Coordinated non-drug care program for chronic low back pain

1/2 IMPACt-LBP CCC

NIH-funded research Duke University · NIH-11142609

This project brings together doctors, chiropractors, and physical therapists to deliver coordinated non-drug care for adults with chronic low back pain.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionDuke University NIH-funded
Lab location1 site (Durham, United States)
Project IDNIH-11142609 on NIH RePORTER

What this research studies

You would be offered a team-based approach that uses first-line non-pharmacological treatments such as spinal manipulation, exercise, and targeted physical therapy instead of relying on opioids. The team will set up care pathways and train clinicians to deliver this coordinated model across participating clinics and track patient outcomes over time. Adults with ongoing low back pain will be enrolled at clinical sites and asked about pain, function, opioid prescriptions, and satisfaction while receiving care. The goal is to refine and expand a safer, effective way to manage low back pain in routine care.

Who could benefit from this research

Good fit: Adults (21 years and older) with chronic low back pain who receive ambulatory care and are willing to try non-drug treatments would be the ideal candidates.

Not a fit: People with acute traumatic spine injuries, clear surgical emergencies, or medical reasons that make chiropractic or physical therapy unsafe may not benefit from this program.

Why it matters

Potential benefit: If successful, this could reduce pain and improve function while lowering opioid prescriptions and overall healthcare use for people with chronic low back pain.

How similar studies have performed: Smaller studies and prior work by the study team have shown this multidisciplinary, non-drug approach can be safe and improve function while reducing opioid use, but broad, rigorous implementation is still limited.

Where this research is happening

Durham, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.