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MOTIVATIONS, TRAINING OUTCOMES, AND CLINICAL PRACTICE CHARACTERISTICS OF NORTH AMERICAN CHIROPRACTORS: A

Gannon Brochin¹, Marc T Edwards^1,2

¹Department of Physical Medicine and Rehabilitation, The University of North Carolina at Chapel Hill, Chapel Hill, NC.

Journal of Contemporary Chiropractic

|April 3, 2026

Summary

This summary is machine-generated.

Chiropractors are primarily motivated by prosocial factors and report strong training in clinical reasoning and communication. Their practice emphasizes autonomy and patient history over routine testing, with orientation influencing behaviors like manipulation frequency and imaging use.

Keywords:

Chiropractic Motivation Practice Patterms Survey Research

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Area of Science:

Chiropractic research
Healthcare professional studies
Behavioral science in healthcare

Background:

Understanding chiropractor motivations and practice patterns is crucial for professional development and patient care.
Previous research has not fully elucidated the interplay between training motivations, practice characteristics, and clinical behaviors.

Purpose of the Study:

To describe chiropractors' motivations for training, perceived training outcomes, and current practice characteristics.
To explore associations between practice orientation and selected clinical behaviors among chiropractors.

Main Methods:

A cross-sectional, web-based survey was administered to licensed and retired chiropractors in the U.S. and Canada.
Data were collected on motivations, training outcomes, and practice characteristics using 7-point end-anchored items.
Nonparametric statistical analyses, including Kruskal-Wallis and Spearman's rho, were employed to analyze the data.

Main Results:

Motivations were predominantly prosocial and meaning-oriented; training outcomes were strongest in clinical reasoning, communication, and lifestyle counseling.
Practices featured high autonomy and reliance on history/physical examination. Practice orientation correlated with behaviors like manipulation frequency and new-patient x-ray use.
Current health was not associated with pre-training health but correlated with stress levels.

Conclusions:

The chiropractor sample's purpose-driven motivation aligns with strengths in reasoning, counseling, and autonomous practice.
Integrating meaning-centered recruitment and curricula with evidence-based training can inform professional development and imaging stewardship.
Future probability and longitudinal studies are recommended due to study limitations (nonprobability sampling, self-report, cross-sectional design).