A Decentralized Trial of Evidence-Based Pain Care in Rural Communities
NINDS - National Institute of Neurological Disorders and Stroke
About This Grant
PROJECT SUMMARY Chronic pain imposes tremendous burden on society, with disproportionate impact on rural communities. Evidence-based, mind and body interventions for persons with chronic pain involve nonpharmacologic care often provided by physical therapists (PTs). Nonpharmacologic mind-body EBIs are underutilized, and often un- available, in rural communities with profound consequences including greater risk for disability, work loss and opioid use. Social determinants of health create unique challenges for EBI delivery in rural communities. Rural residents tend to have less healthcare access, lower income, less education attainment, etc. Persons of Hispanic/Latino ethnicity are a growing part of rural communities, increasing the need for culturally-congruent care. COVID showed the potential of telehealth to expand access to evidence-based care, while also raising many questions for rural residents. An array of digital health technologies hold promise to increase the reach and impact of telehealth, but have not been developed or studied in partnership with rural communities. The overall goal of the Better Pain Care with Telehealth & Technology (BP-2) trial is to better leverage digital health strategies to improve pain management in rural communities. BP-2 is a hybrid II effectiveness-implemen- tation trial that uses a study-within-a-trial design to efficiently address two research gaps; 1) how to best leverage digital health to provide mind-body pain EBIs using TH; and 2) how to reach persons in rural communities to connect to a mind-body pain EBI. BP-2 is a fully de-centralized trial, a key design consideration for increasing participation of rural healthcare settings and residents. We will partner with Federally Qualified Health Centers and two large health systems to identify persons with chronic musculoskeletal pain via electronic health records and randomize them to different text messaging (TM) strategies to reach and connect them to a PT-led telehealth EBI. Four TM strategies will test factorial combinations of two factors; 1) TM content (personalized or not), and 2) TM cadence (weekly or early density). In the second randomization persons who connect to the telehealth EBI and enroll are randomized to a delivery strategy; 1) TH, or 2) TH with app-based remote monitoring (TH+). The BP-2 study will use this design to test 3 specific aims; 1) determine differences in delivery strategies for telehealth EBI (TH vs/ TH+) for rural residents, 2) determine differences in reach among TM strategies to connect rural residents to a pain EBI, and 3) explore mind-body pain EBI implementation outcomes with rural residents using mixed methods. BP-2 addresses critical research gaps on how to use digital health to reach patients, and optimize the effectiveness evidence-based, nonpharmacologic, mind-body interventions.
Grant Summary
A Decentralized Trial of Evidence-Based Pain Care in Rural Communities is a NINDS - National Institute of Neurological Disorders and Stroke grant providing up to $2.1M for university, nonprofit, healthcare org. Applications are due 2029-07-31 (open). Check eligibility and apply with FindGrants.
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Eligibility
How to Apply
Up to $2.1M
2029-07-31
- 1Confirm your organization is eligible for A Decentralized Trial of Evidence-Based Pain Care in Rural Communities from NINDS - National Institute of Neurological Disorders and Stroke, checking organization type, location, and any population or project requirements.
- 2Gather the required documents and information, including your organization details, project plan, and budget figures.
- 3Draft your application narrative and budget addressing the funder's priorities and review criteria. FindGrants can draft each section for you to review and edit.
- 4Review every section against the requirements checklist, then export a submission-ready application pack and submit it to NINDS - National Institute of Neurological Disorders and Stroke before the deadline.
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A Decentralized Trial of Evidence-Based Pain Care in Rural Communities: Frequently Asked Questions
Who is eligible for the A Decentralized Trial of Evidence-Based Pain Care in Rural Communities?
A Decentralized Trial of Evidence-Based Pain Care in Rural Communities is offered by NINDS - National Institute of Neurological Disorders and Stroke and is generally open to university, nonprofit, healthcare org. It is open to organizations nationwide unless the funder specifies otherwise. Review the specific eligibility terms before applying, since funders set their own requirements around organization type, location, and the population or project being served.
How much funding does the A Decentralized Trial of Evidence-Based Pain Care in Rural Communities provide?
A Decentralized Trial of Evidence-Based Pain Care in Rural Communities provides up to $2.1M per award from NINDS - National Institute of Neurological Disorders and Stroke. Actual award sizes depend on the scope of your project, available program funds, and the number of applicants, so build a budget that reflects realistic, allowable costs rather than the maximum figure.
When is the A Decentralized Trial of Evidence-Based Pain Care in Rural Communities deadline?
Applications for A Decentralized Trial of Evidence-Based Pain Care in Rural Communities are due 2029-07-31 (open). Because deadlines can change, verify the date with the funder, NINDS - National Institute of Neurological Disorders and Stroke, and give yourself enough time to prepare a complete, competitive application before the close date.
How do you apply for the A Decentralized Trial of Evidence-Based Pain Care in Rural Communities?
To apply for A Decentralized Trial of Evidence-Based Pain Care in Rural Communities, confirm your eligibility, gather the required documents, and prepare a narrative and budget that address the funder's priorities. FindGrants guides you step by step and can draft each section, then exports a submission-ready application pack for this grant from NINDS - National Institute of Neurological Disorders and Stroke.