Copied from:   https://taggs.hhs.gov/Detail/AwardDetail?arg_AwardNum=U19AT007912&arg_ProgOfficeCode=211
Award Number: U19AT007912
Organization: CENTER FOR DRUG EVALUATION AND RESEARCH, NIH
Award Class: COOPERATIVE AGREEMENT
OPDIV: NIH
Award Activity Type: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

DESCRIPTION (provided by applicant): In this Center we will adapt a method developed by the RAND Corporation for studying the prevalence of inappropriate health care and which has been previously applied by RAND to chiropractic manipulation and mobilization (M/M) for low back pain. In this Center the method will be applied to study the use of M/M in chiropractic practices for chronic cervical pain (CCP). Until now, however, the RAND method has not included patient outcomes, patient preferences or cost effectiveness in determining appropriateness but only clinical judgment from health professionals. These are serious absences. 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. Although the focus will be on chiropractic M/M for chronic neck pain the objective is to develop an appropriateness methodology that can be used for the study of Complementary and Alternative Medicine in real practices. An extensive review of the literature will be done and a systematic review written. From this review a set of indications based on the literature for performing M/M for CCP will be developed. Once the indications have been created a multidisciplinary panel of nine clinical experts will review the literature synthesis and the set of indications individually and based on the literature and their own clinical experience where applicable, will be asked to rate the appropriateness of M/M for chronic cervical pain. A random selection of practitioners will be selected from four national sites geographically distributed across the US and a random selection of their files is chosen. From these data are abstracted about the treatment given for CCP and the number of times M/M is done for CCP is obtained. We will also interview a sample of patients attending the clinics and do a follow study for their outcomes.


Recipient Name
DUNS Number
City
State
CFDA Num
CFDA Program Title
Award Code
Budget Year
Action Date
Action Type
Action Amount
CollapseData FY: 2017
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 00245/8/2017EXTENSION WITH OR WITHOUT FUNDS$1,301,542
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 00135/8/2017NON-COMPETING CONTINUATION-$1,301,542
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 00347/13/2017EXTENSION WITH OR WITHOUT FUNDS$189,935
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 000412/22/2016EXTENSION WITH OR WITHOUT FUNDS$1,709,410
           $1,899,345
Collapse
Data FY: 2016
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 000311/4/2015NON-COMPETING CONTINUATION$0
           $0
Collapse
Data FY: 2015
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 00037/2/2015NON-COMPETING CONTINUATION$2,063,091
           $2,063,091
Collapse
Data FY: 2014
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 00026/23/2014NON-COMPETING CONTINUATION$2,216,251
           $2,216,251
Collapse
Data FY: 2013
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 00119/27/2013NEW$175,289
 RAND CORPORATION006914071SANTA MONICACA93213Research and Training in Complementary and Alternative Medicine 00019/26/2013NEW$2,184,850
           $2,360,139
U.S. Department of Health and Human Services
200 Independence Avenue, S.W. Washington, D.C. 20201