To the Editor,
We thank Mr. Copenhaver for his comments [1] on the comfortability scales utilized in the data collection in our study [2] and for the Journal of Osteopathic Medicine for allowing us to clarify the study design utilized.
Our article [2] aimed to determine if MDs who completed an osteopathic manipulative treatment (OMT) for the allopathic physician elective rotation are more comfortable caring for patients with back pain compared to those who did not complete the elective during their residency. In our study, we had practicing allopathic physicians rate the comfortability in three domains (physical examination, creating a treatment plan, and performing OMT).
The methods regarding the comfortability scales were briefly described with the following: “Questions regarding comfort with performing a physical examination and performing OMT utilized a 0–100 scale (100 being completely comfortable).” [2] To expand on this further, our three survey questions regarding ratings of comfortability utilized a web-based visual analog scale (VAS) presenting a 7-level Likert with respondents indicating their comfort using a slider (Figure 1). The position of the slider was converted to a 0–100 measure. Such electronic administration of VAS is comparable to paper administration of VAS [3].

Web-based visual analog scale presenting a 7-level Likert with a slider.
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Research ethics: Not applicable.
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Informed consent: Not applicable.
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Author contributions: A.H.S., M.E.W., and C.S.C. provided substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; all authors drafted the article or revised it critically for important intellectual content; all authors gave final approval of the version of the article to be published; and all authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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Competing interests: None declared.
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Research funding: None declared.
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Data availability: Not applicable.
References
1. Copenhaver, WK. Osteopathic manipulative treatment for the allopathic resident elective: comments on survey selection. J Osteopath Med 2024;124:417. https://doi.org/10.1515/jom-2023-0177.Search in Google Scholar PubMed
2. Slattengren, AH, Wootten, ME, Carlin, CS, Nissly, TJ. Osteopathic manipulative treatment for the allopathic resident elective: does it change practice after graduation? J Osteopath Med 2023;123:337–41. https://doi.org/10.1515/jom-2022-0219.Search in Google Scholar PubMed
3. Byrom, B, Elash, CA, Eremenco, S, Bodart, S, Muehlhausen, W, Platko, JV, et al.. Measurement comparability of electronic and paper administration of visual analogue scales: a review of published studies. Ther Innov Regul Sci 2022;56:394–404. https://doi.org/10.1007/s43441-022-00376-2.Search in Google Scholar PubMed PubMed Central
© 2024 the author(s), published by De Gruyter, Berlin/Boston
This work is licensed under the Creative Commons Attribution 4.0 International License.
Articles in the same Issue
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- Medical Education
- Original Article
- An osteopathic orientation to interprofessional education
- Commentary
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- Food insecurity and childhood outcomes: a cross-sectional analysis of 2016–2020 National Survey of Children’s Health data
- Letters to the Editor
- Osteopathic manipulative treatment for the allopathic resident elective: comments on survey selection
- Response to “Osteopathic manipulative treatment for the allopathic resident elective: comments on survey selection”
Articles in the same Issue
- Frontmatter
- Medical Education
- Original Article
- An osteopathic orientation to interprofessional education
- Commentary
- Where are the Black men in osteopathic medical schools?
- Musculoskeletal Medicine and Pain
- Original Article
- Limb spasticity and telemedicine consultation for reconstructive surgery: patient perspectives of surgical assessment
- Neuromusculoskeletal Medicine (OMT)
- Original Article
- Investigating the safety and feasibility of osteopathic manipulative medicine in hospitalized children and adolescent young adults with cancer
- Pediatrics
- Original Article
- Food insecurity and childhood outcomes: a cross-sectional analysis of 2016–2020 National Survey of Children’s Health data
- Letters to the Editor
- Osteopathic manipulative treatment for the allopathic resident elective: comments on survey selection
- Response to “Osteopathic manipulative treatment for the allopathic resident elective: comments on survey selection”