Chiropractor-patient working alliance

Abstract

The working alliance embodies the complex dynamics of the practitioner-patient relationship. Although the alliance has repeatedly been shown to predict clinical outcomes in musculoskeletal care, chiropractic research has given it relatively little attention. The three papers featured in this thesis delve into the chiropractor-patient alliance and aim to offer valuable insights for clinical practice, thereby making a unique contribution to the field.

A mixed methods systematic review explored the alliance construct in the chiropractic literature. The quantitative synthesis found that few studies have measured the construct and its impact, with insufficient homogenous data for a meta-analysis. The qualitative synthesis suggests that chiropractic care can be considered a change process, where positive alliances ensure its cooperative nature.

A qualitative study explored alliance formation at the start of care from the perspective of patients attending a teaching clinic. The early alliance involved a process

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Identifiers

ORCID for Flis Bishop: orcid.org/0000-0002-8737-6662

ORCID for Dave Newell: orcid.org/0000-0003-1462-3586

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