores the history and contemporary meaning of EBP, clarifying how its pillars – research evidence, clinical expertise, patient preferences and circumstances, and clinical state and circumstances – work together to inform clinical care.
• Supports chiropractors in delivering evidence-based, patient-centred care by identifying barriers and facilitators to applying the pillars of EBP and offering actionable strategies to overcome them.
• Supports collaboration across the health care system, engaging all stakeholders within chiropractic to help advance EBP.
• Provides chiropractors with practical, plain-language knowledge translation tools to support implementation, educate patients and strengthen communication with other health care professionals.

Meet the Authors