Journal article
Veteran Response to Dosage in Chiropractic Therapy (VERDICT): Study Protocol of a Pragmatic Randomized Trial for Chronic Low Back Pain
Pain medicine (Malden, Mass.), Vol.21(Supplement_2), pp.S37-S44
2020
DOI: 10.1093/pm/pnaa289
PMCID: PMC7734654
PMID: 33313732
Abstract
Conflicts of interest: No potential conflicts exist for any author listed.Abstract
Background
Low back pain is a leading cause of disability in veterans. Chiropractic care is a well-integrated, nonpharmacological therapy in Veterans Affairs health care facilities, where doctors of chiropractic provide therapeutic interventions focused on the management of low back pain and other musculoskeletal conditions. However, important knowledge gaps remain regarding the effectiveness of chiropractic care in terms of the number and frequency of treatment visits needed for optimal outcomes in veterans with low back pain.
Design
This pragmatic, parallel-group randomized trial at four Veterans Affairs sites will include 766 veterans with chronic low back pain who are randomly allocated to a course of low-dose (one to five visits) or higher-dose (eight to 12 visits) chiropractic care for 10 weeks (Phase 1). After Phase 1, participants within each treatment arm will again be randomly allocated to receive either monthly chiropractic chronic pain management for 10 months or no scheduled chiropractic visits (Phase 2). Assessments will be collected electronically. The Roland Morris Disability Questionnaire will be the primary outcome for Phase 1 at week 10 and Phase 2 at week 52.
Summary
This trial will provide evidence to guide the chiropractic dose in an initial course of care and an extended-care approach for veterans with chronic low back pain. Accurate information on the effectiveness of different dosing regimens of chiropractic care can greatly assist health care facilities, including Veterans Affairs, in modeling the number of doctors of chiropractic that will best meet the needs of patients with chronic low back pain.
Details
- Title: Subtitle
- Veteran Response to Dosage in Chiropractic Therapy (VERDICT): Study Protocol of a Pragmatic Randomized Trial for Chronic Low Back Pain
- Creators
- Cynthia R Long - Palmer College of ChiropracticAnthony J Lisi - Yale UniversityRobert D Vining - Palmer College of ChiropracticRobert B Wallace - University of IowaStacie A Salsbury - Palmer College of ChiropracticZacariah K Shannon - Palmer College of ChiropracticStephanie Halloran - Yale Cancer CenterAmy L Minkalis - Palmer College of ChiropracticLance Corber - Palmer College of ChiropracticPaul G Shekelle - VA Greater Los Angeles Healthcare SystemErin E Krebs - Minneapolis VA Health Care SystemThad E Abrams - Iowa City VA Health Care SystemJon D Lurie - Dartmouth Institute for Health Policy and Clinical PracticeChristine M Goertz - Duke University
- Resource Type
- Journal article
- Publication Details
- Pain medicine (Malden, Mass.), Vol.21(Supplement_2), pp.S37-S44
- DOI
- 10.1093/pm/pnaa289
- PMID
- 33313732
- PMCID
- PMC7734654
- NLM abbreviation
- Pain Med
- ISSN
- 1526-2375
- eISSN
- 1526-4637
- Publisher
- Oxford University Press
- Grant note
- DOI: 10.13039/100000002, name: National Institutes of Health, award: UG3/UH3AT009761; DOI: 10.13039/100008460, name: National Center for Complementary and Integrative Health; DOI: 10.13039/100000124, name: Office of Research on Women’s Health, award: U24AT009769; DOI: 10.13039/100008460, name: NCCIH
- Alternative title
- NIH-DOD-VA Pain Management Collaboratory (PMC)
- Language
- English
- Date published
- 2020
- Academic Unit
- Psychiatry; Epidemiology; Family and Community Medicine; Injury Prevention Research Center; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984359594302771
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