Rehabilitation & Engineering Center for Optimizing Veteran Engagement & Reintegration (RECOVER)

复原

• 批准号: 10762205
• 负责人: Andrew H. Hansen
• 金额: --
• 依托单位: MINNEAPOLIS VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-10-01 至 2028-09-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10762205
• 关键词: Acceleration; Activities of Daily Living; Address; Age; Aging; Amputation; Area; Caregiver support; Clinical; Clinical Trials; Collaborations; Communities; Community Healthcare; Data; Development; Devices; Disease; Engineering; Ensure; Equilibrium; Evaluation; Event; Family; Friends; Funding; Future; Health; Home; Infrastructure; Intervention; Learning; Life; Long-Term Care; Longevity; Measurement; Medical center; Mentors; Methods; Minnesota; Mission; Pain; Pain management; Pathway interactions; Patients; Postdoctoral Fellow; Preparation; Rehabilitation therapy; Research; Research Personnel; Research Project Grants; Resources; Risk Reduction; Role; Severities; Spinal cord injury; Technology; Technology Transfer; Testing; Training; Translations; Universities; Veterans; Work; aging in place; care systems; clinical translation; commercialization; community setting; disability; experience; health care settings; improved; industry partner; integrated care; meetings; member; next generation; pilot test; prevent; programs; prospective; recruit; rehabilitation research; rehabilitative care; repository; research and development; satisfaction; statistics

The mission of the Rehabilitation & Engineering Center for Optimizing Veteran Engagement & Reintegration (RECOVER) is to maximize Veteran participation in important lifelong roles and activities through development, evaluation, and clinical translation of practical rehabilitation interventions and technologies. Since barriers to participation may change as Veterans with disabilities age or experience other life events, RECOVER aims to identify and help Veterans adapt to these changes. RECOVER’s work focuses on the needs of Veterans with amputations and Veterans with spinal cord injuries and disorders (SCID), with cross-cutting emphases on (1) pain, discomfort, and secondary complications, and (2) aging with a disability. RECOVER will have three primary research areas in this first cycle: (R1) Expanding understanding of participation barriers and facilitators – RECOVER will conduct prospective research with Veterans to improve understanding of factors that can prevent or promote meaningful and satisfying participation in life roles and activities. The barriers and facilitators identified in this research area will provide targets for future rehabilitation interventions and devices aimed at improving participation. (R2) Improving participation through management of pain, discomfort, and secondary complications – Pain and discomfort can prevent or dissuade Veterans from meaningful and satisfying participation. Secondary complications of disabilities can also limit mobility and activities, degrading the ability to participate and reducing satisfaction with participation. RECOVER will develop and test interventions and products to manage pain and discomfort and reduce the severity of secondary complications to improve participation. (R3) Maintaining participation of Veterans as they age and promoting Aging-in- Place – Aging brings new challenges to Veterans with disabilities including reduction in functional balance and mobility. These issues may limit Veterans’ ability to participate in meaningful roles and activities with their families and friends. RECOVER will develop and test interventions and products aimed at maintaining balance and mobility of older Veterans, including systems for caregiver support of Veterans in their homes and communities. RECOVER’s Engagement Core will establish a Veterans Engagement Panel (VEP) in this first cycle to promote collaborative partnership among Veterans and researchers and ensure research is informed by patient experience. Engagement facilitation will be used to support two-way learning and address barriers to meaningful Veteran engagement. RECOVER’s Repository will provide a method for efficient recruitment of Veterans into research projects. RECOVER’s Advisory Board will also be established to oversee RECOVER’s work and provide guidance toward meeting center metrics. RECOVER will establish a formal program to increase the capacity of rehabilitation research and development by training the next generation of VA investigators. RECOVER’s training committee will establish methods for continuous improvement of mentors and mentees, working to improve training relationships. Center funding will be used to support postdoctoral fellows and assist them toward mentored investigators and independent investigators. Locally initiated project funding will be available for RECOVER investigators and trainees to help move mission-relevant projects efficiently through initial preparation and pilot testing stages of the translational pathway. These center projects will help to reduce risk and leverage funding for larger scale clinical trials and technology transfer projects. RECOVER will establish a Data & Statistics Core and a Measurement & Methods Core to provide infrastructure for all investigators and trainees. RECOVER will also leverage local resources for research and training at the University of Minnesota and will maintain strong collaborations with other VA medical centers, universities, and industry partners. RECOVER will be an integral team within Minneapolis VA’s Rehabilitation & Extended Care Integrated Care Community ensuring that research and development aligns with local VA, VISN, and national VA clinical priorities.

康复与工程中心的任务，以优化退伍军人参与与重返社会（恢复） 是通过发展，评估和临床来最大化退伍军人参与重要的终身角色和活动 实际康复干预措施和技术的翻译。由于参与障碍可能会随着退伍军人而改变 随着残疾年龄或经历其他生活事件的经历，恢复旨在识别和帮助退伍军人适应这些变化。 恢复的工作重点是截肢和脊髓损伤和疾病的退伍军人的退伍军人需求 （SCID），对（1）疼痛，不适和继发并发症以及（2）衰老而有残疾。 恢复将在第一个周期中有三个主要的研究领域：（R1）扩大对参与障碍的理解 促进者 - 恢复将与退伍军人进行前瞻性研究，以提高对可能因素的理解 预防或促进有意义和满足的生活角色和活动。确定的障碍和促进者 在该研究领域，将为未来的康复干预措施和旨在改善参与的设备提供目标。 （R2）通过管理疼痛，不适和次要并发症来改善参与 - 疼痛和不适 可以预防或劝阻退伍军人有意义和令人满意的参与。残疾的次要并发症可以 还限制了移动性和活动，从而降低了参与和减少对参与的满意的能力。恢复 将开发和测试干预措施和产品，以控制疼痛和不适，并减少次要的严重程度 改善参与的并发症。 （R3）维持退伍军人的年龄参与并促进衰老 地点 - 衰老给残疾退伍军人带来新的挑战，包括减少功能平衡和流动性。 这些问题可能会限制退伍军人与家人和朋友一起参与有意义的角色和活动的能力。 恢复将开发和测试干预措施和旨在维持老年退伍军人平衡和流动性的产品， 包括在家和社区中对退伍军人的护理人员支持的系统。 恢复的参与核心将在第一个周期中建立退伍军人参与面板（VEP），以促进 退伍军人和研究人员之间的合作伙伴关系，并确保患者经验为研究提供了信息。 参与促进将用于支持双向学习，并解决有意义的退伍军人参与的障碍。 恢复的存储库将提供一种有效招募退伍军人进入研究项目的方法。恢复 顾问委员会还将建立在海外恢复工作的工作，并为会议中心指标提供指导。 恢复将建立正式计划，以通过培训来提高康复研究和发展的能力 下一代VA调查人员。恢复的培训委员会将建立连续的方法 改善导师和导师，努力改善培训关系。中心资金将用于支持 博士后研究员，并协助他们为指导的调查人员和独立调查员提供帮助。本地发起的项目 资金将用于恢复调查人员和受训者，以帮助有效地移动与任务相关的项目 通过转化途径的初始准备和试点测试阶段。这些中心项目将有助于减少 风险并利用大规模临床试验和技术转移项目的资金。 恢复将建立数据和统计核心以及测量和方法核心，以为所有人提供基础架构 调查人员和学员。恢复还将利用当地资源进行研究和培训 明尼苏达州并将与其他VA医学中心，大学和行业合作伙伴保持强有力的合作。 恢复将是明尼阿波利斯VA的康复和扩展护理综合护理社区中不可或缺的团队 确保研发与当地的VA，VISN和国家VA临床重点保持一致。