RR&D Research Career Scientist Award Application

基本信息

批准号：
10621767
负责人：
LINDA J. RESNIK
金额：
--
依托单位：
PROVIDENCE VA MEDICAL CENTER
依托单位国家：
美国
项目类别：
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/10621767
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 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 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 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 neural physical therapist powered prosthesis programs prosthesis wearer rehabilitation service rehabilitative care satisfaction sensory prosthesis service member systematic review working group wounded service member

项目摘要

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.

琳达·雷斯尼克（Linda Resnik）的研究以近20年的临床经验为物理治疗师，将康复和卫生服务研究领域，重点关注三个专业领域：1）设计和评估上肢假体设备； 2）开发，评估和部署康复结果措施； 3）研究康复服务的交付和有效性。总体目标她的研究是为患有慢性和残疾条件的人提高康复护理的质量。 Resnik博士多十年来一直在评估新的上肢假体技术。她是校长多站点VA研究的研究者，以优化DEKA组和LED VA努力来评估DEKA ARM 并过渡到临床实践。她目前是一项国家退伍军人研究和上肢截肢的现役军人将提供功能，满意度，假体用户和非用户的生活质量，以及假体和终端设备类型的比较。 VA RR＆D最近为她提供了一项新的优点审查，该评论将制定并完善结果措施对上肢截肢的妇女的担忧做出反应。她还在研究设计方面以及对神经连接的感觉假体研究的首次家庭试验的数据分析。 Resnik博士开发并验证了两项新的活动绩效指标，以及基于计时的ADL测量上肢截肢者的性能。她领导了VA/DOD中上肢功能的措施的审查上肢截肢者的康复临床实践指南，并完成了两个截肢者的活动限制和社区整合度量的系统评价和肢体创伤。她参加了共同研究者，以开发肢体创伤的措施工具包截肢是对AHRQ证据合成的共同评估者下肢截肢。她在康复结果测量方面的工作不仅限于截肢护理。她使用“参与”的概念框架制定了资深社区融合的衡量标准如WHO的国际功能，残疾和健康分类所述，社区受伤的服务成员（CRIS）和CRIS-CAT的重新融入计算机自适应测试版本措施。她还担任VA RR＆D社区重返社会工作组的主席。博士 Resnik是卫生服务，研究与培训中心（COHSTAR）的主任，由物理治疗基础。 Cohstar的使命是扩大物理疗法 - （PT）相关健康服务研究。她以这种身份指导了两名专注于急性护理环境中PT的PT学员， PT对肌肉骨骼条件的有效性。她还指导PT科学家参加年度研究密集的讲习班，并提供国家领导来促进这项工作。她作为共同参加 NIH R01的研究人员正在比较急性后康复服务的有效性。她较早与康复相关的卫生服务研究探讨了与最有效的因素使用结果进行基准和个人资料康复提供者的康复护理提供。她也有进行了研究，以使用功能性合并索引（FCI）来完善风险调整模型来预测患者的身体功能结果。这一研究一直与培训一起继续要调整医院再入院的风险调整模型，并通过Cohstar与初级教师资助的试点研究。