Improving access to physical therapy for Hispanic patients with back and spine pain

Salud de tu Espalda Primary Care to Physical Therapy (STEPPT): Mitigating ethnic disparities in access and engagement in spine pain rehabilitation

NIH-funded research San Diego State University · NIH-11261607

This program will try a culturally tailored approach to help Hispanic adults with spine pain get referred to and stick with physical therapy.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionSan Diego State University NIH-funded
Lab location1 site (San Diego, United States)
Project IDNIH-11261607 on NIH RePORTER

What this research studies

You would be part of efforts to adapt culturally relevant materials and clinic practices so doctors and staff better refer Hispanic patients to physical therapy. Researchers will work with clinics and patients to create a step-by-step program that fits local needs and is written down for staff to follow. The program will then be rolled out across participating community health centers in a staggered way so every clinic eventually uses it while outcomes are tracked. The project will measure whether more Hispanic patients are referred to physical therapy and whether they attend and complete recommended sessions.

Who could benefit from this research

Good fit: Hispanic adults with spine or back pain who receive care at the participating Federally Qualified Health Centers near the US–Mexico border would be the ideal candidates.

Not a fit: People without spine pain, patients who do not receive care at the participating clinics, or those requiring immediate surgical care are unlikely to benefit directly from this program.

Why it matters

Potential benefit: If successful, this could increase referrals to physical therapy and improve attendance and completion of non-drug rehabilitation for Hispanic patients with spine pain.

How similar studies have performed: Previous work shows culturally tailored interventions and clinic-level changes can improve care engagement, but combining multilevel adaptation with a cluster stepped-wedge trial in this specific population is relatively new.

Where this research is happening

San Diego, 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.