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

Award Number: R01MD018937
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/13/2023
PERIOD OF PERFORMANCE END DATE: 01/31/2028

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Salud de tu Espalda Primary Care to Physical Therapy (STEPPT): Mitigating ethnic disparities in access and engagement in spine pain rehabilitation - Project Summary Spine pain is among the most common and disabling health conditions for both non-Hispanic whites (NHWs) and racial/ethnic minorities. Although Hispanics often report more severe musculoskeletal pain than NHWs, they are less likely to consult a healthcare professional for pain management, and health care providers are less likely to assess and treat pain in Hispanic patients. The overall objective of this proposal is to adapt and test evidence-based, culturally informed practices at multiple levels of influence along the healthcare continuum to improve access to and engagement in physical rehabilitation as a non-pharmacological treatment option for Hispanics with spine pain. Aim 1 proposes a mixed-methods approach to adapt and manualize a multilevel intervention to address modifiable factors contributing to ethnic disparities in rates of physician referral and patient adherence to physical therapy referral for spine pain in a Federally Qualified Health Center (FQHC) serving diverse, low-income communities near the US-Mexico border. Aim 2 will then assess effectiveness of the manualized intervention, referred to as STEPPT (Salud de tu Espalda: Primary Care to Physical Therapy), using a cluster-randomized stepped-wedge clinical trial in the FQHC setting. Compared to standard care, we hypothesize that STEPPT will significantly reduce ethnic disparities in rates of physician referral and patient adherence to physical therapy referral for spine pain. Successful completion of the proposed aims will provide underserved Hispanic communities with scalable, sustainable, and effective options for engaging in culturally appropriate pain care. This approach can serve as a model for FQHCs and other healthcare systems to mitigate disparities in specialty services for a variety of health conditions that disproportionately impact ethnic and racial minorities.


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 = $546,375 )
2026	2026	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	001	4	2/17/2026	NON-COMPETING CONTINUATION	$54,637
2026	2026	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	000	4	1/14/2026	NON-COMPETING CONTINUATION	$491,738
														Subtotal = $546,375

Issue Date FY: 2025 ( Subtotal = $562,865 )
2025	2025	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	001	3	4/24/2025	NON-COMPETING CONTINUATION	$56,286
2025	2025	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	000	3	1/19/2025	NON-COMPETING CONTINUATION	$506,579
														Subtotal = $562,865

Issue Date FY: 2024 ( Subtotal = $564,023 )
2024	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	001	2	5/30/2024	NON-COMPETING CONTINUATION	$40,704
2024	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR MC1947	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	000	2	1/5/2024	NON-COMPETING CONTINUATION	$523,319
														Subtotal = $564,023

Issue Date FY: 2023 ( Subtotal = $607,189 )
2023	2023	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR MC1947	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	000	1	7/13/2023	NEW	$607,189
														Subtotal = $607,189

Grand Total All Awards = $2,280,452

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

Award Number: R01MD018937

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/13/2023

PERIOD OF PERFORMANCE END DATE: 01/31/2028

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