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.

康复与工程中心的使命优化退伍军人参与和重返社会（恢复） 是通过发展，评估和临床，最大限度地提高退伍军人参与重要的终身角色和活动， 翻译实用的康复干预措施和技术。由于参与的障碍可能会改变， 残疾年龄或经历其他生活事件，康复旨在识别和帮助退伍军人适应这些变化。 RECOVER的工作重点是截肢退伍军人和脊髓损伤和疾病退伍军人的需求 （SCID），交叉重点是（1）疼痛，不适和继发性并发症，以及（2）老年残疾。 在第一个周期中，RECOVER将有三个主要研究领域：（R1）扩大对参与障碍的理解 和促进者-恢复将与退伍军人进行前瞻性研究，以提高对因素的理解， 防止或促进有意义和令人满意的参与生活角色和活动。查明的障碍和促进因素 在这一研究领域，将为今后的康复干预和旨在改善参与的装置提供目标。 (R2)通过疼痛、不适和继发性并发症的管理提高参与度-疼痛和不适 可以阻止或劝阻退伍军人从有意义的和令人满意的参与。残疾的继发性并发症可能 还限制了流动性和活动，降低了参与能力，降低了对参与的满意度。恢复 将开发和测试干预措施和产品，以管理疼痛和不适，并减少继发性 并发症，以提高参与度。(R3)保持退伍军人的参与，因为他们的年龄和促进老龄化， 老龄化给残疾退伍军人带来了新的挑战，包括功能平衡和流动性的减少。 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将开发和测试旨在维持老年退伍军人的平衡和流动性的干预措施和产品， 包括在家中和社区为退伍军人提供照顾者支持的系统。 恢复的参与核心将建立一个退伍军人参与小组（VEP）在这第一个周期，以促进 退伍军人和研究人员之间的合作伙伴关系，并确保研究是由病人的经验。 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。 RECOVER的知识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 咨询委员会也将成立，以监督恢复的工作，并提供指导会议中心的指标。 RECOVER将建立一个正式的计划，通过培训来提高康复研究和开发的能力 下一代退伍军人事务部调查员RECOVER的培训委员会将建立持续的 改善导师和学员，努力改善培训关系。中心资金将用于支持 博士后研究员，并协助他们对指导调查和独立调查。当地发起的项目 将为RECOVER调查人员和受训人员提供资金，以帮助有效地开展与任务有关的项目 通过翻译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 为更大规模的临床试验和技术转让项目提供风险和杠杆资金。 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 调查员和学员。RECOVER还将利用当地资源，在大学进行研究和培训。 明尼苏达州，并将保持与其他VA医疗中心，大学和行业合作伙伴的强有力的合作。 RECOVER将成为明尼阿波利斯VA康复和延伸护理综合护理社区内的一个不可或缺的团队 确保研究和开发与当地VA，VISN和国家VA临床优先事项保持一致。