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Acupuncture Approaches to Decrease Disparities in Outcomes of Pain Treatment--a two-arm comparative effectiveness trial (AADDOPT-2)
Investigator (PI): McKee, M Diane
Performing Organization (PO): (Current): Albert Einstein College of Medicine, Department of Family and Social Medicine / (718) 430-2900
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2014
Final Year: 2020
Record Source/Award ID: PCORI/AD-1402-10857
Funding: Total Award Amount: $1,989,972
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Chronic pain is a major public health problem that places many burdens on individuals, including impairment of physical and psychological functioning, lost productivity, and side effects of medications used to treat pain. There is also substantial evidence that minority populations differ both in prevalence and outcomes of chronic pain; access to care is a key component in these differences. Strong evidence now supports the use of acupuncture in the treatment of chronic pain conditions, including when provided in the primary care setting to patients from ethnically diverse, medically underserved populations. Acupuncture is slowly being integrated into pain management in many conventional health care settings, but cost and reimbursement for this service remain obstacles to offering acupuncture, especially in primary care and safety net settings. Because group acupuncture can be offered at much lower cost, demonstrating that individual and group delivery are equally effective could reduce barriers to use of this effective pain management approach. The research team will conduct a stakeholder-engaged randomized comparative effectiveness study to assess outcomes of individual and group acupuncture for treatment of chronic pain. Our project will take place in the health centers of the New York City Research and Improvement Networking Group (NYC RING), a practice-based research network dedicated to decreasing health disparities. Participating practices are located in the Bronx, NY, a county comprised of a large proportion of ethnic minority residents of whom more than half are Hispanic and nearly a third of the population lives below poverty level. Approximately 700 patients will be recruited and randomly assigned to receive either individual or group acupuncture for 12 weeks. We will compare outcomes that are important to patients including pain and quality of life. A subgroup of 20 participants from each arm will be interviewed to understand and describe the patient experience of both acupuncture approaches, to better incorporate the patient perspective into intervention delivery and dissemination. We have assembled a robust stakeholder group with representatives from our patient population, the acupuncture and primary care clinician communities, payor organizations, and from pain management advocacy groups. This group will meet quarterly throughout the project to provide input into implementation, interpretation of results, and dissemination. To assure patient perspective in every aspect of the study, we have a team of three Patient Partners who have helped craft our proposal and who will function as key personnel, playing an integral role on the study team.
MeSH Terms:
  • Acupuncture Therapy /*methods
  • Chronic Pain /*therapy
  • Comparative Effectiveness Research
  • Health Services Accessibility
  • * Health Status Disparities
  • * Healthcare Disparities
  • Hispanic Americans
  • Humans
  • Minority Groups
  • New York City
  • Outcome Assessment, Health Care
  • Pain Management /*methods
  • Poverty
  • Prevalence
  • Quality of Life
  • Randomized Controlled Trials as Topic
Country: United States
State: New York
Zip Code: 10461
UI: 20152051
Project Status: Completed
Record History: ('2019: Project extended to 2020 ',) ('2017: Project extended to 2019.',)