The Network is a collaborative effort between the Palmer Center for Chiropractic Research (PCCR), Yale University Section of Biomedical Informatics and Data Science, and the Osher Center for Integrative Health (jointly based at Harvard Medical School and Brigham and Women’s Hospital).Ìý
Co-Directors: Cynthia Long, Ph.D.; Anthony Lisi, D.C.; Peter Wayne, Ph.D.
Steering Committee Members: Matt Kowalski, D.C.; Robert Vining, D.C., D.H.Sc.
Program Manager: Zachary Almquist, M.A.Ìý
Funding Source: Palmer College Foundation
Projects
IMPACT Study Project Description
Title: Integrative Migraine Pain Alleviation through Chiropractic Therapy: The IMPACT StudyÌý
Funding Source:ÌýOsher Center for Integrative Medicine, NCMIC, Palmer College FoundationÌý
Principle Investigators: Peter Wayne, Ph.D., Carolyn Bernstein, M.D.Ìý
Co-Investigators: Cynthia Long, Ph.D., Robert Vining, D.C., DHScÌý
Performance Period: 2017-2021
Site Location: The Osher Center for Integrative Medicine
Description:ÌýThisÌýpilot-controlledÌýtrial was conducted at the Osher Clinical Center in preparation for a larger trial.Ìý
Status: Completed
Publications:
Rist PM,ÌýBernstein C,ÌýKowalski M,ÌýOsypiukÌýK,ÌýConnor JP,ÌýVining R,ÌýLong CR,ÌýMacklin EA,ÌýWayne PM.Ìý CephalalgiaÌý2021;41(3):318-328.ÌýÌý
Wayne PM,ÌýBernstein C,ÌýKowalski M,ÌýConnor JP,ÌýOsypiukÌýK,ÌýLong CR,ÌýVining R,ÌýMacklin E,ÌýRist PM.ÌýÌýContempÌýClin Trials CommunÌý2020;17ÌýÌý
Rist PM,ÌýHernandez A,ÌýBernstein C,ÌýKowalski M,ÌýOsypiukÌýK,ÌýVining R,ÌýLong CR,ÌýGoertz C,ÌýSong R,ÌýWayne PM.Ìý.ÌýHeadacheÌý2019;59(4):532-542.Ìý
UnitedHealthcare Neck Pain Project
Principal Investigator: Anthony Lisi, D.C.
Steering Committee Members:Ìý Scott Haldeman, D.C., M.D., Ph.D.; Jason Sico, M.D., M.H.S.; Peter Way, Ph.D.Ìý
Collaborators: Yale University Section of Biomedical Informatics and Data Science, UnitedHealthcare and UC DavisÌý
Description: To replicate the Optum Low Back Pain Study for chiropractic patients with neck pain.
Presentations:Ìý
Lisi A, Bastian L, Brandt C, Coleman B, Goulet J. The impact of chiropractic care on opioid prescription fills in Veterans Health Administration patients receiving care for neck pain conditions. International Congress on Integrative Medicine and Health, April 9-13, 2024.
Coleman B, Corcoran K, Lisi A, Finch D, Luther S, Brandt C. Iterative development of a natural language processing model to identify patient reported outcome measure documentation in VA chiropractic care. International Congress on Integrative Medicine and Health, April 9-13, 2024.
Romano P, Ray M, Fang SY, Elton D, Haldeman S, Wayne P, Fenton J, Padilla K, Lisi A. First-seen provider and pharmacotherapy patterns among patients with new-onset neck pain. Integrative Medicine & Health Symposium, February 28-March 2, 2023, Chicago, IL.Ìý
Lisi AJ, Bastian LA, Brandt CA, Coleman BC, King JT, Goelet JL. The impact of chiropractic care on opioid prescriptions in Veterans Health Administration patients receiving care for low back conditions. North American Spine Society Annual Meeting, October 18-21, 2023, Los Angeles, CA.
Publications:
Fenton JJ, Fang SY, Ray M, Kennedy J, Padilla K, Amundson R, Elton D, Haldeman S, Lisi A, Sico J, Wayne P, Romano PS. Spine (Phila Pa 1976). 2023 Oct 15;48(20):1409-1418.
Coleman BC, Lisi Aj, Abel EA, Runels T, Goulet JL. . N AM Spin Soc J. 2023 Jun 1:14:10023.
Coleman BC, Finch D, Wang R, Luther SL, Heapy A, Brandt C, Lisi AJ. . App Clin Inform. 2023;14(03):600-608.
Integrating Chiropractic Care & Mind-Body Training for the Treatment of Non-specific Chronic Neck Pain
Principal Investigator: Peter Way, Ph.D.Ìý
Site: Osher for Integrative MedicineÌý
Study Team: Pamela Rist, Sc.D.; Matt Kowalski, D.C.; Wren Burton, D.C.Ìý
Description: Pilot study of nurses with chronic neck pain receiving chiropractic, Tai Chi and other mind-body therapies.Ìý
Presentations:
Burton W, Kowalski M, Litrownik D, Wayne P. Integrating chiropractic care and Tai Chi training for the treatment of chronic nonspecific neck pain in nurses. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA.Ìý
Burton W, Litrownik D, Kowalski M, Wayne P. Integrating chiropractic care and Tai Chi training for the treatment of chronic nonspecific neck pain in nurses. Integrative Medicine and Health Symposium, February 28 – March 2, 2023, Chicago, IL.
Burton W, Kowalski M, Litrownik D, Wayne P. Integrating chiropractic care and Tai Chi training for the treatment of chronic nonspecific neck pain in nurses. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA.
Longitudinal Cohort Assessing Healthcare Service use for Spine-Related Disorders in the VA
Principle Investigator: Anthony Lisi, D.C.
Site: Yale University Section of Biomedical Informatics and Data Science
Description: Evaluate differences in healthcare use and outcomes in administrative data among a large cohort of U.S. veterans receiving care in Veterans Health Administration facilities.
Presentations:Ìý
Coleman B, Corcoran K, Lisi A, Finch D, Luther S, Brandt C. Iterative development of a natural language processing model to identify patient reported outcome measure documentation in VA chiropractic care. International Congress on Integrative Medicine & Health. April 11-13, 2024, Cleveland, OH.
Coleman B, Corcoran K, Lisi A, Brandt C. Identifying documentation of patient reported outcome measures in Veterans Health Administration chiropractic care using rule-based natural language processing. ACC-RAC Conference, March 21-23, 2024, San Diego, CA.
Lisi AJ, Bastian LA, Brandt CA, Coleman BC, King JT, Goulet JL. The impact of chiropractic care on opioid prescriptions in Veterans Health Administration patients receiving care for low back conditions. North American Spine Society Annual Meeting. October 19-21, 2023, Los Angeles, CA.
Chart Review of Characteristics of Veterans Health Administration Chiropractic CareÌý
Principal Investigator: Anthony Lisi, D.C.Ìý
Site: Yale University Section of Biomedical Informatics and Data Science
Description: Investigate elements of quality care, such as how visit dosage of exercise, adjustments, and patient education during care.
Presentations:Ìý
Lisi A, Graham S, Skanderson M, Best R, Seng E, Sico J. Assessing the use of Veterans Health Administration chiropractic care by patients with headache disorders. Integrative Medicine and Health Symposium, February 28 – March 2, 2023, Chicago, IL.  Ìý
Graham S, Sites A, Zhao X, Lisi A. Assessing referral patterns to on-station chiropractic clinics within the Veterans Health Administration. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA. Ìý
Corcoran K, Coleman B, Zhao X, Bastian L, Brandt C, Lisi A. Assessing downstream healthcare utilization for low back pain among chiropractic users versus non-users in the Veterans Health Administration. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA. Ìý
Sharma N, Graham S, Sites A, Coleman B, Lisi A. Describing congruence between ICD-10 coding and medical record text in Veterans Health Administration chiropractic notes. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA. Ìý
Muller R, Graham S, Sites A, Corcoran K, Lisi A. Assessing quality indicators and guideline-concordance in chiropractic low back pain visits in the Veterans Health Administration. ACC-RAC Conference, March 23-25, 2023, New Orleans, LA. Ìý
Publications:Ìý
Graham SE, Coleman BC, Zhao C, Lisi AJ. . Chiropr Man Therap. 2023 Aug 10;31(1):29.
Administrative Database of Veterans Health Administration Chiropractic Use in Headache PatientsÌý
Principal Investigator: Anthony Lisi, D.C.Ìý
Co-Investigators: Jason Sico, M.D., M.H.S. (National Director, Head Centers of Excellence Program, VA); Matt Kowalski, D.C.; Cynthia Long, Ph.D.; Robert Vining, D.C., DHSc; Peter Wayne, Ph.D.Ìý
Site: Department of Veterans Affairs Headache Center of Excellence, VA CT, Yale University Section of Biomedical Informatics and Data Science
Description:Ìý Using administrative data in the Headache Centers to compare patients with headache who receive chiropractic care versus those who do not.Ìý
Chiropractic Care for Episodic Migraine
Funding Source: NIH/NCCIHÌý
Performance Period: 12/11/2022-11/30/2025Ìý
Award Amount: 112,670 (subaward)Ìý
Status: Pending Notice of Grant AwardÌý
Principal Investigator: Peter Wayne, PhD; Pamela Rist, ScD; Jason Sico, MD, MHS.Ìý
Co-investigators: Anthony Lisi, DC; Cynthia Long, PhD; Robert D Vining DC, DHSc.Ìý
Sites: Osher Clinical Center and West Haven, CT VA Hospital.Ìý
Description:Ìý A 2-site pilot randomized trial of 60 patients (men and women) diagnosed with episodic migraine (R01 multisite feasibility clinical trial).Ìý
Presentations:ÌýÌý
Wayne P, Bernstein C, Kowalski M, Osypiuk K, Connor J, Vining R, Long C, Maklin E, Rist P. Chiropractic care for migraine: A Pilot randomized clinical trial. International Congress on Integrative Medicine and Health Conference, April 28 – May 1, 2020, Cleveland Ohio.Ìý
Combined Chiropractic and Tai Chi for Chronic Non-Specific Neck Pain (CHRONECK)
Funding Source: NIH/NCCIHÌý
Performance Period: 09/12/2022 – 05/30/2025Ìý
Principal Investigator: Peter Wayne, Ph.D.Ìý
PCCR Consultants: Cynthia Long, Ph.D; Robert Vining, D.C., DHSc.Ìý
Sites: Osher Center for Integrative Health at Harvard/BWH; Chiropractic and Tai Chi centers in Boston, MA.Ìý
Description: A 3-armed mixed methods pilot randomized trial of 48 patients with chronic pain with care from community-based Tai Chi instructors and chiropractors (R34 clinical trial planning grant application).Ìý
Chiropractic Care for Fall Prevention
Principal Investigator: Peter Wayne, Ph.D.Ìý
Lead Authors: Wren Burton, DC; Weronika Gabowska, MPHÌýÌý
Site: Osher Center for Integrative Health
PCCR co-authors: Cynthia Long, PhD; Robert Vining, DC, DHScÌýÌýÌý
Publication:ÌýÌý
Grabowska W, Burton W, Kowalksi MH, Vining R, Long CR, Lisi A, Hausdorff JM, Manor B, Munoz-Vergara D, Wayne PM. BMC Musculoskelet. Disord. 2022;23:844.Ìý
Presentations:Ìý
Burton W, Grabowska W, Kowalski M, Long C, Bining R, Lisia, Munoz-Vergara D, Wayne P. Chiropractic care for fall prevention in our aging society: Rationale, state of the evidence, and a research agenda. ACC-RAC Conference, July 24-26, 2022, San Diego, CA.Ìý
Integration of Systematic Gait Monitoring into Chiropractic Care in an Academic Hospital Clinic Setting
Principal Investigation: Peter Wayne, Ph.D.
Co-Investigator: Wren Burton, D.C., M.P.H.
Site: Osher Center for Integrative Health at Harvard and Brigham’s Women’s Hospital.
Description: Developed protocols for gait data capturing, collected longitudinal gait health outcomes, and developed patient-centered reports of both gait and clinical health.
Publication:
Burton W, Ma Y, Manor B, Hausdorff JM, Kowalski MH, Bain PA, Wayne PM. . BMC Musculoskelet Disord. 2023;24:618.
Presentation:Ìý
Burton W, Kowalski M, Long C, McCarey J, Vining R, Hausdorff J, Manor B, Rist P, Wayne P. Gait health in individuals with chronic nonspecific neck pain. International Congress on Integrative Medicine and Health, April 9-13, 2024.