ABOUT CHRISTINE GOERTZ

CURRENT

Title: IMPACT-LPB-Administrative Supplements for Complementary Health Practitioner Research Experience

Major Goals: IMPACT-LBP overarching goal remains unchanged, which is to refine and implement a multidisciplinary collaborative care model for LBP (MC2LBP) in 3 academic Health Care Systems (HCS) and then evaluate its effectiveness by comparing it to usual medical care in patients age 18 and older suffering from LBP. We are currently in year 2/UH3 Phase of our six year project. This Administrative Supplement is to support our identified candidate, Romeo Perfecto, DC, MS, CCSP and will serve as a suitable vehicle for his ongoing training in methodology, theories, and concepts needed to conduct research in complementary and integrative health.

Status of Support: Active

Project Number: 4 UH3 AT 011187 – 02S1

Role: PI 

Source of Support: NIH/NCCIH

Primary Place of Performance: Duke University

Project/Proposal Start and End Date:01/01/2023 – 12/31/2023

Total Award Amount (including Indirect Costs):$159,317

Title: Feasibility Trial of a Novel Integrated Mindfulness and Acupuncture Program to Improve Outcomes after Spine Surgery (I-MASS)

Major Goals: The purpose of the proposed R34 project is to assess the feasibility and acceptability of an integrated program that combines mindfulness delivered via mobile app (mHealth) with auricular acupuncture in individuals undergoing spine surgery (I-MASS) in preparation for a fully powered, pragmatic, randomized comparative effectiveness trial.

Status of Support: Pending

Project Number: 1 R34 AT 012082 – 01A1 

Role: MPI

Source of Support: NIH/NCCIH

Primary Place of Performance: Duke University

Project/Proposal Start and End Date:04/01/2023 – 03/31/2026

Total Award Amount (including Indirect Costs):$724,500

Title: Chiropractic Care for Veterans: A Pragmatic Randomized Trial Addressing Dose Effects for cLBP

Major Goals: The goals of this project are to evaluate the comparative effectiveness of a low dose of standard chiropractic care against a higher dose in Veterans with cLBP; evaluate the comparative effectiveness of chiropractic chronic pain management compared to usual care; evaluate the impact of CCPM on health service outcomes compared to usual care; and evaluate patient and clinical perceptions of non-specific treatment factors. 

Status of Support: Active

Project Number: 4UH3-AT009761-05

Role: MPI

Source of Support:NIH/NCCIH

Primary Place of Performance:Palmer College of Chiropractic

Project/Proposal Start and End Date:10/1/19-8/31/23

Total Award Amount (including Indirect Costs): : $7,087,730

Title: 1/2 IMPACt-LBP CCC

Major Goals: This proposal will assess the capacity of Health Care Systems to move guideline-based care of low back pain (LBP) to the forefront of the patient experience by rigorously evaluating a Multidisciplinary Conservative Care Model that utilizes doctors of chiropractic and physical therapists as the first point of contact for patients with LBP. The results from this study will directly inform implementation and policy efforts to improve the quality of pain management for patients suffering from LBP while simultaneously reducing opioid prescriptions, health care costs and utilization of services.

Status of Support:Active

Project Number:4UH3-AT011187-02

Role: PI of record

Source of Support:NIH/NCCIH

Primary Place of Performance:Duke University

Project/Proposal Start and End Date:7/15/2021-07/31/2026

Total Award Amount (including Indirect Costs): $7,910,628

COMPLETED

Implementation of the American College of Physicians Guideline for Low Back Pain using a Multidisciplinary Conservative Care model at the initial point of patient contact - Clinical Coordinating Center

Principal Investigator of Record

NCCIH/NIH

The goals of this project are to plan and execute a cluster randomized trial, which is a novel, guideline-congruent, non-pharmacological approach to LBP management. This project will refine,  implement and test a multidisciplinary collaborative care model for LBP that includes doctors of chiropractic and physical therapists, well-trained primary contact clinicians with specific expertise in the treatment of musculoskeletal conditions, as first line providers for LBP. 

UG3 Award: $958,353    

07/15/2021 – 06/30/2022

Implementing Integrated Pain Management: Lessons from North Carolina Health Systems

Co-Investigator

The Duke Endowment (PI: Lentz) 

The goals of this project are to better understand the development and implementation of integrated pain management models and to make recommendations about how they can be better deployed.

10/2019 – 03/2021

Collaborative Care for Veterans with Spine Pain and Mental Health Issues

Principal Investigator

NIH/NCCIH

The goals of this project are to develop an integrative care model that includes doctors of chiropractic in multidisciplinary teams treating patients in Veterans Health Administration (VHA) facilities; use a pain consensus building process to tailor existing chiropractic guidelines to interlink with current VHA pain management initiatives; and conduct a pilot clinical trial to test this model.

Funding amount: $718,241

09/14 – 06/19

Assessment of Chiropractic Treatment for Low Back Pain, Military Readiness and Smoking in the Department of Defense

Co-Principal Investigator

DoD RAND Subcontract

The goal of this series of studies is to conduct clinical trials that assess chiropractic treatment on service member groups of the Armed Forces.

Funding amount: $7,499,707

02/11 – 02/19

Chiropractic Care in Rehabilitation at Crotched Mountain: A Pilot Initiative of the Patient-Centered Integrated Health Program 

Co-Investigator and procurer of funding

Kiernan Foundation

The primary goals of this project were to add chiropractic care to the multi-disciplinary care model at Crotched Mountain Specialty Hospital in Greenfield NH and to provide evidence that will help future care teams improve meaningful clinical outcomes for individuals with brain and spinal cord injury.

Funding amount: $1,000,000

01/15 – 12/17

Private Sector Integrated Chiropractic Study

Principal Investigator

NCMIC Foundation

Chiropractic services are included in various US private medical settings ranging from large healthcare systems to smaller care delivery sites. The goal of this research study was to describe and assess the delivery of chiropractic services in a group of private healthcare facilities using a qualitative case study approach.

Funding amount: $99,652

11/14 –12/17

Developmental Center for Clinical and Translational Science in Chiropractic, Developmental Center for Research in CAM 

Principal Investigator

NCCAM/NIH

This goal of this Center was to build expertise in clinical research and serves as the focal point to strengthen and enhance established and evolving relationships between Palmer College of Chiropractic and research-intensive institutions and thereby facilitate 3 synergistic and novel research projects. 

Funding Amount: $2,752,270

2008-2015

Chiropractic Demonstration Projects: Co-Management of Older Adults with Low Back Pain by Medical Physicians and Doctors of Chiropractic

Principal Investigator

HRSA

The long term goal of this study was to enhance human health by improving quality of care through the use of a team-based approach to health care delivery for sub-acute and chronic low back pain in older adults.

Funding Amount: $1,348,204

2009-2014

Developmental Center to Study Mechanisms and Effects of Chiropractic Manipulation (DCRC II)

Project #3: Effects of Spinal Manipulation on Sensorimotor Functions in Back Pain Patients.

Leader of Project 3; Co-Investigator of Administrative Core

NCCAM/NIH

The goal of Project 3 was to study the effects of two forms of manipulation on three types of sensorimotor abilities in patients with low back pain.

Funding Amount: $3,888,202

2007-2014

Expanding Evidence Based Medicine and Research across the Palmer College of Chiropractic

Principle Investigator/Co-Principal Investigator

NCCAM/NIH

The primary aim of this study was to expand the use of evidence-based medicine in the curriculum at Palmer College of Chiropractic.

Funding Amount: $543,736

2007-2012

Trial to Assess Chelation Therapy (NIH Cooperative Agreement)

NIH Program Official/Co-Investigator

NCCAM/NIH 

The major goal of this multi-site Phase III randomized clinical trial was to explore the efficacy and safety of EDTA chelation therapy for the treatment of coronary artery disease.

Funding Amount: $30,000,000

2001-2013

MILCAM - A Feasibility Study

Principal Investigator

Department of Defense through the Samueli Institute

This prospective, randomized, clinical trial compared manual/manipulative and standard care to standard care alone for episodes of low back pain.

Funding Amount: $200,263

2007-2009

Outcomes and Cost Assessment of Acupuncture in the Military 

Principal Investigator

Department of Defense/Air Force

The major goal of this study was to assess acupuncture as a treatment for acute and chronic pain, and to perform an overall analysis of costs associated with providing acupuncture services to pain patients.

Role: Principal Investigator

Funding Amount: $50,000

2005

Program for Research Supplements in Military Operations and Healthcare

Principal Investigator

Department of Defense

The goal of this program was to establish and administer the premier national research program on the safety, efficacy and mechanisms of nutritional and dietary supplement practices of potential importance to military operations and populations.

Funding Amount: $4,137,587

2005-2006

Center for Research on Integrative Medicine in Military

Co-Principal Investigator

Department of Defense

The goal of Center was to develop a national program for evaluation and research on complementary, alternative and holistic medical practices (also called integrative medicine) for military personnel and veterans.

Funding Amount: $2,972,000

2005-2006

Acupuncture for the Treatment of PTSD in Trauma Survivors

Co-Investigator

Department of Defense

The purpose of this project was to conduct a randomized clinical trial feasibility study of acupuncture for post-traumatic stress disorder and physical injuries.

Funding Amount: $300,000

2004-2006

Practice Outcomes Development System 

Principal Investigator

Department of Defense

The major goal of this project was the conduct scientifically rigorous prospective outcomes investigation of complementary and alternative medicine within the clinical practice setting.

Funding Amount: $350,000

2003-2006