Salud DE TU espalda primary care to physical therapy (STEPPT): mitigating ethnic disparities in access and engagement in spine pain rehabilitation

Active Project Grant Awarded Last action

Award ID
R01MD018937
Recipient
Awarding agency
Obligated
$6,144,512

Award facts

Completion date 72% complete
Place of performance
San Diego, CA 92182, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Spine pain is among the most common and disabling health conditions for both non-hispanic whites (NHWS) and racial/ethnic minorities. Although hispanics often report more severe musculoskeletal pain than NHWS, they are less likely to consult a healthcare professional for pain management, and health care providers are less likely to assess and treat pain in hispanic patients. The overall objective of this proposal is to adapt and test evidence-based, culturally informed practices at multiple levels of influence along the healthcare continuum to improve access to and engagement in physical rehabilitation as a non-pharmacological treatment option for hispanics with spine pain. Aim 1 proposes a mixed-methods approach to adapt and manualize a multilevel intervention to address modifiable factors contributing to ethnic disparities in rates of physician referral and patient adherence to physical therapy referral for spine pain in a federally qualified health center (FQHC) serving diverse, low-income communities near the US-mexico border. Aim 2 will then assess effectiveness of the manualized intervention, referred to as steppt (salud DE TU espalda: primary care to physical therapy), using a cluster-randomized stepped-wedge clinical trial in the FQHC setting. Compared to standard care, we hypothesize that steppt will significantly reduce ethnic disparities in rates of physician referral and patient adherence to physical therapy referral for spine pain. Successful completion of the proposed aims will provide underserved hispanic communities with scalable, sustainable, and effective options for engaging in culturally appropriate pain care. This approach can serve as a model for fqhcs and other healthcare systems to mitigate disparities in specialty services for a variety of health conditions that disproportionately impact ethnic and racial minorities.

Transactions

Action Obligated Date
Amendment $54,637
Amendment $491,738
Amendment $491,738
Amendment $56,286
Amendment $506,579
Amendment $506,579
Amendment $40,704
Amendment $40,704
Amendment $40,704
Amendment $523,319
Amendment $523,319
Amendment $523,319
Amendment $523,319
Amendment $607,189
Amendment $607,189
Original award $607,189
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Subawards

Subrecipient Amount Awarded
Family Health Centers Of San Diego Inc. FHCSD personnel will contribute as collaborators on all aspects of the research. They will attend meetings and communicate regularly with all investigators as… $528,751

Quick answers

Who received award R01MD018937?

R01MD018937 was awarded to San Diego State University Foundation by National Institute for Minority Health and Health Disparities (National Institutes of Health) on July 13, 2023.

How much is award R01MD018937 worth?

$6,144,512 has been obligated on R01MD018937.

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