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Dissemination of Amputation and Prosthetic Evidenced-based Medicine (DAP-EM)

Award Number: R24HS022021
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/05/2013
PERIOD OF PERFORMANCE END DATE: 01/31/2017

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Dissemination of Amputation and Prosthetic Evidenced-based Medicine (DAP-EM) - DESCRIPTION (provided by the applicant): The purpose of this proposal is to: (1) increase the impact and effective use of evidence-based health information by adding health information to an existing virtual world support space infrastructure and (2) conduct a randomized clinical trial to compare individual-amputee outcomes of the intervention delivered on CD-Rom versus a virtual environment. The proposed project enhances the existing Amputee Virtual Environmental Support Space (AVESS) virtual infrastructure to provide physical, emotional, and technology based evidence-based health information to individuals with upper and lower limb amputation(s) and the clinicians who serve individuals with amputation. Aim 1 develops one upper limb and one lower limb 3- module self-management intervention. The first module provides declarative evidence-based information. The second and third modules provide interactive experiences that will, as examples, address choosing a prosthesis, prosthetic training, emotional aspects of living with an amputation, and managing co morbidity, and social integration. Aim 2 evaluates the usability of the 3-module self-management interventions; data from focus group sessions will be analyzed for thematic areas related to ease of use, appropriateness and usefulness of content, look of the visual presentation, and likeliness of use. Aim 3 conducts a randomized clinical trial to compare individual-amputee outcomes of intervention delivered on CD-Rom versus the AVESS environment. The outcomes are use of prosthetic devices, self-efficacy, psychosocial status, pain interference, and physical function. Aim 4 evaluates user satisfaction with the AVESS dissemination strategy. We will enroll 92 individuals with amputation: 46 upper limb amputees and 46 lower extremity amputees. Subjects will complete pretests, the 3-module intervention, and posttests after the invention and again at five months follow-up. A mixed methods design will be used. Aim 1 is development. Aims 2 and 4 will use qualitative methods based on Grounded (Aim 2) and Interpretative Phenomenological Approaches (Aim 4). Aim 3 will use a quantitative randomized control design and generalized linear models for analyses.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2016 ( Subtotal = $0 )
2016	2015	TAMPA VA RESEARCH AND EDUCATION FOUNDATION INC	35324 STATE ROAD 54	ZEPHYRHILLS	FL	33541	PASCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	11/27/2015	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $0

Issue Date FY: 2015 ( Subtotal = $299,198 )
2015	2015	NOVA SOUTHEASTERN UNIVERSITY	3301 COLLEGE AVE	FORT LAUDERDALE	FL	33314	BROWARD	USA	Research on Healthcare Costs, Quality and Outcomes	003	3	9/24/2015	EXTENSION WITH OR WITHOUT FUNDS	-$196,714
2015	2015	NOVA SOUTHEASTERN UNIVERSITY	3301 COLLEGE AVE	FORT LAUDERDALE	FL	33314	BROWARD	USA	Research on Healthcare Costs, Quality and Outcomes	001	3	12/18/2014	EXTENSION WITH OR WITHOUT FUNDS	-$299,198
2015	2015	TAMPA VA RESEARCH AND EDUCATION FOUNDATION INC	35324 STATE ROAD 54	ZEPHYRHILLS	FL	33541	PASCO	USA	Research on Healthcare Costs, Quality and Outcomes	004	4	9/24/2015	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$196,714
2015	2015	NOVA SOUTHEASTERN UNIVERSITY	3301 COLLEGE AVE	FORT LAUDERDALE	FL	33314	BROWARD	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	12/9/2014	EXTENSION WITH OR WITHOUT FUNDS	$299,198
2015	2015	NOVA SOUTHEASTERN UNIVERSITY	3301 COLLEGE AVE	FORT LAUDERDALE	FL	33314	BROWARD	USA	Research on Healthcare Costs, Quality and Outcomes	002	3	12/30/2014	EXTENSION WITH OR WITHOUT FUNDS	$299,198
														Subtotal = $299,198

Issue Date FY: 2014 ( Subtotal = $300,000 )
2014	2014	NOVA SOUTHEASTERN UNIVERSITY	3301 COLLEGE AVE	FORT LAUDERDALE	FL	33314	BROWARD	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	1/31/2014	NON-COMPETING CONTINUATION	$300,000
														Subtotal = $300,000

Issue Date FY: 2013 ( Subtotal = $300,000 )
2013	2013	NOVA SOUTHEASTERN UNIVERSITY	3301 COLLEGE AVE	FORT LAUDERDALE	FL	33314	BROWARD	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	4/2/2013	NEW	$300,000
														Subtotal = $300,000

Grand Total All Awards = $899,198

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Dissemination of Amputation and Prosthetic Evidenced-based Medicine (DAP-EM)

Award Number: R24HS022021

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 04/05/2013

PERIOD OF PERFORMANCE END DATE: 01/31/2017

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