Personalized auricular point acupressure for chronic pain self-management in rural populations
Ended Cooperative Agreement Awarded Last action
- Award ID
- UG3AT012728
- Recipient
-
University Of Texas Health Science Center At Houston UEI ZUFBNVZ587D4 Part of University Of Texas System
- Awarding agency
-
National Center for Complementary and Integrative Health
National Institutes of Health, Department of Health and Human Services
- Obligated
- $1,634,966
Award facts
- Assistance listing
- 93.279 Drug Use and Addiction Research Programs
- Completion date
- Funding agency
- National Institute of Neurological Disorders and Stroke National Institutes of Health, Department of Health and Human Services
- Place of performance
- Texas, USA
Award details come from USAspending.gov.
Description
- Abstract
- Despite a range of therapeutic approaches, chronic musculoskeletal pain (CMP) persists at a high rate, creating a public health burden. Our long-term goal is to increase access and scalability of evidence-based interventions while addressing pain care disparities for rural individuals with limited resources and/or endure long distances to specialty pain care. We will conduct a hybrid implementation-effectiveness trial, guided by the reach, effectiveness, adoption, implementation, and maintenance framework in diverse healthcare systems and communities across the united states in texas and south carolina focusing on rural health populations. Specifically, in our UG3 phase, we aim to plan and evaluate our auricular point acupressure self-management (APA-SM) program integrated into rural health care and communities. Our team has accumulated extensive evidence supporting the use of APA-SM in decreasing pain intensity, reducing pain interference, and improving physical function. To maximize self-management of pain, we successfully developed and tested a smartphone APA APP, an integral component of our APA-SM program, so patients can learn to self-administer APA. We also used ecological momentary assessment integrated into our APP to measure real-world outcomes with participants able to self-monitor their progress using this as an innovative behavior change strategy. Our APA-SM program is theory-based according to bandura's self-efficacy model, toward successful initiation and maintenance of participants' behavior change. In the UG3 phase, we will work with the NIH pragmatic trials collaboratory coordinating center and collaborate extensively with our stakeholders to plan, implement, evaluate, and sustain our intervention. In the UH3 phase, using a pragmatic, randomized clinical trial, we will evaluate the clinical effectiveness of our 4-week APA-SM program. We will compare 3 groups: self-guided APA-SM, APA-SM + in-person training, and education control. The primary outcomes are pain intensity, pain interference, and function; the secondary outcomes are based on the heal clinical pain core common data elements, and analgesic use, up to a 6-month follow-up. We will also evaluate implementation outcomes, cost-effectiveness, and predictive factors for APA-SM treatment response. A two-phase design in our UH3 will include an initiation (support for buy-in) and maintenance (no support provided) phase.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $817,483 | |
| Amendment | $817,483 | |
| Amendment | -$817,483 | |
| Amendment | -$817,483 | |
| Amendment | $817,483 | |
| Original award | $817,483 |
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| Texas A & M University System Health Science Center | $82,269 | |
| University Of South Carolina | $91,285 |
Quick answers
Who received award UG3AT012728?
UG3AT012728 was awarded to University Of Texas Health Science Center At Houston by National Center for Complementary and Integrative Health (National Institutes of Health) on September 4, 2024.
How much is award UG3AT012728 worth?
$1,634,966 has been obligated on UG3AT012728.
Which agency awarded UG3AT012728?
National Center for Complementary and Integrative Health (National Institutes of Health) awarded UG3AT012728, with funding from National Institute of Neurological Disorders and Stroke (National Institutes of Health).
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