RAND Center of Excellence for the Study of Appropriateness of Care in CAM

NCT03162952 | Completed DMC

• 2 other identifiers: 1U19AT007912-10 REVISED1U19AT007912
• Study Type: observational
• Target: 2,025
• Locations: 1 country
• Sites: 1

Brief Summary

The RAND approach to appropriateness makes it feasible to take the best of what is known from research and apply it-using the expertise of experienced clinicians-over the wide range of patients and presentations seen in real-world clinical practice. The major limitation of the RAND approach, however, is that it still utilizes a limited definition of appropriateness; one that relies heavily on safety, efficacy and effectiveness. Until now the RAND method has not included patient preferences or resource utilization effectiveness. These are both serious absences. In the past decade we have seen an evolution in outcome measures from clinician based objective measures to patient-centered and subjective measures. The development of Patient Based Outcome Assessments (PBOA); Patient Reported Outcomes Measurement Information System (PROMIS) and the recent establishment of Patient-Centered Outcomes Research Institute (PCORI) all contest to the growing importance of the patient's perspective in determining outcomes and therefore also appropriateness. In the Center, we propose to advance appropriateness methods by adding three additional dimensions to the RAND appropriateness methods: patient outcomes, patient preferences and cost

Conditions

Chronic Low Back Pain; Chronic Neck Pain

Keywords

Chronic pain

Outcome Measures

Primary Outcomes (1)

• Project 1 Clinical Appropriateness

  Measuring appropriateness rate of manipulation for chronic back pain

  4 years

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Chiropractic physicians Chiropractic patients

You may qualify if:

• Current chiropractic patient over 21 years with chronic low back pain and chronic cervical pain.
• They must have had the pain for 3 months.

You may not qualify if:

• Under 21, non-specific chronic low back pain or cervical pain, personal injury case able to access the project on line.

Sponsors & Collaborators

• RAND: lead
• University of California, Los Angeles: collaborator

Study Sites (1)

RAND Corporation

Santa Monica, California, 90407, United States

Location

Related Publications (1)

• Herman PM, Edgington SE, Sorbero ME, Hurwitz EL, Goertz CM, Coulter ID. Visit Frequency and Outcomes for Patients Using Ongoing Chiropractic Care for Chronic Low-Back and Neck Pain: An Observational Longitudinal Study. Pain Physician. 2021 Jan;24(1):E61-E74.

  PMID: 33400439 DERIVED

MeSH Terms

Conditions

Chronic Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Ian D Coulter, PhD

  RAND Cororation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 16, 2017
• First Posted: May 22, 2017
• Study Start: September 30, 2011
• Primary Completion: December 31, 2018
• Study Completion: December 31, 2018
• Last Updated: April 16, 2019

Record last verified: 2019-04

Locations

US (1)