Cost effectiveness of spinal manipulative therapy for seniors with neck pain

脊柱手法治疗老年人颈部疼痛的成本效益

基本信息

批准号：
8554288
负责人：
Brent Leininger
金额：
$ 7.05万
依托单位：
NORTHWESTERN HEALTH SCIENCES UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-01 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8554288
关键词：
Accounting Activities of Daily Living Address Award Back Back Pain Chiropractor Chronic Chronic neck pain Clinical Clinical Research Clinical Sciences Clinical and Translational Science Awards Clinical effectiveness Collaborations Complement Complementary and alternative medicine Cost Analysis Data Data Collection Data Set Development Direct Costs Economics Elderly Enrollment Exclusion Criteria Exercise Expenditure Facilities and Administrative Costs Fellowship Fellowship Program Fostering Funding Future General Population Goals Health Health Care Costs Health Sciences Healthcare Healthy People 2020 Heart Diseases Home environment Individual Institutes Insurance Carriers Intervention Learning Manipulative Therapies Manuscripts Master of Science Mentorship Minnesota Modality Musculoskeletal Pain National Center for Complementary and Alternative Medicine Neck Neck Pain Outcome Pain Pain quality Parents Participant Pharmaceutical Preparations Physical therapy exercises Population Population Research Procedures Provider Quality of life Quality-Adjusted Life Years Randomized Randomized Clinical Trials Reporting Research Research Personnel Research Project Grants Research Training Resources Rotation Scientist Spinal Spinal Manipulation Stroke Structure Study Subject Symptoms Techniques Training Translational Research United States National Institutes of Health Universities Vertebral column Visit Work Writing career chiropracty chronic pain clinical application cost cost effective cost effectiveness disability economic evaluation economic value effective therapy effectiveness research experience follow-up group intervention innovation meetings randomized trial research and development skills

项目摘要

DESCRIPTION (provided by applicant): The long-term objective of this project is to prepare the applicant to become an independent clinical research scientist investigating the clinical and cost effectiveness of spinal manipulation therapy (SMT) for neck and back pain conditions. Brent Leininger, DC, practiced as a chiropractor for three years. He is participating in a bridge fellowship program at Northwestern Health Sciences University (NWHSU), which readies CAM practitioners to pursue research careers. Dr. Leininger's primary sponsor is Dr. Gert Bronfort at Northwestern Health Sciences University, an established clinical researcher in SMT for neck and back pain conditions. During the fellowship period Dr. Leininger will participate in practical research training, formal coursework, and a research project. Practical research experience will be gained through rotations at Dr. Bronfort's clinical research center (Wolfe-Harris Center for Clinical Studies), which will include clinical application of inclusion/exclusion criteria, applicaion of SMT in clinical research, statistical analyses/interpretation, and scientific writing. Collaboration with health economists (co-sponsor Dr. McDonough, consultants Drs. Tosteson and Nyman) at the Dartmouth Institute and the University of Minnesota (U of M) will provide practical research training and mentorship related to the conduct of economic evaluations alongside randomized trials. Formal coursework in clinical and cost effectiveness research at the University of Minnesota will culminate in a Master's of Science degree in Clinical Research and will complement the practical learning experiences. Through the proposed research project, Dr. Leininger will be among the first to assess the economic value of SMT in seniors with chronic neck pain from a societal perspective. Study subjects were those enrolled in his primary sponsor's study (R18HP01425). The applicant's project has three Specific Aims which are complementary to the parent trial and will include an estimation of the cost effectiveness of SMT versus supervised exercise and home exercise for chronic neck pain in seniors using pain, quality-adjusted life years, and disability outcomes over a one-year follow-up period. Through a structured three year training plan, Dr. Leininger will acquire new skills in clinical research of SMT for neck and back pain conditions, as well as cost effectiveness data collection and analytic techniques. This will be fostered by individualized mentorship provided by Dr. Bronfort and co-sponsors (Drs. Evans and McDonough). NWHSU and the University of Minnesota are well suited for the applicant's training and include a CAM focused clinical research center and an NIH affiliated CTSA (1UL1RR033183).

描述（由申请人提供）：该项目的长期目标是让申请人成为一名独立的临床研究科学家，研究脊柱推拿疗法（SMT）治疗颈部和背部疼痛的临床和成本效益。布伦特·莱宁格 (Brent Leininger) 是一名华盛顿特区的脊椎按摩师，已执业三年。他正在参加西北健康科学大学 (NWHSU) 的桥梁奖学金计划，该计划为 CAM 从业者从事研究职业做好准备。 Leininger 博士的主要资助者是西北健康科学大学的 Gert Bronfort 博士，他是颈背痛 SMT 领域的知名临床研究员。在奖学金期间，莱宁格博士将参加实践研究培训、正式课程和研究项目。实践研究经验将通过在布朗福特博士的临床研究中心（沃尔夫-哈里斯临床研究中心）的轮转获得，其中包括纳入/排除标准的临床应用、SMT在临床研究中的应用、统计分析/解释以及科学写作。与达特茅斯研究所和明尼苏达大学（密歇根大学）的健康经济学家（共同发起人麦克唐纳博士、顾问托斯特森博士和尼曼博士）合作，将提供与随机试验一起进行经济评估相关的实际研究培训和指导。明尼苏达大学临床和成本效益研究的正式课程最终将获得临床研究理学硕士学位，并将补充实践学习经验。通过拟议的研究项目，Leininger 博士将成为首批从社会角度评估 SMT 对患有慢性颈部疼痛的老年人的经济价值的人之一。研究对象是那些参加他的主要赞助商研究（R18HP01425）的人。申请人的项目有三个具体目标，这些目标是对家长试验的补充，包括估计 SMT 与监督锻炼和家庭锻炼相比，使用疼痛、质量调整生命年和残疾结果来治疗老年人慢性颈部疼痛的成本效益。一年的随访期。通过为期三年的结构化培训计划，Leininger 博士将获得颈部和背部疼痛 SMT 临床研究的新技能，以及成本效益数据收集和分析技术。这将通过布朗福特博士和共同发起人（埃文斯博士和麦克唐纳博士）提供的个性化指导来促进。 NWHSU 和明尼苏达大学非常适合申请人的培训，并包括一个以 CAM 为重点的临床研究中心和一个 NIH 附属 CTSA (1UL1RR033183)。