Evaluation and management of Veterans with dizziness

退伍军人头晕的评估和管理

• 批准号: 8675674
• 负责人: Kristal Mills Riska
• 金额: --
• 依托单位: JAMES H QUILLEN VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-02-01 至 2016-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8675674
• 关键词: Address; American; American Speech-Language-Hearing Association; Animal Model; Anxiety Disorders; Appointment; Area; Audiology; Auditory; Award; Benign paroxysmal positional vertigo; Blast Cell; Cardiovascular Diseases; Certification; Characteristics; Clinical; Clinical Data; Clinical Pathways; Code; Communication impairment; Coupled; Data; Development; Diagnosis; Discipline; Disease; Dizziness; Doctor of Philosophy; Education; Elderly; Emergency Department Physician; Environment; Equilibrium; Etiology; Evaluation; Exclusion; Family Practice; Foundations; Functional disorder; Funding; Gene Mutation; General Population; Goals; Grant; Guidelines; Health Personnel; Healthcare; Healthcare Systems; Home environment; Hospitals; Hour; Housing; Hypoglycemia; ICD-9; Incidence; Individual; Laboratories; Laboratory Research; Labyrinth; Lead; Medical; Medical center; Mental disorders; Mentors; Methodology; Methods; Migraine; Military Personnel; National Ambulatory Medical Care Survey; National Institute on Deafness and Other Communication Disorders; Natural Language Processing; Nature; Nebraska; Organ; Orthostatic Hypotension; Outpatients; Panic Disorder; Pathway interactions; Patient Care; Patients; Peripheral; Peripheral Vertigo; Pharmaceutical Preparations; Physical therapy; Physicians' Offices; Population; Positioning Attribute; Procedures; Prospective Studies; Rehabilitation therapy; Reporting; Research; Research Personnel; Sensory; Special Education; Speech Pathology; Stroke; Tennessee; Testing; Time; Training; Traumatic Brain Injury; Travel; United States National Institutes of Health; Universities; Vertebrobasilar Insufficiency; Vertigo; Vestibular Function Tests; Vestibular Nerve; Vestibular loss; Veterans; Visual; Work; evidence base; experience; functional outcomes; improved; insight; instrument; interest; medical attention; medical specialties; nervous system disorder; oculomotor; otoconia; professor; programs; public health relevance; rehabilitation management; screening; skills; symposium; tool; vestibular reflex

DESCRIPTION: Kristal Mills Riska completed a dual degree program in audiology leading to a clinical doctorate in Audiology (Au.D) and a doctor of philosophy (Ph.D) in July 2011 at East Carolina University. She currently holds clinical certification from the American Speech, Language, Hearing Association and the state of NC. She has over 5 years of research experience working primarily in the NIH/NIDCD funded research laboratory of Sherri M. Jones, Ph.D. During that time, she has studied the functional outcomes of animal models with inner ear deficits due to genetic mutations. Her dissertation evaluated ocular motor and vestibular function in military personnel following blast exposure. Her primary research interests are in assessment and management of vestibular disorders. She currently is funded by the Auditory and Vestibular Research Enhancement Area Program (REAP) award in a temporary research position at the Mountain Home VAMC as she works towards establishing her own grant funding. The CDA-1 award would provide Dr. Riska with the opportunity to develop new research skills and mentoring needed to expand her research interests and to become an independent VA investigator. There are four mentors for this proposal: (1) Faith Akin, Ph.D, who is a VA-funded investigator(two RR&D Merit Reviews),Director of the Vestibular Laboratory at the VA Medical Center, Mountain Home, Tennessee, and Associate Professor in Audiology and Speech Pathology at East Tennessee State University (ETSU), (2) Courtney D. Hall, Ph.D., who is a VA-funded investigator(RR&D Merit Review, RR&D Pilot Merit) at the VA Medical Center, Mountain Home, TN., and Associate Professor in Physical Therapy at ETSU, (3) Sherri M. Jones, PhD., who is a NIH/NIDCD funded vestibular researcher, professor and the chair of the Department of Special Education. & Communication Disorders at the University of Nebraska-Lincoln, and (4) Beth Bailey, Ph.D., a funded investigator (NIH, March of Dimes, DHHS), Associate Professor in Family Medicine at ETSU. Dr. Riska has proposed a rigorous training plan including coursework, webinars related to VA research, and travel to conferences for continued professional development and education. The research plan will be conducted at the James Quillen VAMC in Mountain Home, TN. This VAMC is a research rich environment and houses a renowned vestibular and balance research program with state-of the-art facilities. The broad long-term programmatic goals of this project are to address the challenges in evaluating and rehabilitating Veterans with dizziness by improving and refining clinical pathways for vestibular assessment and management. The short term goals of the proposed research are as follows: 1) to determine the incidence of dizziness and to characterize Veterans with dizziness/vertigo; and 2) to determine the proportion of individuals referred for clinical vestibular assessment and the incidence of vestibular dysfunction and 3) to evaluate the proportion of specific vestibular end-organ dysfunction in Veterans referred for vestibular testing at Mountain Home VAMC. To achieve objective 1, a VA-wide evaluation of clinical data will be performed using a natural language processing (NLP), ICD-9 codes and capture recapture methodology. For objective 2, a two-prong approach will be utilized in which we will explore both national VA-wide data and local VA data from Mountain Home VAMC. First, all patients who were identified as part of objective 1 will be analyzed to determine if they underwent clinical vestibular testing. Second, we will determine the incidence of Veterans with vestibular dysfunction among those clinically evaluated. Lastly, we will determine the proportion of specific vestibular end-organ dysfunction.

描述： 克里斯塔尔·米尔斯（Kristal Mills）风险（Kristal Mills Riska）于2011年7月在东卡罗莱纳大学（East Carolina University）于2011年7月在听力学博士学位（AU.D）和哲学博士（PH.D）完成了双学位课程。她目前拥有美国演讲，语言，听证协会和北卡罗来纳州的临床认证。她拥有超过5年的研究经验，主要在NIH/NIDCD资助的Sherri M. Jones博士研究实验室工作。在此期间，她研究了由于基因突变而导致内耳缺陷的动物模型的功能结果。她的论文评估了爆炸暴露后军事人员的眼部运动和前庭功能。她的主要研究兴趣是评估和管理前庭疾病。她目前是由听觉和前庭研究增强区计划（REAP）奖资助的，该奖项是在Mountain Home VAMC的临时研究职位上，她致力于建立自己的赠款资金。 CDA-1奖将为风险博士提供开发新的研究技能和指导所需的机会，以扩大她的研究兴趣并成为独立的VA研究者。该提案有四位导师：（1）Faith Akin，Ph.D，是VA资助的研究员（两位RR＆D优异评论），VA医疗中心，田纳西州山区家庭，田纳西州山区家庭的前庭实验室主任，田纳西州山区的副教授和副语言学教授，是East Tennessee Stateee Stateey Statesy State University（ETSU）（ETSU）（ETSU），（eTSU），（2）Courtedy D.Halund，ph。研究人员（RR＆D FERIT REVIVE，RR＆D PILOT功绩）位于田纳西州Mountain Home的VA医疗中心，ETSU的物理治疗副教授（3）Sherri M. Jones，Phd。 Nebraska-Lincoln大学的沟通障碍，以及（4）Beth Bailey，博士，资助的研究员（NIH，DHHS三月，DHHS 3月），ETSU家庭医学副教授。 Figha博士提出了一项严格的培训计划，包括课程，与VA研究有关的网络研讨会以及前往持续专业发展和教育的会议。该研究计划将在田纳西州山区的詹姆斯·奎伦·瓦姆（James Quillen VAMC）进行。该VAMC是一个丰富的研究环境，拥有著名的前庭和平衡研究计划，并具有最先进的设施。该项目的广泛长期计划目标是通过改善和完善前庭评估和管理的临床途径来评估和修复退伍军人的挑战。拟议的研究的短期目标如下：1）确定头晕的发生率并表征头晕/眩晕的退伍军人；和2）确定参考临床前庭评估和前庭功能障碍的发病率的个人比例和3）评估在山区家居VAMC中参考前庭测试的退伍军人中特定前庭最终器官功能障碍的比例。为了实现目标1，将使用自然语言处理（NLP），ICD-9代码和捕获重新捕获方法对临床数据进行VA范围的评估。对于目标2，将采用两项方法，我们将探索来自Mountain Home VAMC的国家VA范围数据和本地VA数据。首先，将分析所有被确定为目标1的患者，以确定他们是否接受了前庭检查。其次，我们将确定在临床评估者中患有前庭功能障碍的退伍军人的发生率。最后，我们将确定特定前庭端 - 器官功能障碍的比例。