Project Description
Funding Source: NIH/NCCIH
Grant Number: UH3-AT009761
Award Amount: $7,087,730
Performance Period: 09/15/2017 – 09/14/2022
Principal Investigators: Cynthia Long, Ph.D., Christine Goertz, D.C., Ph.D.
Co-Investigators: Erin Krebs, M.D., M.P.H., Thad Abrams, M.D., M.S., Anthony Lisi, D.C., Jon Lurie, M.D., M.S., Paul Shekelle, M.D., Ph.D., Robert Wallace, M.D., M.Sc., Stacie Salsbury, Ph.D., Robert Vining, D.C., Richard Branson, D.C., Sally Haskell, M.D., Kei-Hoi Cheung, Ph.D.
Clinical Research Specialist: Elissa Twist, DC, MS, CCRP
Study Coordinators: Anna Walden-Cobb, D.C., M.S., CCRC, Rebecca Rudquist, Kena McDermott, DC, MS, Melvin Valle, BS
Description: Two linked pragmatic randomized clinical trials in four VA sites in veterans with chronic LBP; Phase 1: low dose (1-5 visits) vs. high dose (8-12 visits) over 10 weeks; Phase 2: scheduled monthly chiropractic visits vs. no chiropractic visits over 42 weeks.
Collaborating Institutions: VA Connecticut Healthcare System, Minneapolis VA Health Care System, Iowa City VA Health Care System, VA Greater LA Healthcare System, University of Iowa College of Public Health, Yale University Center for Medical Informatics, The Dartmouth Institute for Health Policy & Clinical Practice, Duke Clinical Research Institute
Site Locations: VA Connecticut Healthcare System, Minneapolis VA Health Care System, Iowa City VA Health Care System
Presentations
Roytman G, Coleman B, Corcoran K, Goertz C, Long C, Lisi A. Rapid widespread adoption of telehealth for chiropractic care in the Department of Veterans Affairs during the COVID-19 pandemic. Association of Chiropractic Colleges Research Agenda Conference. March, 25-27, 2021. (Platform) NBCE Research Award Winner
Long CR, Lisi AJ, Vining RD, Wallace RB, Salsbury SA, Shannon ZK, Halloran S, Minkalis AL, Corber L, Shekelle PG, Krebs EE, Abrams TE, Lurie JD, Goertz CM. Veteran response to dosage in chiropractic therapy (VERDICT): Study protocol of a pragmatic randomized trial for chronic low back pain. WFC Biennial Congress, September 23-25, 2021, virtual. (Poster)
Roytman G, Cheung KH, Bathulapalli H, Long C, Goertz C, Lisi A. Characteristics of virtual and face-to-face chiropractic visits in the Veterans Health Administration during the COVID-19 pandemic. WFC Biennial Congress, September 23-25, 2021, virtual. (Poster)
Salsbury S, Wallace R, Lisi A, Roytman G, Twist E, McDermott K, Walden-Cobb A, Minkalis A, Kedilaya S, Vining R, Long C, Goertz C. Adapting a clinical trial protocol to support virtual chiropractic care delivery and research: planning responses to the evolving COVID-19 pandemic. WFC Biennial Congress, September 23-25, 2021, virtual. (Platform)
Walden-Cobb A, Twist E, McDermott K, Kamopp C, Valle M, Rudquist R, Kedilaya S, Minkalis A, Goertz C, Long C. Development of Consent Procedure Using Multi-Modal Delivery for a Low Back Pain Study within the VA. WFC Biennial Congress, September 23-25, 2021, virtual. (Poster)
Wallace R, Walden-Cobb A, Salsbury S, Roytman G, McDermott K, Lisi A, Goertz C. Benefits and Challenges of going Virtual: The Future of Research and Clinical Approaches to Musculoskeletal Care in US Military. WFC Biennial Congress, September 23-25, 2021, virtual. (Platform)
Vining R, Shannon Z, Corber L, Salsbury S, Minkalis A, Goertz C. A Chiropractic Decision Aid for Managing Low Back Pain in US Veterans Affairs Healthcare Facilities. WFC-ECU Congress, March 20-23, 2019, Berlin, Germany. (Poster)
Publications
Bastian LA, Cohen SP, Katsovich L, Becker WC, Brummett BR, Burgess DJ, Crunkhorn AE, Denneson LM, Frank JW, Goertz C, Ilfeld B, Kanzler KE, Krishnaswamy A, LaChappelle K, Martino S, Mattocks K, McGeary CA, Seal KH, Semiatin AM, Shin MH, Simon CB, Teyhen DS, Zamora K, Kerns RD. Stakeholder engagement in pragmatic clinical trials: emphasizing relationships to improve pain management delivery and outcomes. Pain Med 2020;21(S2): S13-S20.
Long CR, Lisi AJ, Vining RD, Wallace RB, Salsbury SA, Shannon ZK, Halloran S, Minkalis AL, Corber L, Shekelle PG, Krebs EE, Abrams TE, Lurie JD, Goertz CM. Veteran response to dosage in chiropractic therapy (VERDICT): study protocol of a pragmatic randomized trial for chronic low back pain. Pain Med 2020;21(S2): S37-S44.
Vining R, Shannon Z, Salsbury S, Corber L, Minkalis A, Goertz C. Development of a clinical decision aid for chiropractic management of common conditions causing low back pain in Veterans: results of a consensus process. J Manipulative Physiol Ther 2019;42(9):677-693.
Kerns RD, Brandt CA, Peduzzi P, Ali J, Antonelli M, Becker W, Burgess D, Burns A, Cohen SP, Dearth C, Dziura J, Erdos J, Farrokhi S, Fritz J, Geda M, George SZ, Goertz C, Goodie J, Hastings S, Heapy A, Houston J, Ilfeld B, Johnson G, Kerns R, Kyriakides T, Lee A, Long C. NIH-DoD-VA pain management collaboratory. Pain Med 2019;202336-2345.