RR&D Research Career Scientist Award Application

RR

• 批准号: 10165845
• 负责人: LINDA J. RESNIK
• 金额: --
• 依托单位: PROVIDENCE VA MEDICAL CENTER
• 依托单位国家: 美国
• 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/10165845
• 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 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; Research Training; 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; base; 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; physical therapist; powered prosthesis; programs; prosthesis wearer; rehabilitation service; rehabilitative care; relating to nervous system; satisfaction; sensory prosthesis; service member; systematic review; working group; wounded service member

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·雷斯尼克的研究是根据她作为物理治疗师近20年的临床经验得出的， 康复和健康服务研究领域，重点是三个专业领域：1）设计和 上肢假肢装置的评估; 2）康复的开发、评估和部署 3）研究康复服务的提供及成效。的首要目标 她的研究旨在提高慢性病患者和残疾人的康复护理质量。 博士Resnik十多年来一直在评估新的上肢假肢技术。她是校长 优化DEKA组的多中心VA研究的研究者，并领导VA工作以评价DEKA组 并将其转化为临床实践。她目前是一项全国性退伍军人研究的首席研究员， 上肢截肢的现役军人，将提供功能，满意度， 假体使用者和非使用者的生活质量，以及假体和终端设备类型的比较。VA RR&D最近资助了她进行一项新的绩效评估，该评估将制定和完善成果衡量标准， 回应上肢截肢妇女的关切。她还在研究设计方面进行合作 以及对神经连接感觉假体研究的首次家庭试验数据的分析。雷斯尼克博士 开发并验证了两种新的活动表现指标和一种基于时间的ADL指标 上肢截肢者的表演。她领导了VA/DoD上肢功能测量的审查 上肢截肢者康复的临床实践指南，并完成了两份 截肢者活动限制和社区融合措施的系统评价 和肢体创伤她作为合作研究者参与开发了一个肢体创伤措施工具包， 截肢，并在AHRQ证据合成的共同调查员，其中重点是，部分措施， 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。 她利用“参与”的概念框架制定了退伍军人社区融合的措施。 根据世界卫生组织的国际功能、残疾和健康分类， 受伤军人重返社会（CRIS）和CRIS-CAT（计算机自适应测试版本） measure.她还担任VA RR&D社区重返社会工作组主席。博士 Resnik是卫生服务、研究和培训中心（CoHSTAR）的主任，该中心由美国卫生部资助。 物理治疗基金会。CoHSTAR的使命是扩大物理治疗（PT）相关的健康 服务研究。在这个职位上，她指导了两名PT学员，他们专注于急性护理环境中的PT， 和PT对肌肉骨骼疾病的有效性。她还指导PT科学家进行年度研究 此外，还举办了密集讲习班，并在国家一级发挥领导作用，推动这项工作。她作为一个合作伙伴， NIH R 01研究人员正在比较急性期后康复服务的有效性。她早期 康复相关的卫生服务研究探讨了与最有效的 康复护理提供使用结果的基准和概况康复提供者。她还 进行了研究，以完善风险调整模型，使用功能性共病指数（FCI）预测 患者身体功能结果。这一研究方向继续与受训人员合作， 再入院的风险调整模型，并通过CoHSTAR与一名初级教员 资助的试点研究。