Improving Measurement and Treatment of Post-stroke Neglect

改善中风后忽视的测量和治疗

• 批准号: 10063836
• 负责人: Emily Grattan
• 金额: --
• 依托单位: RALPH H JOHNSON VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-06-01 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10063836
• 关键词: Achievement; Address; Affect; Attention; Award; Behavior assessment; Behavioral; Brain; Brain region; Caring; Clinical; Clinical Research; Clinical assessments; Communities; Cross-Over Studies; Development; Double-Blind Method; Effectiveness of Interventions; Environment; Exhibits; Failure; Foundational Skills; Funding; Future; Goals; Gold; Grant; Home environment; Impairment; Individual; Intention; Intervention; Intervention Studies; Knowledge; Laboratory Research; Lesion; Link; Measurement; Measures; Medical; Mentors; Mentorship; Methodology; Methods; Monitor; Motor; Movement; Occupational Therapist; Parietal; Patients; Positioning Attribute; Postdoctoral Fellow; Prevalence; Property; Randomized; Recovery; Rehabilitation Centers; Rehabilitation therapy; Research; Research Personnel; Research Training; Scientist; Self Care; Side; Solid; South Carolina; Spinal Cord; Stroke; Techniques; Testing; Training; Transcranial magnetic stimulation; Universities; Veterans; Work; Writing; attentional control; behavior test; career; clinical practice; compare effectiveness; design; disability; effective intervention; experience; hemiparesis; improved; improved outcome; inattention; innovation; kinematics; motor impairment; motor recovery; multidisciplinary; neglect; nervous system disorder; neural network; post stroke; post-doctoral training; rehabilitation research; research facility; response; skills; stroke rehabilitation; stroke survivor; theories; tool; trait; treatment planning

This CDA-2 candidate, Emily Grattan, is an occupational therapist and Post-Doctoral Scholar at the Medical University of South Carolina. Her intention is to become a VA RR&D investigator at the Ralph H. Johnson VAMC, Charleston SC. Dr. Grattan's short term goals are to develop advanced skills and knowledge in assessment of neglect, latent trait analyses, and non-invasive brain stimulation as well as enhance her grant writing skills and advance her professional development. Her long term goal is to become an independent investigator with a research focus on neglect rehabilitation and to improve the outcomes of individuals with neglect post stroke. Dr. Grattan has 5.5 years of clinical experience and has considerable research experience having worked on 10 different rehabilitation studies (9 stroke studies, 1 spinal cord study) during her doctoral and post-doctoral training. Her extensive clinical experience and strong doctoral and post-doctoral research training have provided a solid foundation of skills and knowledge. The next step towards becoming an independent VA research scientist requires advanced training and mentoring. To that end, Dr. Grattan has chosen a team of VA mentors with expertise in stroke rehabilitation research (Dr. Woodbury), latent trait analyses (Dr. Velozo), grant writing (Dr. Kautz), and non-invasive brain stimulation (Dr. George) who are uniquely qualified to advise the nominee. Dr. Grattan will conduct the proposed research in an ideal environment since she will have access to the Center for Rehabilitation Research in Neurological Disorders (CRRND), a state of the art research facility jointly funded by the VA and the University affiliate, which houses 4 rehabilitation research laboratories and includes a multidisciplinary staff of investigators and staff. The proposed project is designed to establish a valid assessment of post-stroke neglect that can immediately be used to advance the care of Veterans with stroke. Without precise and functionally-relevant measurement tools, rehabilitation therapists cannot accurately identify individuals with neglect, establish personalized rehabilitation treatment goals/plans, or monitor response to intervention. We will achieve our aims by examining the measurement properties of the items from three commonly used behavioral assessments (Catherine Bergego Scale, Behavioral Inattention Test behavioral subtests, and the Naturalistic Action Test) of neglect in individuals with stroke to define item sets that measure neglect and create forms that link the clinical assessment to a treatment plan personalized to the patient. We will also examine the preliminary effects of an innovative intervention (repetitive task-specific practice + transcranial direct current stimulation) for individuals with neglect. This project is significant because it will inform our understanding of the most effective methods to measure neglect, establish a tool to be utilized to assist in goal planning, and help to advise the development of future intervention studies.

这位cpa -2候选人，艾米丽·格拉坦，是一名职业治疗师和博士后学者