Collaborative Care for Older Adults (COCOA)

Funding Source: HRSA
Grant Number: R18HP15126
Award Amount: $1,270,911
Funding Period: 09/01/2009 – 08/31/2013
Principal Investigator: Christine Goertz, Ph.D., D.C.
Collaborative Institutions: VA Greater Los Angeles Healthcare System, VA Connecticut Healthcare System, Minneapolis VA Healthcare System, Iowa City VA Healthcare System, The University of Iowa, Genesis Family Medical Center
Co-Investigators: Andrew Andresen, M.D., Maria Hondras, D.C., M.P.H., Ph.D., Mark Jones, Pharm.D., Lisa Killinger, D.C., Cynthia Long, Ph.D., Kevin Lyons, Ph.D., Stacie Salsbury, Ph.D., R.N., Robert Vining, D.C., Robert Wallace, M.D., M.S., Fredric Wolinsky, Ph.D.

Description: The goal of this project was to develop and evaluate an interprofessional model of collaborative care between medical doctors and doctors of chiropractic for the care of older adults with low back pain.

Wells BM, Salsbury SA, Nightingale LM, Derby DC, Lawrence DJ, Goertz CM. Improper communication makes for squat: a qualitative study of the health-care processes experienced by older adults in a clinical trial for back pain. J Patient Exp 2020;7(4):507-515.  

Salsbury SA,Vining RD, Hondras MA, Wallace RB, Lyons KJ, Killinger LZ, Goertz CM. Interprofessional attitudes and interdisciplinary practices for older adults with back pain among doctors of chiropractic: a descriptive survey. J Manipulative Physiol Ther 2019;42(4):295-305.  

Salsbury SA, Goertz CM, Vining RD, Hondras M, Andresen AA, Long CR, Lyons KJ, Killinger LZ, Wallace RB. Interdisciplinary practice models for older adults with back pain: a qualitative evaluation. The Gerontologist 2018; 58(2): 376-387. 

Goertz CM, Salsbury SA, Long CR, Vining RD,Andresen AA, Hondras MA, Lyons KJ, Killinger LZ,Wolinsky FD, Wallace RB. Patient-centered professional practice models for managing low back pain in older adults: a pilot randomized controlled trial. BMC Geriatr 2017;17(235).   

Goertz CM, Salsbury SA, Vining RD, Long CR, Andresen AA, Jones ME, Lyons KJ, Hondras MA, Killinger LZ, Wolinsky FD, Wallace RB (2013). Collaborative care for older adults: study protocol for a pragmatic, pilot randomized controlled trial of co-management of patients with low back pain by family medicine physicians and doctors of chiropractic. Trials 14:18  

Goertz C, Salsbury S, Vining R, Hondras M, Jones M, Andresen A, Killinger L, Wolinsky F, Wallace R.  Collaborative Care for Older Adults with Back Pain (COCOA): Results of a Pilot Randomized Controlled Trial.  International Congress on Integrative Medicine & Health, May 17-20, 2016, Las Vegas, NV. (Platform)

Salsbury S, Hubbard J, Hartman J, Twist E, Alexander W, Boysen J, Vining R, Goertz C.  Self-care, Exercise and Healthcare Seeking Strategies Used by Older Adults with Low Back Pain: A Secondary Analysis from a Randomized Controlled Trial.  International Congress on Integrative Medicine & Health, May 17-20, 2016, Las Vegas, NV. (Poster)

Salsbury S, Alexander W, Boysen J, Hartman J, Hubbard J, Twist E, Vining R, Goertz C.  Multimorbidity, Musculoskeletal Complaints, and Pain Characteristics of Older Adults with Low Back Pain: A Secondary Analysis from a Controlled Trial.  ACC-RAC Conference, March 17-19, 2016, Orlando, FL. (Platform)

Wells B, Salsbury S, Lawrence D, Derby D, Nightingale L, Goertz C (2018, March). Older adults’ perceptions of doctor-patient relationships in a trial of collaborative care for low back pain: a qualitative study [platform]. Association of Chiropractic Colleges Research Agenda Conference, Dallas, TX. Journal of Chiropractic Education, 32(1), 67. http://www.journalchiroed.com/doi/pdf/10.7899/JCE-17-28 

Salsbury S, Lyons K, Long C, Hondras M, Vining R, Killinger L, & Goertz C. (2013, March). Doctors of chiropractic self-reported practice patterns and attitudes toward interdisciplinary co-management of older adults with low back pain. Association of Chiropractic Colleges-Research Agenda Conference, Washington, DC. Journal of Chiropractic Education, 27(1), 78. http://www.journalchiroed.com/doi/pdf/10.7899/JCE-12-036 

Goertz C, Salsbury S, Vining R, Long C, Andresen A, Hondras M, Jones M, Killinger L, Lyons K. (2012, March). An interprofessional education model for co-management of back pain in older adults by doctors of chiropractic and medical doctors. Association of Chiropractic Colleges-Research Agenda Conference, Las Vegas, NV. http://www.journalchiroed.com/doi/pdf/10.7899/1042-5055-26.1.83 

Salsbury S, Vining R, Goertz C. (2017 Apr). Older adults’ choice of passive self-care for management of back pain and its relation to healthcare provider recommendations to exercise [poster]. Iowa Governor’s Conference on Public Health, Des Moines, IA. 

Goertz C, Salsbury S, Vining R, Long C, Andresen A, Jones M, Lyons K, Hondras M, Killinger L, Wolinsky F, & Wallace R. (2013 Apr). Co-management of older adults with back pain by doctors of chiropractic and family medicine physicians: study design and participant recruitment [poster]. World Federation of Chiropractic Congress, Durban, South Africa. 

Lyons K, Salsbury SA, Hondras MA, Jones M, Andresen A, Goertz CM. (2012 May). Older adults’ attitudes on collaborative care of low back pain by doctors of chiropractic and medical doctors: a focus group study [poster]. International Research Congress on Integrative Medicine and Health Conference, Portland OR. BMC Complementary and Alternative Medicine,12(Suppl 1):P419. https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/1472-6882-12-S1-P419 

Goertz C, Salsbury S, Vining R, Andresen A, Hondras M, Jones M, Killinger L, Long C, Lyons K, Wallace R. (2012 May). Development of an interprofessional model of collaborative care by doctors of chiropractic and medical doctors for older adults with low back pain [poster]. International Research Congress on Integrative Medicine & Health, Portland OR. 

Vining R, Pohlman K, Salsbury S, Potocki E, Seidman M, Morgenthal P, Hondras M. (2012 May). Eligibility assessment for clinical trials involving chronic pain at a chiropractic research center: A consensus case review process [poster]. International Research Congress on Integrative Medicine and Health, Portland OR. BMC Complementary and Alternative Medicine,12(Suppl 1): P411. https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/1472-6882-12-S1-P411 

Boysen JC, Shannon ZK, Khan YA, Wells BM, Vining RD. A graphical clinical decision aid for managing imaging report information. J Chiropr Educ. 2017 Mar;32(1):43-49. doi: 10.7899/JCE-17-6. Epub 2017 Dec 19. PubMed PMID: 29257708; PubMed Central PMCID: PMC5834301. 

Vining RD, Salsbury SA, Pohlman KA. (2014). Eligibility determination for clinical trials: development of a case review process at a chiropractic research center. Trials, 15:406. PMID: 25344427. http://www.trialsjournal.com/content/15/1/406 

Lyons KJ, Salsbury SA, Hondras MA, Jones ME, Andresen AA, Goertz CM. (2013). Perspectives of older adults on co-management of low back pain by doctors of chiropractic and family medicine physicians: a focus group study. BMC Complementary and Alternative Medicine,13:225. PMID: 24040970. http://www.biomedcentral.com/1472-6882/13/225    

Goertz C, Lyons S, Andresen A, Hondras M, Jones M, Killinger L, Long C, Lyons K, Mulhausen P & Vining R. (2010). Collaborative Care for Older Adults (COCOA), Palmer College of Chiropractic. Journal of Allied Health, 39(Suppl 1), 135E-136E.