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Efficient and Cost-Effective Multimodal System for Pain Management in Low Back Pain

Award Number: R01NR018451
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 03/16/2020
PERIOD OF PERFORMANCE END DATE: 06/30/2026

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Efficient and Cost-Effective Multimodal System for Pain Management in Low Back Pain - Project Summary/Abstract Pain is among the most pervasive and universal forms of human distress. Pain typically is measured by patient self-report or clinician impressions, either through clinical interview or the visual analog scale. However, self- reported pain is difficult to interpret and in some circumstances not possible to obtain [Hadjistavropoulos et al., 2002]. To improve the standard of care and advance pain assessment, monitoring, and intervention, we propose (1) a savvy technology based on automatic facial, head, and body movement analysis for a reliable and valid assessment of the occurrence and intensity associated with five causes of acute and chronic low back pain (LBP); (2) inform our understanding of psychosocial and behavioral indicators of chronic LBP to develop new means to prevent chronic LBP. Participants' face, head, and body movement will be recorded during clinical assessment using two synchronized high-definition digital video cameras during extension, flexion, and rotation movements. The obtained video-recordings, taken during a first visit to the clinic and 3 follow-up visits after treatment, will be used for the development of automatic measures of the occurrence and intensity of pain. To investigate the generalizability of the proposed automatic measures, we will explicitly train and test the proposed classifiers on five different types of acute and chronic LBP. To do so, face, head, and body movement will be automatically tracked using our fully- automatic methods. The tracking results will be used to train end-to-end deep-leaning based classifiers to automatically measure the occurrence and intensity of LBP. To investigate the validity of the proposed classifiers, we will compare automated measurement to the patient- and clinician- rated visual analog scale, brief pain inventory, and continuous observer ratings of pain intensity from the video recordings. MANOVA will be used to quantify the relationship between the individual modalities and their combination for the measurement of the occurrence and intensity of the five LBP conditions and for chronic and acute conditions. To inform our understanding of how LBP evolves into a chronic form, we will use Ecological Momentary Assessment (EMA) to collect behavioral and contextual information beyond the video-recordings and pain scores' assessments. Participants will be monitored for 6 months after treatment, at a frequency of 7 consecutive days per month (1 week per month), and 4 prompts per day, to identify those who evolved to chronic LBP. EMA measures will be used to investigate whether pain intensity differs by psychosocial and behavioral factors both between and within LBP groups as well as whether psychosocial and behavioral factors are associated with the development of chronic LBP.


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: 2025 ( Subtotal = $449,960 )
2025	2025	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	001	5	8/20/2025	NON-COMPETING CONTINUATION	$449,960
2025	2024	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	002	4	9/5/2025	NON-COMPETING CONTINUATION	$0
2025	2024	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	000	4	11/29/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $449,960

Issue Date FY: 2024 ( Subtotal = $466,124 )
2024	2024	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	001	4	7/9/2024	NON-COMPETING CONTINUATION	$466,124
2024	2023	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	002	3	7/15/2024	NON-COMPETING CONTINUATION	$0
2024	2023	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	000	3	1/24/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $466,124

Issue Date FY: 2023 ( Subtotal = $598,219 )
2023	2023	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	000	3	3/6/2023	NON-COMPETING CONTINUATION	$598,219
														Subtotal = $598,219

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	001	2	2/8/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2021	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	000	2	12/8/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $945,485 )
2021	2021	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	000	2	12/15/2020	NON-COMPETING CONTINUATION	$540,682
2021	2021	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	002	2	6/11/2021	SUPPLEMENT FOR EXPANSION	$344,726
2021	2021	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	001	2	1/14/2021	NON-COMPETING CONTINUATION	$60,077
														Subtotal = $945,485

Issue Date FY: 2020 ( Subtotal = $486,755 )
2020	2020	CARNEGIE MELLON UNIVERSITY	5000 FORBES AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Nursing Research	000	1	3/13/2020	NEW	$486,755
														Subtotal = $486,755

Grand Total All Awards = $2,946,543

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Efficient and Cost-Effective Multimodal System for Pain Management in Low Back Pain

Award Number: R01NR018451

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 03/16/2020

PERIOD OF PERFORMANCE END DATE: 06/30/2026

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