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Table 3 Summary of studies included in the qualitative synthesis

From: Mixed methods systematic review of the literature base exploring working alliance in the chiropractic profession

Study reference number

Country

Participants

Data collection methods

Data analysis methods

[37]

United States (US)

Trained and licensed chiropractor in a small town in the American Midwest

Ethnographic case-report

Not explicitly specified, but healing performance of a chiropractor is proposed to contain four intrinsic claims to trustworthiness

[34]

US

20 Patients at the group Health Cooperative of Puget Sound

Discussion groups

Information for the qualitative analysis and findings was limited

[44]

Canada

6 Chiropractors licensed with the College of Chiropractors of British Columbia

Interviews

Thematic analysis

[42] 

US

15 Randomly selected participants from the 29 participants randomised to the chiropractic group

Interviews

Grounded theory approach

[46]

Canada

197 Participants were recruited from 20 participating chiropractors in Ontario

Interviews using Flanagan’s Critical Incident Technique

Inductive content analysis

[35]

Australia 

208 Patients were observed

Recording duration of all patient–practitioner interactions was recorded, some were audiotaped, notes taking

Thematic analysis

[36]

Australia

9 Chiropractors and 173 patients

Interviews

Data were analysed by comparing the responses of individual patients with those of their practitioner in each of 173 case studies

[39]

US

171 Participants part of a randomised control trial

Interviews

Interactive approach to qualitative content analysis

[45]

Canada

6 Focus groups, a total of 69 patients

Focus group sessions

Qualitative content analysis (an interpretive approach)

[38]

US

A male family chiropractor and a sample of 57 people, who made a total of 104 office visits between them

Data were collected through (1) audiotape of all clinical interaction of the chiropractor for 8 days, (2) formal and informal interviews with the chiropractors., his staff, and patients

Data was content analysed using the modified Bales method of process analysis [69]

[43]

Canada

11 Chiropractors and nine patients

Interviews

Grounded theory approach

[47]

US

60 Participants in the Crotched Mountain

Individual interviews or focus groups

Thematic content analysis

[40]

Canada

3 Female patients and 3 male patients in the Halifax metro area, Nova Scotia, Canada

Focused ethnographic approach involving 16 semi-structured interviews

A systematic approach for analysing ethnographic data developed by Roper and Shapira [70]

[41]

Canada

90 Participants were recruited from two private chiropractic clinics in Calgary, Alberta, Canada

Interviews

Thematic analysis