Chiropractic identity, role, and future: A secondary analysis of a survey of South African chiropractors

Objectives: The purpose of this secondary data analysis was to evaluate perceptions of South African chiropractors on concepts related to the identity, role, and future of the profession. Methods: A cross-sectional quantitative secondary analysis was conducted by inviting South African chiropractors (n=909) to participate in a modified anonymous online survey. Frequency, descriptive, reliability and correlational analyses were performed. Results: An 18.7% response rate was achieved (n=170). Most respondents were aged 25-34 (48.8%), female (61.2%), practicing in Gauteng (44.1%), and graduates of the University of Johannesburg (47.6%). The majority completed a course in evidence-based practice (71.2%) and had less than 5 years of clinical experience (40%). Respondents agreed (94,1%) that chiropractors should be educated in evidence-based practice. A majority of respondents perceived the role of chiropractic in the diagnosis (54.7%) and treatment (70%) of spinal conditions using spinal manipulation and other modalities. There was over 50% agreement among respondents for a unified identity focusing on wellness, health, and preventative care for the future of the profession. Positive correlations were found between the identity, the scope of practice (role), and the future of chiropractic. Conclusion: This sample of South African chiropractors perceived chiropractic practitioners to be spinal healthcare providers who use evidence-based practices, and that the future of the profession should include promoting overall health and patient wellness.