Center of Innovation on Disability & Rehab Research (CINDRR)
CINDRR Completes Mission
From 2013-2019, Gainesville investigators used funding to create a strong research foundation
CINDRR Transforms to Rural Hub
Veterans Rural Health Resource Center will focus on rural workforce and independent living for Vets. Learn more below.
Issues Impacting Vets’ Health
CINDRR explores difficult issues impacting Vets’ health: disruptive behavior during health care and rental housing for Veterans with disabilities.
The Center of Innovation on Disability and Rehabilitation Research (CINDRR) was previously a Health Services Research and Development (HSR&D) Center of Innovation (COIN) funded from 2013 to 2019. CINDRR investigators were located in both Gainesville and Tampa, Florida, and are continuing the work of CINDRR with the same collaborations and same mission: To optimize rehabilitation services for Veterans with disabilities to improve their health and quality of life.
The support of HSR&D was invaluable in creating a research foundation that investigators are continuing to build on. Post-CINDRR funding for these investigators now comes from many other sources, for example, from VA investigator-initiated research projects; from special project funding from the Office of Rural Health, the Physical Medicine and Rehabilitation Service, and other national VHA program offices; from non-VA sources such as the National Institutes of Health (NIH) and the National Endowment for the Arts; and from non-Federal sources such as the Neilsen Foundation.
This website serves as an archive of the HSR&D COIN. Archive pages and information will be identified as such throughout the website.
- Clinical Video Telehealth to Care for Rural Veterans with Multiple Sclerosis
- Community Clergy Training to Support Rural Veterans’ Mental Health
- Rural Training Initiative
- Rural Veterans Tele-Rehabilitation Initiative
- VISN Needs and Priorities Study EWI.
The research arm of the Eastern Region – the Center of Innovation on Disability and Rehabilitation Research (CINDRR), which as funded by Health Services Research and Development (HSR&D) – was also involved and focused on developing strategies for improving rehabilitation services and on the long-term management of disability, including how family members are impacted.
Investigators previously with CINDRR and now with VRHRC-GNV are experts in research design and analysis and, in addition to research, have conducted evaluations for ORH that received high praise from leadership of the Veterans Health Administration (VHA). Of note, the evaluation team for the Rural Veterans Coordination Pilot performed analyses that enabled the ORH Executive Director to provide data-driven recommendations to the Secretary of VA.
Currently, VRHRC-GNV investigators are conducting an EWI – the VHA Rural Needs Assessment EWI, and evaluating two other EWIs:
- Tele-Rehabilitation EWI (TR-EWI)
- Rural Veterans TeleRehabilitation Initiative (RVTRI)
Also in Gainesville providing additional services is the Geo Spatial Outcomes Division (GSOD). It was established in 2008 as part of the Eastern Region VRHRC (currently in partnership with the White River Junction VRHRC) to provide geospatial support for rural policy analysis, strategic planning, rural geographic database design, and implementation efforts in support of rural Veteran health care. The GSOD provides its unique services to ORH, other Program Offices, VA Leadership, and any research investigators interested in examining rural Veteran issues using geographic information system tools.
The North Florida/South Georgia Veterans Health System (NF/SGVHS) where the VRHRC-GNV is located consists of 2 medical centers, 3 large multi-specialty outpatient clinics, and 9 community-based primary care outpatient clinics. The NF/SGVHS is one of the busiest VA health systems, providing 120,000 unique patient encounters monthly. A half century of southeastern migration of elderly Veterans and more recent post-hurricane relocations from south Florida and Puerto Rico have combined to make the NF/SGVHS responsible for a large, ethnically diverse Veteran population.
In collaboration with ORH, the VRHRC-GNV identified two broad areas in the ORH portfolio that have gaps in information, and these will be come the focus of the VRHRC-GNV:
- Independent living for rural Veterans
- Workforce recruitment/retention/education in rural areas.
The VRHRC-GNV will support the overall ORH mission to conduct, coordinate, promote, and disseminate research on care for rural Veterans and to develop, refine and promulgate policies, best practices, lessons learned, and innovative and successful programs.
In addition, the VRHRC-GNV will provide technical assistance to the VA rural health community and, as needed, to others within VHA, on research design, statistical analysis, survey design, psychometrics, and qualitative methodology and on data extraction, management, and reporting. Moreover, in the past 3 years, our investigators have gained significant experience with EWI evaluations. Our evaluation team will continue to offer this service on request. Geospatial services will be provided by the GSOD.