Annika Cleven is a PhD student in the Department of Biostatistics within the UNC Gillings School of Global Public Health. She analyzes data from the Biomarkers for Evaluating Spine Treatments (BEST) trial to develop a precision medicine approach to treat chronic lower back pain.
Q: How did you discover your specific field of study?
A: I’ve always been interested in biology, medicine, math, and statistics — but I never felt like I could choose just one. The more I learned, the more I realized how connected they are. Taking classes across all those areas at my undergraduate, St. Olaf College, confirmed it for me: Biostatistics was the right mix of everything I enjoyed. It let me develop and apply statistical methods to solve issues related to biology and medicine.
Q: Academics are problem-solvers. Describe a research challenge you’ve faced and how you overcame it.
A: Biostatistics is an incredibly interdisciplinary field. To effectively apply, or even develop, the right statistical techniques, biostatisticians must become fluent in the subject matter of the problem. While working as a graduate researcher on the BEST trial, I quickly realized that implementing the necessary statistical methods meant immersing myself in biomechanics, physical therapy, and the logistics of the trial. The sheer volume of information I needed to absorb was a real challenge. Learning how to ask the right questions — and articulate where I needed guidance — helped me identify knowledge gaps and find the most effective path forward.
Impact Report
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Annika Cleven’s research helps personalize treatment for back pain. She is one of more than 9,000 graduate students at Carolina. Some will become the next generation of professors and researchers; others will pursue private sector jobs, fueling fields like technology, science, health care, art, and music.
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Lower back pain is the leading cause of disability worldwide and often prevents people from going to work, according to the World Health Organization.
Q: Describe your research in five words.
A: Personalizing treatment for back pain.
Q: Who or what inspires you? Why?
A: My parents. My dad is an analytical chemist and one of the smartest people I know, but what stands out most is how he combines intelligence with compassion and consistency. My mom is the president of a bank and approaches every challenge with positivity and resilience, demonstrating leadership that could guide any team through the trickiest situations. I try to follow their example every day!
Q: If you could pursue any other career, what would it be and why?
A: A backpacking guide. Getting to explore mountains, trails, and lakes every day sounds amazing — and being able to share that adventure, along with the creativity the outdoors brings, makes it even better.


