NIH Pain Research Center Resource Request Form

Which Pain Research Center (PRC) resources are you interested in?

Consultation (e.g., experimental design, sensory testing, brain imaging, data analysis plan)

Testing in outpatient clinic (select): OP7 or OP4

Quantitative sensory testing assessments

Peripheral perfusion assessments (laser speckle contrast imaging)

Equipment customization

Assay development

Pain neuroimaging

MRI scan time (hours/week) :

fNIRS (available late 2021)

EEG (available late 2021)

Autonomic measurement (skin conductance, impedance cardiography, electrocardiography, respiration, pulse plethysmography, blood pressure, pupillometry)

Transcranial magnetic stimulation

Transcutaneous vagus nerve stimulation

Psychometric questionnaires and assessments

Neurocognitive assessments

Microneurography

Other :

I would like to test participants. If yes, provide more details.

Participant population(s) and estimated total enrollment :

Frequency and duration of visits :

I would like to pilot using an existing PRC protocol (e.g., the phenotyping/screening protocol 16-AT-0077)

I have my own protocol :

I plan to write a new protocol

I have funding

I do not have funding

Personnel needs

Sensory testing technician

MRI Technician

Data analyst

Research nurse

Nurse practitioner/licensed independent practitioner

Other Needs :

Please describe your needs or include a brief background and specific aims for your study (required) ^*

(0/500 words)

Is there any other information you would like to share?

(0/250 words)

Dates resources are needed
until: