Active Grants and Projects
Chiropractic Care for Veterans: A Pragmatic Randomized Trial Addressing Dose Effects for cLBP (VERDICT)
Funding Source: NIH/NCCIH
Grant Number: UG3-AT009761
Performance Period: 09/15/2017 - 09/14/2022
Principal Investigator: Cynthia Long, Ph.D.
Co-Principal Investigator: 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.
Lead Project Manager: Amy Minkalis, D.C., M.S., C.C.R.P.
Project Manager: Anna Walden, D.C., M.S.
Award Amount: $7,087,730
The award (UG3-AT009761) funds a two-year research planning project to address the short-term pain and functional outcomes associated with different numbers of chiropractic visits, and the long-term effectiveness of chiropractic care delivered at Veterans Health Administration (VHA) clinics. If the NIH determines initial project goals are met after the two-year planning phase and pending available funds, the project and funding will extend over an additional four years totaling approximately $7,087,730, making it the largest award ever granted by the NIH to a chiropractic institution.
Administrative Supplements - Chiropractic Care for Veterans: A Pragmatic Randomized Trial Addressing Dose Effects for cLBP
The goal of this administrative supplement funding is to provide in-depth research experiences for two chiropractors. They will be mentored by investigators at the Palmer Center for Chiropractic Research and the Yale Center for Medical Informatics. In these roles, they’ll actively participate in the planning phase of the large, pragmatic clinical trial studying optimal patterns of chiropractic use outlined above. This funding is the first of its kind at a chiropractic college. Opportunities like this have the potential to grow the number of chiropractic researchers to continue important patient-centered work.
Inter-institutional Network for Chiropractic Research
Funding Source: Palmer College Foundation
Performance Period: 7/2017-6/2022
Network Co-Directors: Anthony Lisi, D.C.; Cynthia R Long, Ph.D.; Peter Wayne, Ph.D.
Network Steering Committee Members: Matthew Kowalski, D.C.; Robert Vining, D.C.
The Network is a 5-year multidisciplinary effort to create new knowledge to inform future chiropractic practice, education, and research; and deliver new scientific evidence to support health policy decisions for chiropractic care. Four research projects are currently underway with several others in various stages of development.
Antinociceptive Mechanisms of Spinal Manipulative Therapy for Neuropathic Pain
Funding Source: NIH/NCCIH
Grant Number: R15-AT009612
Performance Period: 07/05/2017 - 06/30/2020
Principal Investigators: Stephen Onifer, Ph.D. and Bradley K. Taylor, Ph.D.
Co-Investigator: Cynthia Long, Ph.D.
Award Amount: $451,522
This project is a collaboration between the Palmer Center for Chiropractic Research (PCCR) and the University of Kentucky were awarded a $451,522 grant by the National Institutes of Health, National Center for Complementary and Integrative Health. The grant funds a three-year research project to learn more about the underlying factors of pain relief following spinal manipulative therapy (SMT). The project also includes a student research training component, the first of its kind at a chiropractic college. Doctor of chiropractic students on Palmer’s Main campus will have an opportunity to obtain hands-on laboratory experience by working with scientists.
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
Grant Number: W81XWH-10-DHP-CCTA
Award Amount: $7,500,000 ($5,100,000 to Palmer)
Funding Period: 02/01/2011 - 02/14/2019
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
Co-Investigators: Cynthia Long, Ph.D. Robert Vining, D.C.
Lead Project Manager: Amy Minkalis, D.C.
ACT comprises 3 separate randomized controlled trials, a collaborative effort between Palmer and the Department of Defense. The overarching goal is to assess the effectiveness of chiropractic manipulative therapy for pain management and improved function in active duty service members with low back pain. This study looks at the role of chiropractic care within the military health care system and has applications for a diverse population in a real-world setting.
The total targeted enrollment for all 3 studies is 980 participants. Recruitment concluded in November 2015 for ACT 1, after 750 participants were enrolled and allocated to either the usual medical care or the usual medical care plus chiropractic care group. As of October 2017, the primary study results paper has been submitted for publication. Recruitment of 120 participants for ACT 2 concluded in May 2016 and the primary results paper is currently in progress. ACT 3 is in the recruitment phase with 27 of 110 participants enrolled as of October 2017.
ACT I: Assessment of Chiropractic Treatment for Low Back Pain and Smoking Cessation in Military Active Duty Personnel - Completed
- Walter Reed National Military Medical Center, Bethesda, MD
Project Manager: Elissa Twist, D.C., M.S., C.C.R.P.
Principal Investigator: LTC Keith Myers, M.D
- Naval Medical Center San Diego, San Diego, CA
Project Manager: Erin Cesario, B.A., C.C.R.C.
Principal Investigator: CAPT Michael Rosenthal, P.T., D.Sc.
- Naval Hospital Pensacola, Pensacola, FL
Project Manager: Wendy Freiberger, R.N., C.C.R.C.
Principal Investigator: CDR Joseph Penta, M.D.
Site: Blanchfield Army Community Hospital, Chiropractic Clinic, Ft. Campbell, KY
Project Manager: Darla Freehardt, B.S., L.P.N., C.C.R.P.
Principal Investigator: Thomas Jones, D.C.
ACT III: Assessment of Chiropractic Treatment: Strength and Balance - Recruiting
Site: Naval Hospital Pensacola, Pensacola, FL
Project Manager: Crystal Franklin, M.P.H.
Principal Investigator: CDR John Biery, D.O.
Collaborative Care for Veterans with Spine Pain and Mental Health Conditions (COCOV)
Funding source: NIH/NCCIH
Grant number: 1-R34-AT008427
Award amount: $718,000
Funding period: 09/01/2014 - 06/30/2019
Co-Principal Investigators: Cynthia Long, Ph.D.; Christine Goertz, D.C., Ph.D.
Co-Investigators: 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.; Thad Abrams, M.D., M.S.
The goals of this project are to develop an integrative care model that includes doctors of chiropractic in multidisciplinary teams treating patients in Veterans Health Administration (VHA) facilities; use a consensus building process to tailor existing chiropractic guidelines to interlink with current VHA pain management initiatives; and conduct a pilot clinical trial to test this model in 40 veterans with pain and mental health co-morbidities to assess the feasibility, acceptability, safety, tolerability, and target outcomes for large-scale randomized controlled trial. This project is a collaboration between the PCCR, Veterans Health Administration at the VA Connecticut Healthcare System, the VHA in Minneapolis, MN, University of Iowa, and the Iowa City VA Health Care System.