RR&D Research Career Scientist Award Application

RR

• 批准号: 10454860
• 负责人: LINDA J. RESNIK
• 金额: --
• 依托单位: PROVIDENCE VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10454860
• 关键词: Academy; Acute; Address; American; Amputation; Amputees; Area; Award; Benchmarking; Caring; Chairperson; Chronic; Classification; Clinical; Clinical Practice Guideline; Clinical Protocols; Clinical Services; Collaborations; Community Integration; Computers; Data; Data Analyses; Development; Device Approval; Device Designs; Devices; Dissemination and Implementation; Educational workshop; Effectiveness; Evaluation; Faculty; Foundations; Freedom; Funding; Goals; Health; Health Services Research; Home; International; Leadership; Limb Prosthesis; Link; Lower Extremity; Measurement; Measures; Mentors; Methods; Mission; Modeling; Musculoskeletal; North Carolina; Orthotic Devices; Outcome; Outcome Measure; Patient Care; Patients; Pattern Recognition; Performance; Persons; Physical Function; Physical therapy; Pilot Projects; Principal Investigator; Prosthesis; Protocols documentation; Provider; Quality of life; Rehabilitation Outcome; Rehabilitation therapy; Research; Research Design; Research Personnel; Research Training; Risk Adjustment; Science; Scientist; Self-Help Devices; Site; Suspensions; Taxonomy; Technology; Testing; Training; US Army Medical Research and Material Command; United States Agency for Healthcare Research and Quality; United States National Academy of Sciences; United States National Institutes of Health; Universities; Upper Extremity; Validation; Veterans; Washington; Woman; Work; active duty; acute care; arm; base; care delivery; career; clinical practice; clinical translation; community reintegration; comorbidity; comparative effectiveness; compare effectiveness; data dissemination; design; disability; experience; grasp; hospital readmission; improved; indexing; kinematics; limb amputation; limb injury; meetings; member; physical therapist; powered prosthesis; programs; prosthesis wearer; rehabilitation service; rehabilitative care; relating to nervous system; satisfaction; sensory prosthesis; service member; systematic review; working group; wounded service member

Linda Resnik's research, informed by nearly 20 years of clinical experience as a physical therapist, links the fields of rehabilitation and health services research, focusing on three specialized areas: 1) design and evaluation of upper limb prosthetic devices; 2) development, evaluation and deployment of rehabilitation outcomes measures; 3) study of delivery and effectiveness of rehabilitation services. The overarching goal of her research is to improve the quality of rehabilitation care for persons with chronic and disabling conditions. Dr. Resnik has been evaluating new upper limb prosthetic technology for over a decade. She was Principal Investigator of the multi-site VA Study to Optimize the DEKA Arm and led VA efforts to evaluate the DEKA Arm and transition it to clinical practice. She is currently Principal Investigator of a national study of Veterans and active duty service members with upper limb amputation that will provide comparisons of function, satisfaction, quality of life for prosthesis users and non-users, and comparisons by prosthesis and terminal device type. VA RR&D recently funded her for a new merit review that will develop and refine outcome measures that are responsive to the concerns of women with upper limb amputation. She is also collaborating on study design and analysis of data from the first home trials of a neural connected sensory prosthesis study. Dr. Resnik developed and validated two new activity performance measures, and a timed based measure of ADL performance for upper limb amputees. She led the review of measures of upper limb function in the VA/DoD Clinical Practice Guidelines on Rehabilitation for persons with upper limb amputation, and completed two systematic reviews of measures of activity limitation and community integration for persons with amputation and limb trauma. She participated as a co-investigator to develop a toolkit of measures for limb trauma and amputation and was a co-investigator on an AHRQ evidence synthesis which focused, in part, on measures for lower limb amputation. Her work on rehabilitation outcome measurement is not limited to amputation care. She developed measures of Veteran community integration using the conceptual framework of “participation” as described by the WHO's International Classification of Functioning, Disability and Health, the Community Reintegration of Injured Service Members (CRIS) and the CRIS-CAT a computer adaptive test version of the measure. She also served as chairperson of the VA RR&D's Community Reintegration Working Group. Dr. Resnik is the Director of the Center for Health Services, Research and Training (CoHSTAR), funded by the Foundation for Physical Therapy. CoHSTAR's mission is to expand physical therapy-(PT) relevant health services research. In this capacity, she mentors two PT trainees who focus on PT in the acute care setting, and effectiveness of PT for musculoskeletal conditions. She also mentors PT scientists in annual research intensive workshops, and provides national leadership to promote this work. She participates as a co- investigator on an NIH R01 that is comparing effectiveness of post-acute rehabilitation services. Her earlier rehabilitation-relevant health services research explored factors associated with the most effective rehabilitation care delivery using outcomes to benchmark and profile rehabilitation providers. She has also conducted research to refine risk adjustment models using an index of functional co-morbidity (FCI) to predict patient physical function outcomes. This line of research has continued in conjunction with trainees, expanding to risk adjustment models for hospital readmission, and with a junior faculty member through a CoHSTAR funded pilot study.

Linda Resnik 的研究以物理治疗师近 20 年的临床经验为基础，将 康复和健康服务研究领域，重点关注三个专业领域：1）设计和 2）康复的开发、评估和部署 结果衡量；3) 研究康复服务的总体目标。 她的研究旨在提高慢性病和残疾患者的康复护理质量。 十多年来，雷斯尼克博士一直在评估新的上肢假肢技术。 优化 DEKA 臂的多地点 VA 研究的研究员，并领导 VA 评估 DEKA 臂的工作 并将其转化为临床实践，她目前是一项针对退伍军人的国家研究的首席研究员。 上肢截肢的现役军人将提供功能、满意度、 假肢使用者和非使用者的生活质量，以及假肢和终端设备类型的比较。 RR&D 最近资助她进行一项新的绩效审查，该审查将制定和完善以下结果衡量标准： 她还致力于研究设计，以回应上肢截肢女性的担忧。 以及对神经连接感觉假体研究的首次家庭试验的数据进行分析。 开发并验证了两项新的活动绩效衡量标准以及基于时间的 ADL 衡量标准 她领导了 VA/DoD 上肢功能测量的审查。 上肢截肢者康复临床实践指南，已完成两项 对截肢者的活动限制和社区融入措施进行系统审查 她作为联合研究员参与开发了肢体创伤和肢体创伤措施工具包。 截肢，并且是 AHRQ 证据综合的联合研究员，该证据的部分重点是针对截肢的措施 她在康复结果测量方面的工作不仅限于截肢护理。 她利用“参与”的概念框架制定了退伍军人社区融合的措施 正如世界卫生组织国际功能、残疾和健康分类所描述的，社区 受伤服役人员重返社会 (CRIS) 和 CRIS-CAT 的计算机自适应测试版本 她还担任 VA RR&D 社区重新融入工作组主席。 雷斯尼克 (Resnik) 是卫生服务、研究和培训中心 (CoHSTAR) 的主任，该中心由 CoHSTAR 物理治疗基金会的使命是扩大物理治疗 (PT) 相关健康。 在此期间，她指导了两名专注于急性护理环境中的 PT 的 PT 实习生， 她还指导 PT 科学家进行年度研究。 她作为共同参与者参加了密集的研讨会，并为促进这项工作提供了国家领导。 NIH R01 的调查员正在比较急性后康复服务的有效性。 与康复相关的卫生服务研究探讨了与最有效的相关因素 她还利用结果来衡量和描述康复提供者的康复护理服务。 进行了研究，使用功能共病指数（FCI）来预测，以完善风险调整模型 患者的身体功能结果继续与受训者一起进行，并不断扩大。 调整再入院的风险模型，并通过 CoHSTAR 与初级教员合作 资助试点研究。