Global chiropractic accreditation standards: Content assessment and a modified-Delphi and nominal consensus process

Claire  Johnson; Bart Green; Lyndon Amorin-Woods; David Byfield; Waleska Crespo; Philip Dewhurst; Chantal Doucet; A Dunn; Marina  Fox; Amanda Jones-Harris; Carolina Kolberg; Charmaine  Korporaal; Craig Little; Daniel Moore; John Mrozek; Gary Schultz; Gregory  Snow; Stephney Whillier; David Wickes; Yi Kai Wong; Christopher  Yelverton

Global chiropractic accreditation standards: Content assessment and a modified-Delphi and nominal consensus process

Claire Johnson, Bart Green, Lyndon Amorin-Woods, David Byfield, Waleska Crespo, Philip Dewhurst, Chantal Doucet, A Dunn, Marina Fox, Amanda Jones-Harris, Carolina Kolberg, Charmaine Korporaal, Craig Little, Daniel Moore, John Mrozek, Gary Schultz, Gregory Snow, Stephney Whillier, David Wickes, Yi Kai WongChristopher Yelverton

Research output: Contribution to conference › Paper › peer-review

Abstract

Introduction & Aim: Standards from the four international chiropractic program
accrediting agencies have not been systematically studied and analyzed for content.
An assessment of standards will offer valuable information to facilitate communication
between stakeholders. This study categorized program standards and student
competencies from the four chiropractic accreditation agencies worldwide, identifying
similarities and differences.
• Methods: A modified-Delphi study with 21 international chiropractic education expert
panelists was performed from December 1, 2023, to April 18, 2024. Current versions
of the accreditation standards from four international accreditation agencies were
retrieved from publicly facing Internet pages. The agencies were the Council on
Chiropractic Education (United States), European Council on Chiropractic Education
(Europe, United Kingdom, South Africa), Council on Chiropractic Education
Australasia (Australia, New Zealand), and the Council on Chiropractic Education
Canada (Canada). Panelists participated in four consensus rounds of review and
coded all items about program standards and student competencies across
documents. The resulting codes were analyzed for frequency across the accrediting
agencies.
• Results: The final consensus round resulted in high agreement for coding (98%
student competencies, 99% program standards). The student competencies resulted
in 1082 codes, with an average of 4.36 codes per item. The program statements
resulted in 248 codes, with an average of 1.82 codes per item. There were similarities
across all accreditation agencies regarding emphasis and content.
• Conclusion: The findings of this study show similarity and consistency across
accreditation agencies. These findings help to clarify concepts within chiropractic
accreditation and will facilitate dialog about global chiropractic education among

Original language	English
Publication status	Published - 9 May 2025
Event	World Federation of Chiropractic 18th Biennial Congress 2025 - Copenhagen, Denmark Duration: 7 May 2025 → 10 May 2025 https://wfc25cph.org/

Conference

Conference	World Federation of Chiropractic 18th Biennial Congress 2025
Abbreviated title	WFC 2025
Country/Territory	Denmark
City	Copenhagen
Period	7/05/25 → 10/05/25
Internet address	https://wfc25cph.org/

Cite this

Johnson, C., Green, B., Amorin-Woods, L., Byfield, D., Crespo, W., Dewhurst, P., Doucet, C., Dunn, A., Fox, M., Jones-Harris, A., Kolberg, C., Korporaal, C., Little, C., Moore, D., Mrozek, J., Schultz, G., Snow, G., Whillier, S., Wickes, D., ... Yelverton, C. (2025). Global chiropractic accreditation standards: Content assessment and a modified-Delphi and nominal consensus process. Paper presented at World Federation of Chiropractic 18th Biennial Congress 2025, Copenhagen, Denmark.

@conference{4ecdd657255747d0b1f2c4caea129129,

title = "Global chiropractic accreditation standards: Content assessment and a modified-Delphi and nominal consensus process",

abstract = "Introduction \& Aim: Standards from the four international chiropractic program accrediting agencies have not been systematically studied and analyzed for content. An assessment of standards will offer valuable information to facilitate communication between stakeholders. This study categorized program standards and student competencies from the four chiropractic accreditation agencies worldwide, identifying similarities and differences. • Methods: A modified-Delphi study with 21 international chiropractic education expert panelists was performed from December 1, 2023, to April 18, 2024. Current versions of the accreditation standards from four international accreditation agencies were retrieved from publicly facing Internet pages. The agencies were the Council on Chiropractic Education (United States), European Council on Chiropractic Education (Europe, United Kingdom, South Africa), Council on Chiropractic Education Australasia (Australia, New Zealand), and the Council on Chiropractic Education Canada (Canada). Panelists participated in four consensus rounds of review and coded all items about program standards and student competencies across documents. The resulting codes were analyzed for frequency across the accrediting agencies. • Results: The final consensus round resulted in high agreement for coding (98\% student competencies, 99\% program standards). The student competencies resulted in 1082 codes, with an average of 4.36 codes per item. The program statements resulted in 248 codes, with an average of 1.82 codes per item. There were similarities across all accreditation agencies regarding emphasis and content. • Conclusion: The findings of this study show similarity and consistency across accreditation agencies. These findings help to clarify concepts within chiropractic accreditation and will facilitate dialog about global chiropractic education among",

author = "Claire Johnson and Bart Green and Lyndon Amorin-Woods and David Byfield and Waleska Crespo and Philip Dewhurst and Chantal Doucet and A Dunn and Marina Fox and Amanda Jones-Harris and Carolina Kolberg and Charmaine Korporaal and Craig Little and Daniel Moore and John Mrozek and Gary Schultz and Gregory Snow and Stephney Whillier and David Wickes and Wong, \{Yi Kai\} and Christopher Yelverton",

year = "2025",

month = may,

day = "9",

language = "English",

note = "World Federation of Chiropractic 18th Biennial Congress 2025, WFC 2025 ; Conference date: 07-05-2025 Through 10-05-2025",

url = "https://wfc25cph.org/",

}

Johnson, C, Green, B, Amorin-Woods, L, Byfield, D, Crespo, W, Dewhurst, P, Doucet, C, Dunn, A, Fox, M, Jones-Harris, A, Kolberg, C, Korporaal, C, Little, C, Moore, D, Mrozek, J, Schultz, G, Snow, G, Whillier, S, Wickes, D, Wong, YK & Yelverton, C 2025, 'Global chiropractic accreditation standards: Content assessment and a modified-Delphi and nominal consensus process', Paper presented at World Federation of Chiropractic 18th Biennial Congress 2025, Copenhagen, Denmark, 7/05/25 - 10/05/25.

TY - CONF

T1 - Global chiropractic accreditation standards

T2 - World Federation of Chiropractic 18th Biennial Congress 2025

AU - Johnson, Claire

AU - Green, Bart

AU - Amorin-Woods, Lyndon

AU - Byfield, David

AU - Crespo, Waleska

AU - Dewhurst, Philip

AU - Doucet, Chantal

AU - Dunn, A

AU - Fox, Marina

AU - Jones-Harris, Amanda

AU - Kolberg, Carolina

AU - Korporaal, Charmaine

AU - Little, Craig

AU - Moore, Daniel

AU - Mrozek, John

AU - Schultz, Gary

AU - Snow, Gregory

AU - Whillier, Stephney

AU - Wickes, David

AU - Wong, Yi Kai

AU - Yelverton, Christopher

PY - 2025/5/9

Y1 - 2025/5/9

N2 - Introduction & Aim: Standards from the four international chiropractic program accrediting agencies have not been systematically studied and analyzed for content. An assessment of standards will offer valuable information to facilitate communication between stakeholders. This study categorized program standards and student competencies from the four chiropractic accreditation agencies worldwide, identifying similarities and differences. • Methods: A modified-Delphi study with 21 international chiropractic education expert panelists was performed from December 1, 2023, to April 18, 2024. Current versions of the accreditation standards from four international accreditation agencies were retrieved from publicly facing Internet pages. The agencies were the Council on Chiropractic Education (United States), European Council on Chiropractic Education (Europe, United Kingdom, South Africa), Council on Chiropractic Education Australasia (Australia, New Zealand), and the Council on Chiropractic Education Canada (Canada). Panelists participated in four consensus rounds of review and coded all items about program standards and student competencies across documents. The resulting codes were analyzed for frequency across the accrediting agencies. • Results: The final consensus round resulted in high agreement for coding (98% student competencies, 99% program standards). The student competencies resulted in 1082 codes, with an average of 4.36 codes per item. The program statements resulted in 248 codes, with an average of 1.82 codes per item. There were similarities across all accreditation agencies regarding emphasis and content. • Conclusion: The findings of this study show similarity and consistency across accreditation agencies. These findings help to clarify concepts within chiropractic accreditation and will facilitate dialog about global chiropractic education among

AB - Introduction & Aim: Standards from the four international chiropractic program accrediting agencies have not been systematically studied and analyzed for content. An assessment of standards will offer valuable information to facilitate communication between stakeholders. This study categorized program standards and student competencies from the four chiropractic accreditation agencies worldwide, identifying similarities and differences. • Methods: A modified-Delphi study with 21 international chiropractic education expert panelists was performed from December 1, 2023, to April 18, 2024. Current versions of the accreditation standards from four international accreditation agencies were retrieved from publicly facing Internet pages. The agencies were the Council on Chiropractic Education (United States), European Council on Chiropractic Education (Europe, United Kingdom, South Africa), Council on Chiropractic Education Australasia (Australia, New Zealand), and the Council on Chiropractic Education Canada (Canada). Panelists participated in four consensus rounds of review and coded all items about program standards and student competencies across documents. The resulting codes were analyzed for frequency across the accrediting agencies. • Results: The final consensus round resulted in high agreement for coding (98% student competencies, 99% program standards). The student competencies resulted in 1082 codes, with an average of 4.36 codes per item. The program statements resulted in 248 codes, with an average of 1.82 codes per item. There were similarities across all accreditation agencies regarding emphasis and content. • Conclusion: The findings of this study show similarity and consistency across accreditation agencies. These findings help to clarify concepts within chiropractic accreditation and will facilitate dialog about global chiropractic education among

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M3 - Paper

Y2 - 7 May 2025 through 10 May 2025

ER -

Global chiropractic accreditation standards: Content assessment and a modified-Delphi and nominal consensus process

Abstract

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