The purpose of this grant is to optimize neuroimaging practices for Veterans with headaches. We plan to complete a survey detailing potential barrier and facilitators to appropriate headache neuroimaging practices. We also plan to compare FLAIR only imaging to full sequence MRI imaging in Veterans with headache. Finally, we plan to look at predictors of headache causing lesions on MRI to inform which patients need these tests.

Optimizing the approach to headache neuroimaging. Veterans Administration CSR&D Merit Review Award,10/2017-09/2020. $600,000

Using the National Health and Aging Trends Study and Medicare, this project will determine the time when racial differences in post-stroke disability arise and determine the factors that lead to racial differences in post-stroke disability. These results will be directly used to develop strategies and interventions to improve the health of African American stroke survivors and reduce disparities.

Reducing Racial Disparities in Post-Stroke Disability in the Elderly. R01MD008879 NIH, 07/01/2014-03/31/2020. (Skolarus, Burke: PIs)

In this project, community and academic partners work together to increase acute stroke treatment rates in the socioeconomically disadvantaged, predominately African American community of Flint, Michigan. The Stroke Ready program includes an acute stroke care optimization intervention at a safety-net hospital and health behavior theory based, culturally tailored, community wide intervention.

A Community Based Participatory Trial to Increase Stroke Treatment. U01MD01057 NIH/NIMHD, 09/27/2016-05/31/2021. (Skolarus PI)

Emergency department visits provide an opportunity to interact with hard-to-reach populations with untreated or uncontrolled high blood pressure. We will test a health system intervention that will connect safety-net ED patients who have hypertension with primary care clinics and provide them with mobile health self-management tools to decrease blood pressure. This project will inform the effectiveness of our intervention components to reduce blood pressure.

Reach Out: Randomized Clinical Trial of Emergency Department-Initiated Hypertension Behavioral Intervention Connecting Multiple Health Systems. R01MD011516 NIH/NIMHD , 07/14/2017-02/28/2021 (Skolarus, Meurer: PIs)

This project seeks to clarify and refine advance care planning through enhancing the understanding of outcome expectations across various end-of-life preferences. We will then explore the implications of advance care visits on patient-centered outcomes.

Understanding Implications of End-of-life Preferences to Optimize Advanced Care Planning Among Older Americans. R01AG059733 NIH/NIA, 09/30/2018-06/30/23. (Skolarus, Burke: PIs)

In this project, academic and community researchers work together to adapt a culturally-tailored music video teaching stroke symptoms and the importance of calling 911 for use in community health centers in Flint, Michigan. This video is an essential component of the community portion of the Stroke Ready program designed to enhance stroke preparedness in Flint.

Administrative Supplement to the parent grant: A Community Based Participatory Trial to Increase Stroke Treatment. U01MD01057 NIH/NIMHD, 09/27/2016-05/31/2021. (Skolarus PI of parent grant; Springer PI of administrative supplement).

This project is an implementation clinical trial to increase the use of the Dix-Hallpile test and canalith repositioning maneuver in emergency department dizziness visits. It is a multi-center study and a multi-disciplinary collaboration of emergency department providers (academic and community), neurologists, otolaryngologists, primary care providers, an implementation scientist, a behavioral psychologist, and media specialists.

Implementation Of Evidence-Based Practice For Benign Paroxysmal Positional Vertigo. R01DC012760-05, NIDCD (8/1/2013 - 8/31/2019) (Kerber/Meurer: M-PI)

This project aims to develop tools for patients for self-diagnosis and treatment of benign paroxysmal positional vertigo, and then to demonstrate the potential for public use of the interventions.

AHRQ R18 HS022258, 4/1/2014 – 9/30/2020 (Kerber, PI)