| Current Research |
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Project titles are organized according to the date funding initiated, beginning with the most recent. Point and click for additional information about a specific project. Current Projects
Completed Projects 1995 - 2003
Participation in Collaborative CentersCurrent ProjectsTitle: Dose-Response/Efficacy of Manipulations for Chronic LBP
Funded by: NCCAM/NIH Awarded to Western States Chiropractic College 9/2006 to 8/2011 Collaboration With: University of Arizona Health Sciences Center, Portland State University The $2.8 million federal grant is aimed at giving chiropractors more specific treatment plans, patients a firmer idea of how long it will take before they feel better, and insurance companies guidelines on how many visits to cover. Title: Tobacco Cessation via Doctors of Chiropractic Funded by: NIDA/NIH (National Institute of Drug Abuse, National Institutes of Health) Awarded To: Oregon Research Institute. 4/06 - 3/08 Collaboration With: Oregon Research Institute The purpose is to develop an effective smoking cessation program for implementation in chiropractic practices. The project is collaboration with the Oregon Research Institute. Title: Evidence-Based Care: Faculty & Curriculum Development Funded by: NCCAM/NIH Awarded to Western States Chiropractic College 8/05 – 7/08 The purpose is to increase the quality/quantity of the research content in the curriculum at WSCC. Partnering with OHSU (medical school), the project will train faculty in the appraisal of evidence-based research as well as design and implement an evidence-based curriculum. Title : Dose-Response of manipulation for chronic headache Funded by : NCCAM/NIH (National Center for Complementary and Alternative Medicine/National Institutes of Health) Awarded to : WSCC 9/04 - 7/07 Collaboration With: University of Arizona Health Sciences Center The goals of this study are to acquire information for designing a large clinical trial and determine its feasibility and to estimate dose and efficacy parameters for a larger study for determining the relationship of cervicogenic headache outcomes with the number of treatments. Eighty participants will be randomized to treatment groups and dose. Principal outcomes will be HA pain, disability and the frequency of headache occurrence evaluated at 12 and 24 weeks after randomization. The long-range goals are to inform evidence-based treatment protocols, third-party payer reimbursement, and schedules of chiropractic care used in future trials. Title : Complementary & alternative medicine: expectancy and outcomes Funded by:NCCAM/NIH (National Center for Complimentary & Alternative Medicine/National Institutes of Health) Awarded to: Oregon Health & Science University (OHSU) 9/04 - 8/07 Collaboration with: OHSU, Oregon College of Oriental Medicine, National College of Naturopathic Medicine This collaborative effort between Oregon Health & Science University and the Portland CAM colleges is designed to investigate mechanisms of expectancy (placebo effect). Title: Oregon CAM (Complimentary & Alternative Medicine) course Funded by: NCCAM/NIH (National Center for Complimentary & Alternative Medicine/National Institutes of Health) Awarded to: Oregon Health & Science University (OHSU) 9/02 - 8/07 Collaboration with: OHSU, Oregon College of Oriental Medicine, National College of Naturopathic Medicine The goal is to launch a CAM curriculum for medical students at the Oregon Health & Science University. The program will include medical school course work and practicum, integrative clinical experience for family medicine residents, and continuing education. Student attitudes, experience and behavior with respect to CAM are being evaluated. Completed Projects Title: RCT: Back Self-Management in Diverse Elderly Populations Awarded to: WSCC 9/01-9/03 Funded by: Health Resources and Services Administration Collaboration with: OHSU Department of Family Medicine, OHSU Informatics Center, Providence Hospital, Portland State University Dept.of Economics The major goal of this RCT was to evaluate the effectiveness of Stanford's Chronic Disease Self-Management Program for back pain and functional disability in the elderly. The program empowered participants to take control of their lives by teaching strategies for coping with pain, developing self-care plans, and making informed care-seeking choices. Title: Low Back Pain: Long-Term Outcomes and Practice Activities Awarded to: WSCC 9/97-8/00 Funded by: Health Resources and Services Administration Collaboration with: OHSU, Oakland University, Portland State University Dept. of Economics, Kaiser Permanente Center for Health Research This study was the 2 nd phase of the Low Back Pain Study. Outcomes from the 1 st phase were evaluated at 2, 3, and 4 years following enrollment. Health resource utilization was also identified, including visits to DCs/MDs in and outside the study, physical therapists, alternative healthcare physicians, massage therapists, medication and supplementation, as well as hospital and emergency room visits. In addition, data were collected on patient self-care activities recommended by their physicians or initiated by the patient. Title: Low Back Pain Practice Activities and Patient Outcomes Awarded to: WSCC 9/94-8/97 Funded by: Health Resources and Services Administration Collaboration with: OHSU, Oakland University School of Business, Oregon State University School of Public Health. This study was a three-year, practice-based, prospective, longitudinal, comparative study of ambulatory low back pain patients attending chiropractors and primary care physicians in Oregon. The objectives of this study were to describe and quantify condition-specific and general health outcomes for MD and DC patients; to identify those practice activities associated with the most favorable and least favorable outcomes for specific patient profiles (defined in terms of low back history and duration of presentation); to examine relationships between psychosocial/behavioral factors and patient outcomes and costs; and to foster consensus building between chiropractors and other primary care physicians relative to low back patient management strategies. Physician participants included 111 primary care medical physicians and 60 chiropractors in community-based practice. Approximately 3,000 patients were enrolled. Outcomes were evaluated at baseline; 2 weeks; and at 1, 3, 6, and 12 months after enrollment. Title: Clinical Utility of Cervical End-Play Assessment Awarded to: WSCC 10/00-9/01 Funded by: Consortial Center For Chiropractic Research Collaboration with: Kaiser Center for Health Research, private practice chiropractors. The main goal of this project was to determine the efficacy of cervical end-play assessment, a procedure for determining the site/vector of spinal manipulation. Title: Dose-Response in Chiropractic Care for Chronic Cervicogenic Headache Funded by: Oregon Center for CAM in Craniofacial Disorders, NCCAM/NIH Awarded to: WSCC 8/01-7/02 Collaboration with: Kaiser Center for Health Research The goal of this project was to determine feasibility of a dose-response RCT on the effect of DC treatments on chronic cervicogenic headache/disability and neck pain/disability. Title: Dose-Response in Chiropractic Care for Chronic Low Back Pain: A Randomized Controlled Pilot Study Funded by: Oregon Center for CAM in Neurological Disorders, NCCAM/NIH Awarded to: WSCC 7/01-6/02 and Title: Dose -Response in Chiropractic Care for LBP Funded by: Consortial Center for Chiropractic Research, NCCAM/NIH Awarded to: WSCC 10/01-91/02 Collaboration with: OHSU Jointly funded by two grants, this research examined the effect of the number of DC treatments on chronic low back pain/disability outcomes, evaluate the effect of the inclusion/exclusion of physical therapy in the treatment regimen on outcomes, make a preliminary estimate of the characteristics of dose-response curves, and to determine the feasibility of a large dose-response RCT. This was the first randomized trial to investigate the relationship of chiropractic treatments with clinical outcomes. Title: Analysis of DC & MDPCP Interprofessional Relationships Funded by: NCCAM/NIH 9/01-8/03 Awarded to: University of Iowa, Palmer College of Chiropractic Collaboration with: WSCC The goals of this study were to foster dialogue between chiropractors and primary care medical doctors through focus groups and to identify the barriers and facilitators for developing practice-based research networks. DC and MD panels were conducted and questionnaires developed. Title: Yoga: Effect on Attention in Aging and Multiple Sclerosis Funded by: NCCAM/NIH 10/99-9/04 Awarded to: OHSU Department of Neurology Collaboration with: WSCC, OCOM, NCNM This collaboration was supported by the Oregon Center for CAM in Neurological Disorders. The phase II randomized controlled trial examined CAM treatment for MS and mental function in the elderly. Title: Complementary Approaches to TMJ Pain Management Funded by: NCCAM/NIH Awarded to: Kaiser Center for Health Research 10/99-9/04 Collaboration with: WSCC, Oregon Health & Science University (OHSU), Oregon College of Oriental Medicine (OCOM), National College of Naturopathic Medicine (NCNM), and Oregon School of Massage (OSM) This collaboration was supported by the Oregon Craniofacial Complementary and Alternative Medicine Center. The phase II randomized controlled trial examined CAM treatment for TMD (temporomandibular disorders). Chiropractic, acupuncture, and massage therapies were compared to standard dental care for conditions of TMJ. Title: Neurological Mechanisms of Low Back Pain Funded by: NS/NIH 1995-1998 Awarded to: OHSU, Neurological Sciences Institute Collaboration with: WSCC The purpose was to develop and investigate an animal model of LBP focusing on CNS processes underlying deep-tissue pain and suppressive effects of spinal mechanical stimulation. Participation in Collaborative Centers NCCAM/NIH CAM Centers of Excellence: WSCC has been an integralpart of 3 centers for complementary health care funded by the National Center for Complementary and Alternative Medicine at the National Institutes of Health. The centers have supported several research projects, of which WSCC faculty members have served as co-investigators, members of the executive committees, members of the advisory committees, and project physicians. Oregon Craniofacial Complementary and Alternative Medicine Center (funded 10/99-9/04) The purpose of the center was to investigate potential efficacy, effectiveness, and impact of resource use of CAM. This center represents collaboration between the health research and education institutions in Portland, OR (Kaiser, NCNM, OHSU, OCOM, OSM, and WSCC) Oregon Center for CAM in Neurological Disorders (funded 10/99-9/04) This center was collaboration between Oregon Health and Science University and Portland schools of alternative medicine to conduct research on CAM therapies for neurological disorders. Consortial Center For Chiropractic Research (funded 9/97 - 8/03) The Center was designed to provide infrastructure to examine potential effectiveness and validity of chiropractic health care and to assist chiropractic researchers in developing high quality research projects. It is collaboration between 5 chiropractic colleges (LACC, NCC, NWCC, Palmer CC and WSCC). The Director of the COS, a WSCC faculty, was responsible for designing and implementing a blinded scientific review process for developmental projects funded by the Center. 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