RR&D Research Career Scientist Award Application

琳达·雷斯尼克的研究以近20年的物理治疗师临床经验为基础，将 康复和保健服务研究领域，侧重于三个专门领域：1)设计和 上肢假肢装置的评估；2)康复治疗的开发、评估和部署 结果测量；3)康复服务的提供和有效性研究。的首要目标是 她的研究是为了提高慢性病和残障人士的康复护理质量。 十多年来，雷斯尼克博士一直在评估新的上肢假肢技术。她是校长 多点VA研究的调查员，以优化DEKA臂并领导VA努力评估DEKA臂 并将其转化为临床实践。她目前是一项关于退伍军人和 上肢截肢的现役军人将提供功能、满意度、 假体使用者和非假体使用者的生活质量，以及假体和终端设备类型的比较。弗吉尼亚州 RR&D最近资助她进行了一项新的绩效评估，该评估将制定和完善结果衡量标准，这些衡量标准包括 回应上肢截肢妇女的关切。她还在研究设计方面进行合作 以及对神经连接感官假体研究的首个家庭试验的数据进行分析。雷斯尼克博士 开发并验证了两个新的活动绩效衡量标准和一个基于时间的ADL衡量标准 上肢截肢者的表演。她领导了退伍军人管理局/国防部上肢功能测量的审查 《上肢截肢者康复临床实践指南》，并完成了两份 截肢者活动限制措施和社区融合措施的系统评价 和肢体创伤。她作为联合调查员参与开发了肢体创伤测量工具包和 他是AHRQ证据合成的联合调查员，该证据合成的部分重点是 截肢手术。她在康复结果衡量方面的工作并不局限于截肢护理。 她利用“参与”的概念框架制定了退伍军人社区融合的衡量标准。 正如世界卫生组织的国际功能、残疾和健康分类所描述的那样，社区 受伤军人重返社会(CRIS)和CRIS-CAT是计算机自适应测试版本 测量。她还担任退伍军人事务部社区重新融合工作组的主席。Dr。 雷斯尼克是卫生服务、研究和培训中心(CoHSTAR)的主任，该中心由 物理治疗基础。CoHSTAR的使命是扩大物理治疗-(PT)相关健康 服务研究。以这一身份，她指导了两名PT实习生，他们专注于急性护理环境中的PT， 以及PT对肌肉骨骼疾病的有效性。她还在年度研究中指导PT科学家 密集的讲习班，并提供国家领导来推动这项工作。她以联合-- NIH R01的研究人员正在比较急性后康复服务的有效性。她早些时候 与康复相关的健康服务研究探索了与最有效的 使用结果向康复提供者提供基准和简介的康复护理。她也有 进行研究，以使用功能性共发病指数(FCI)来预测风险调整模型 患者的身体功能结果。这一研究路线与受训人员一起继续进行，不断扩大 再次住院的风险调整模型，并通过CoHSTAR与初级教职员工 资助试点研究。

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.