Institutional Review: The institutional review boards of MEDVAMC and Baylor College of Medicine approved this research, and the authors have fully complied with APA ethical standards throughout this research project.
DeBakey Department of Veterans Affairs Medical Center (MEDVAMC), Hous ton, TX; and Department of Educational Psychology, University of Houston, Houston, TX; (2) Neurology Care Line, MEDVAMC, Houston, TX; and Department of Neurology, Baylor College of Medicine, Houston, TX; (3) Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX; and Brain Injury Research Center, TIRR Memorial Hermann, Houston, TX; (4) Department of Neuropsychology, TIRR Memorial Hermann, Houston, TX; (5) Department of Neuropsychology, Scott & White Neuroscience Institute and Plummer Movement Disorders Center, Temple, TX
The MEDVAMC receives the largest number of admissions for suspected stroke compared to other VHA facilities.
The SDSB has been adopted at the MEDVAMC to implement evidence-based dysphagia screening and now includes ongoing booster education when deficiencies in dysphagia screening are identified.
While the SST developed for the MEDVAMC is evidence based, it has not been validated.
MEDVAMC recently initiated clinical use of a surgical robotic system to perform minimally invasive gynecological operations, including hysterectomies.
Last year, MEDVAMC added a mental-health inpatient unit with ten beds especially for women veterans.
Women veterans who obtain their care at one of the VA outpatient clinics receive the same services, including well-woman exams and mental-health services, as those who seek care at the MEDVAMC.
MEDVAMC recognizes the importance of the contributions made by women veterans in the service to their country and the price many have paid to preserve our freedoms.
Participants were recruited by telephone from a list of patients with SCI who were on the registry at the MEDVAMC. Persons who agreed to participate met with the RA who explained the study, obtained informed consent, and explained the financial compensation that would assist with travel to the medical center (i.e., $25 each data collection point).
After the 21 days, the participants again returned to the MEDVAMC to complete another packet of questionnaires and return the CES unit.
Abbreviations: ASIA = American Spinal Injury Association, BPI = Brief Pain Inventory, CES = cranial electrotherapy stimulation, MEDVAMC = Michael E.