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S27: Practice Based Research Networks for Integrative Medicine

10:30 - 12:00, Brickell, Terrace Level

Benjamin Kligler (1), Jeffrey Dusek (2), Rowena Dolor (3), Diane McKee (4), Jonathan Tobin (5), Donald Abrams (6)

(1): Beth Israel Medical Center, United States                                       

(2): Allina Health System, United States

(3): Duke Clinical Research Institute, United States

(4): Albert Einstein College of Medicine, United States

(5): Clinical Directors Network, United States

(6): Osher Center for Integrative Medicine at University of California San Francisco (UCSF), United States



Practice-based Research Networks (PBRNs) are now being widely used to explore the effectiveness of integrative medicine for a wide variety of conditions in both observational studies and clinical trials. There is a tremendous opportunity to expand the amount of observational data available by increasing the number of clinical integrative medicine sites willing and able to participate in practice-based research. The goal of this session is to inform those attending about the existing research endeavors in the PBRN setting and stimulate discussion aimed at expanding the number of sites participating in such research.  The largest PBRN specifically devoted to integrative medicine is BraveNet, a 10-center network supported by the Bravewell Collaborative which has published recently on the SIMTAP study of integrative approaches to chronic pain. 1) BraveNet is currently conducting the PRIMIER study, a prospective observational cohort study of patient-reported outcomes in patients being seen at the ten sites which hopes to ultimately develop a database of 5-10,000 patients being followed over several years. Other established PBRNs, including the Clinical Directors’ Network (a national community health center-based PBRN which currently holds a major AHRQ grant for PBRN training) and NYC-RING (a New York City primary care PBRN affiliated with Albert Einstein College of Medicine) have successfully carried out funded research in integrative medicine. 2) Our discussion in this session will focus on lessons learned in these projects to help clinician/researchers develop the skills and knowledge needed to bring practice-based research to their own site.    1.Abrams D, Dolor R,  Roberts R, et al. The BraveNet prospective observational study on integrative medicine treatment approaches for pain (SIMTAP). BMC Complementary and Alternative Medicine 2013, 13:146     McKee D, Kligler B, Fletcher J, et al. Outcomes of Acupuncture for Chronic Pain in Urban Primary Care. Journal of American Board of Family Medicine. 2013 In Press