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Addressing Chronic Pain in Older Adult Populations: Acupuncture Healthcare Delivery Model Innovation in the United States

Award Number: F30AT013025
ORGANIZATION: CENTER FOR DRUG EVALUATION AND RESEARCH, NIH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 01/01/2025
PERIOD OF PERFORMANCE END DATE: 12/31/2030

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Addressing Chronic Pain in Older Adult Populations: Acupuncture Healthcare Delivery Model Innovation in the United States - PROJECT SUMMARY/ABSTRACT Chronic pain, pain that persists longer than 3 months, is both a leading cause of disability and the primary reason for seeking out medical attention in the United States. The cost of this persistent healthcare burden ranges from $560 to $635 billion annually, and it disproportionately impacts older adults. In 2019, over 17 million (30.8%) Americans over the age of 65 reported experiencing chronic pain. Of increasing urgency is the need for non-pharmacological pain management options, given the ongoing opioid overdose epidemic in the US. Thus, a better understanding of integrating non-pharmacological pain management strategies, particularly acupuncture, which is already recognized as an efficacious first-line treatment, is urgently needed. Currently, there are gaps in our understanding of acupuncture as a non-pharmacological pain management strategy and whether it is feasible, acceptable, and appropriate for the older adult American population in the long term. Acupuncture for chronic pain is particularly under-researched in underserved and immigrant populations. Our overarching hypotheses are: 1) priorities differ between institutional and individual interests regarding acupuncture for chronic pain treatment; 2) the majority of older adult patients with chronic pain do not have an integrative pain management plan (and limited continuity of care); 3) study designs are structured inconsistently in randomized controlled trials (RCTs) evaluating acupuncture for chronic pain. For Aim 1, we will utilize ethnographic approaches to document stakeholder perspectives at the institutional, provider (acupuncturist and physician), and patient levels. We will document 60 stakeholder perspectives using semi-structured interviews. For Aim 2, we will utilize a retrospective case series study design to track older adult patients who received acupuncture for their chronic pain over a two-year period. We will use the electronic health record system to complete this aim. For Aim 3, we will conduct a scoping review of all RCTs with an acupuncture intervention and biomarker outcome measures. Data for aims 1 and 2 will be collected at the Chinese Hospital in San Francisco, California, an integrated nonprofit community hospital system that provides acupuncture alongside biomedical treatment. It is the only hospital in the US whose mission is to serve the Chinese diaspora. Identifying positives and negatives within this integrated healthcare system will help pinpoint best practices for improving chronic pain management within the older adult population. With this research proposal and detailed training plan, the applicant will gain a multidisciplinary skill set combining ethnographic methods and implementation science frameworks while advancing knowledge of non-pharmacological pain management options for older adults. This project takes advantage of a critical inflection point of medical systems integration and interest in non-pharmacological strategies in the United States to mold the implementation and delivery of acupuncture services for chronic pain to the underserved older adult American population.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $47,850 )
2026	2026	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 360	EAST LANSING	MI	48824	INGHAM	USA	Research and Training in Complementary and Integrative Health	000	2	5/4/2026	NON-COMPETING CONTINUATION	$47,850
														Subtotal = $47,850

Issue Date FY: 2024 ( Subtotal = $46,710 )
2024	2024	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Research and Training in Complementary and Integrative Health	000	1	8/14/2024	NEW	$46,710
2024	2024	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Research and Training in Complementary and Integrative Health	001	1	8/14/2024	NEW	$0
														Subtotal = $46,710

Grand Total All Awards = $94,560

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Addressing Chronic Pain in Older Adult Populations: Acupuncture Healthcare Delivery Model Innovation in the United States

Award Number: F30AT013025

ORGANIZATION: CENTER FOR DRUG EVALUATION AND RESEARCH, NIH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 01/01/2025

PERIOD OF PERFORMANCE END DATE: 12/31/2030

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