Pictured left to right are ACT II study team members Michael Haight, D.C., R.N.; Julie Hartman, D.C., M.S., CCRP; Thomas Jones, D.C.; Darla Freehardt, L.P.N., CCRP; and James DeVocht, D.C., Ph.D., at Fort Campbell, Ky.
Assessment of Chiropractic Treatment for Low Back Pain, Military Readiness, and Smoking Cessation in Military Active Duty Personnel (ACT I, II, III)
Funding source: Department of Defense
Award amount: $7,500,000 ($5,100,000 to Palmer)
Funding period: 2/2011–2/2018
Principal Investigator: Ian D. Coulter, Ph.D., RAND Corporation
Co-principal investigators: Christine Goertz, D.C., Ph.D.; Joan Walter, J.D., P.A., Samueli Institute
ACT is a seven-year study funded by the Department of Defense, comprised of three separate, randomized controlled trials. It’s a collaborative effort between Palmer, RAND Corporation and the Samueli Institute.
Study participants in ACT I were 750 active-duty military members with low-back pain across three military treatment facilities (250 at each site): Naval Medical Center San Diego, Naval Hospital Pensacola and Walter Reed National Military Medical Center. This multi-site study is the largest randomized controlled trial to focus exclusively on chiropractic care. The primary results won the prestigious Scott Haldeman Award for Outstanding Research from the World Federation of Chiropractic (see article on page 23) and a scientific manuscript is in preparation.
ACT II is a unique study to evaluate the effects of spinal manipulation on reaction and re- sponse times in members of the U.S. Army Special Operations Forces unit at Blanchfield Army Community Hospital, Ft. Campbell, Ky. Primary results were presented at DC2017.
ACT III examines the effects of chiropractic treatment on strength and balance in active- duty service members with low-back pain at the Naval Hospital in Pensacola, Fla. Recruitment is currently underway for this study.
Collaborative Care for Veterans with Spine Pain and Mental Health Conditions
Funding source: National Institutes of Health, National Center for Complementary and Integrative Health
Award amount: $718,000
Principal investigator: Christine Goertz, D.C., Ph.D.
Co-investigators: Cynthia Long, Ph.D.; Stacie Salsbury, Ph.D., R.N.; Robert Vining, D.C.; Richard Branson, D.C.; Lucile Burgo-Black, M.D.; Anthony Lisi, D.C.; Robert Wallace, M.D., M.Sc.; Catherine Woodman, M.D.
This three-year research-planning grant is a multi-site collaboration between Palmer College, the University of Iowa and the VHA Healthcare Systems in West Haven, Conn., Minneapolis, Minn., and Iowa City, Iowa. Palmer and collaborators are conducting a three-phase study to develop and test integrative-care pathways for veterans with spine pain and mental health co-morbidities. This integrative care pathway has the potential to provide non-drug options for veterans with back and neck pain, increase chiropractors’ awareness of the mental health needs of this population, and standardize the delivery of chiropractic care to veterans across VHA facilities. Care pathways have been developed, and in the next year the feasibility of using these care pathways will be evaluated in a single-arm clinical trial.