Improving Measurement and Treatment of Post-stroke Neglect

这位CDA-2考生艾米丽·格拉坦是职业治疗师和博士后学者，在 南卡罗来纳医科大学。她的目标是成为一名退伍军人事务部研发调查员 拉尔夫·H·约翰逊VAMC，查尔斯顿南加州格拉坦博士的短期目标是开发 评估忽视、潜在特质分析和非侵入性方面的高级技能和知识 刺激大脑，提高她的助学金写作技巧，提升她的专业水平 发展。她的长期目标是成为一名专注于研究的独立调查员 关于忽视的康复和改善卒中后忽视患者的预后。Dr。 格拉坦拥有5.5年的临床经验，并拥有相当多的研究经验，包括 在此期间参与了10项不同的康复研究(9项中风研究，1项脊髓研究) 博士和博士后培训。她丰富的临床经验和强大的博士和 博士后科研培训提供了坚实的技能和知识基础。下一个 迈向独立退伍军人研究科学家的一步需要高级培训和 辅导。为此，格拉坦博士选择了一支在中风方面具有专业知识的退伍军人管理局导师团队 康复研究(伍德伯里博士)，潜在特质分析(维洛佐博士)，赠款写作(考茨博士)， 和非侵入性脑刺激(乔治博士)，他们是唯一有资格为提名者提供建议的人。 格拉坦博士将在一个理想的环境中进行拟议的研究，因为她可以访问 致最先进的神经疾病康复研究中心(CRRND) 由退伍军人事务部和大学附属机构共同资助的研究设施，可容纳4名康复人员 研究实验室，包括多学科的调查人员和工作人员。 拟议的项目旨在建立对中风后疏忽的有效评估， 立即用于推进中风退伍军人的护理。如果没有精确和 功能相关的测量工具，康复治疗师无法准确识别 忽视的个人，建立个性化的康复治疗目标/计划，或监测 对干预的反应。我们将通过检查的测量属性来实现我们的目标 来自三种常用行为评估的项目(凯瑟琳·伯格戈量表， 忽视的行为注意力测验、行为子测验和自然主义行为测验 有中风的人定义项目集来衡量疏忽并创建链接 对针对患者个性化的治疗计划进行临床评估。我们还将研究 创新干预的初步效果(重复性特定任务练习+经颅 直流电刺激)。这个项目意义重大，因为它将 让我们了解衡量忽视的最有效方法，建立一个工具 用于协助目标规划，并帮助为未来干预措施的发展提供建议 学习。

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.