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.

康复与工程中心优化退伍军人参与和重返社会 (RECOVER) 的使命 是通过发展、评估和临床，最大限度地让退伍军人参与重要的终身角色和活动 由于退伍军人参与的障碍可能会发生变化，因此需要翻译实用的康复干预措施和技术。 随着年龄的残疾或经历其他生活事件，RECOVER 旨在识别并帮助退伍军人适应这些变化。 RECOVER 的工作重点是满足截肢退伍军人和患有脊髓损伤和疾病的退伍军人的需求 (SCID)，交叉强调 (1) 疼痛、不适和继发并发症，以及 (2) 老年残疾。 RECOVER 在第一个周期中将包含三个主要研究领域： (R1) 扩大对参与障碍的理解 和促进者 – RECOVER 将与退伍军人一起进行前瞻性研究，以提高对可能影响的因素的理解 防止或促进有意义和令人满意地参与生活角色和活动。 该研究领域将为未来的康复干预措施和旨在提高参与度的设备提供目标。 (R2) 通过管理疼痛、不适和继发并发症来提高参与度 – 疼痛和不适 可以阻止或阻止退伍军人进行有意义和令人满意的参与 残疾的继发性并发症可以。 还限制了流动性和活动，降低了参与能力并降低了参与满意度。 将开发和测试干预措施和产品，以控制疼痛和不适并减轻继发性疼痛的严重程度 (R3) 保持退伍军人在老龄化过程中的参与并促进老龄化。 地点——老龄化给残疾退伍军人带来了新的挑战，包括功能平衡和活动能力的下降。 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。 RECOVER 将开发和测试旨在保持老年退伍军人平衡和活动能力的干预措施和产品， 包括为退伍军人在家中和社区提供护理支持的系统。 RECOVER 的参与核心将在第一个周期中建立一个退伍军人参与小组 (VEP)，以促进 退伍军人和研究人员之间的合作伙伴关系，确保研究以患者经验为基础。 参与促进将用于支持双向学习并解决退伍军人有意义参与的障碍。 RECOVER 的存储库将提供一种有效招募退伍军人参与研究项目的方法。 还将成立顾问委员会来监督 RECOVER 的工作并为会议中心指标提供指导。 RECOVER将建立正式计划，通过培训提高康复研发能力 下一代 VA 调查员的培训委员会将建立持续的方法。 改善导师和受训者，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进行指导研究人员和独立研究人员当地发起的项目。 将为 RECOVER 调查员和受训人员提供资金，以帮助有效地推进与任务相关的项目 通过转化途径的初步准备和试点测试阶段，这些中心项目将有助于减少。 为更大规模的临床试验和技术转让项目提供风险和杠杆融资。 RECOVER 将建立数据和统计核心以及测量和方法核心，为所有人提供基础设施 RECOVER 还将利用当地资源在大学进行研究和培训。 明尼苏达州并将与其他退伍军人管理局医疗中心、大学和行业合作伙伴保持密切合作。 RECOVER 将成为明尼阿波利斯 VA 康复和延伸护理综合护理社区中不可或缺的团队 确保研发符合当地 VA、VISN 和国家 VA 临床优先事项。