Research Project-Pain: Culturally Adapted Cognitive Behavioral Based Physical Therapy for Latinos with Chronic Spine Pain

研究项目-疼痛：针对患有慢性脊柱疼痛的拉丁美洲人进行基于文化的认知行为物理治疗

• 批准号: 10403544
• 负责人: Katrina S. Monroe
• 金额: $ 38.57万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-11 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10403544
• 关键词: Acute; Address; Affect; Analgesics; Behavioral; Benchmarking; Brief Pain Inventory; Caucasians; Characteristics; Child Care; Chronic; Clinical; Cognitive; Consumption; Disease; Dissemination and Implementation; Ecological momentary assessment; Employment; Enrollment; Environmental Risk Factor; Ethnic group; Family; Focus Groups; Fright; Future; General Population; Goals; Health; Health Care Costs; Health Disparities Research; Health Personnel; Healthcare; High Prevalence; Hispanic; Hispanic Populations; Human; Individual; Infrastructure; Intervention; Knowledge; Latino; Latino Population; Leisures; Low Back Pain; Manuals; Measures; Mediator of activation protein; Mental Health Services; Moods; Movement; Musculoskeletal; Musculoskeletal Pain; Neck Pain; Neighborhoods; Occupations; Pain; Pain intensity; Pain interference; Pain management; Participant; Persons; Phase; Physical therapy; Population; Prevention; Productivity; Psychosocial Stress; Quality of life; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Recurrence; Reduce health disparities; Rehabilitation Outcome; Reporting; Research; Research Project Grants; Resources; Rural Community; Sampling; Site; Societies; Spine pain; Spine surgery; Symptoms; Target Populations; Testing; Therapeutic Intervention; Time; Treatment outcome; Urban Community; Wages; Work; Workplace; base; burden of illness; care seeking; chronic pain; chronic painful condition; cognitive benefits; cost; design; disability; disparity reduction; ethnic minority; evidence base; experience; health care availability; health disparity; high risk population; individualized prevention; medically underserved; member; personalized care; personalized health care; primary outcome; programs; psychologic; racial and ethnic; racial and ethnic disparities; response; satisfaction; sedentary lifestyle; social; success; telerehabilitation; treatment adherence; treatment as usual; treatment response; walkability; wearable sensor technology

RESEARCH PROJECT-PAIN – Project Summary Spine pain is among the most common musculoskeletal complaints in the workplace, with a high prevalence among racial/ethnic minorities and an estimated annual cost of up to $100 billion in reduced productivity and lost wages. Spine pain also reduces quality of life for affected individuals and their families. Hispanics/Latinos report more frequent and severe episodes of work-related musculoskeletal pain than Caucasians, yet most existing interventions for chronic spine pain have been developed and tested in predominantly Caucasian populations. Consistent with the Department of Human Health National Pain Strategy, our long-term goal is to develop accessible, effective, and culturally informed management strategies for individuals with chronic spine pain to reduce disparities in pain prevention and management. The current application proposes a multi-site randomized controlled clinical trial (RCT) to assess the feasibility, acceptability, and efficacy of a 6-week cognitive-behavioral-based physical therapy (CBPT) tele-rehabilitation intervention for Hispanics/Latinos with chronic spine pain from medically underserved urban and rural communities. In Phase I, we will conduct formative research with focus groups to adapt a CBPT intervention that has proven effective for optimizing rehabilitation outcomes after lumbar spine surgery to the conservative management of chronic spine pain in Hispanics/Latinos. In Phase II, we will conduct a multi-site RCT to assess the efficacy of the adapted CBPT tele-rehabilitation program compared to usual care in Hispanics/Latinos from urban and rural communities. We also will use ecological momentary assessment and wearable sensor technologies to explore psychological, behavioral, and environmental predictors and mediators of treatment response. Together, these aims will inform the design of future studies to determine best practices for dissemination and implementation of the CBPT tele-rehabilitation intervention among Hispanics/Latinos with chronic spine pain with the ultimate goal of reducing health disparities in pain management.

研究项目-痛苦-项目总结