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： Kristal Mills Riska 于 2011 年 7 月在东卡罗来纳大学完成了听力学双学位课程，获得听力学临床博士学位 (Au.D) 和哲学博士 (Ph.D)。她目前拥有美国言语、语言、听力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，她研究了因基因突变而导致内耳缺陷的动物模型的功能结果。她的论文评估了军事人员在爆炸暴露后的眼部运动和前庭功能。她的主要研究兴趣是前庭疾病的评估和治疗。目前，她在 Mountain Home VAMC 担任临时研究职位，并获得听觉和前庭研究增强领域计划 (REAP) 的资助，同时她正在努力建立自己的赠款基金。 CDA-1 奖项将为 Riska 博士提供发展新研究技能和扩大她的研究兴趣并成为一名独立 VA 调查员所需的指导的机会。该提案有四位导师：（1）Faith Akin 博士，VA 资助的研究员（两项 RR&D 优异评审），田纳西州 Mountain Home VA 医疗中心前庭实验室主任，助理东田纳西州立大学 (ETSU) 听力学和言语病理学教授，(2) Courtney D. Hall 博士，VA 资助的研究员（RR&D 优异奖）田纳西州芒廷霍姆 VA 医疗中心的 RR&D 试点优异奖，以及 ETSU 物理治疗副教授 (3) Sherri M. Jones 博士，他是 NIH/NIDCD 资助的前庭研究员、教授和特殊教育系主任。内布拉斯加大学林肯分校的沟通障碍和 (4) Beth Bailey 博士，一名受资助的研究员（NIH、March of Dimes、DHHS）、ETSU 家庭医学副教授。 Riska 博士提出了严格的培训计划，包括课程作业、与 VA 研究相关的网络研讨会以及参加持续专业发展和教育会议。该研究计划将在田纳西州芒廷霍姆的 James Quillen VAMC 进行。该 VAMC 拥有丰富的研究环境，拥有著名的前庭和平衡研究项目以及最先进的设施。该项目的广泛长期规划目标是通过改进和完善前庭评估和管理的临床路径来应对头晕退伍军人评估和康复方面的挑战。拟议研究的短期目标如下： 1）确定头晕的发生率并确定退伍军人头晕/眩晕的特征； 2) 确定接受临床前庭评估的个体比例和前庭功能障碍的发生率，以及 3) 评估在 Mountain Home VAMC 接受前庭测试的退伍军人中特定前庭终末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 VA 范围内的临床数据进行评估。对于目标 2，我们将采用双管齐下的方法，其中我们将探索国家 VA 范围的数据和来自 Mountain Home VAMC 的地方 VA 数据。首先，将对所有被确定为目标 1 一部分的患者进行分析，以确定他们是否接受了临床前庭测试。其次，我们将确定经过临床评估的退伍军人中前庭功能障碍的发生率。最后，我们将确定特定前庭终末器官功能障碍的比例。