Elaine V Cohen1, Ruth Hagestuen2, Gladys González-Ramos3, Hillel W Cohen4, Celia Bassich5, Elaine Book6, Kathy P Bradley7, Julie H Carter8, Mariann Di Minno9, Joan Gardner10, Monique Giroux11, Manny J González12, Sandra Holten10, Ricky Joseph13, Denise D Kornegay14, Patricia A Simpson15, Concetta M Tomaino16, Richard P Vandendolder10, Maria Walde-Douglas10, Rosemary Wichmann10, John C Morgan17. 1. National Parkinson Foundation, Miami, FL, USA; Parkinson and Movement Disorders Center, New York University Langone School of Medicine, New York, NY, USA. Electronic address: elainevc14@gmail.com. 2. National Parkinson Foundation, Miami, FL, USA; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA. 3. National Parkinson Foundation, Miami, FL, USA; Silver School of Social Work at New York University, New York, NY, USA; Parkinson and Movement Disorders Center, New York University Langone School of Medicine, New York, NY, USA. 4. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA. 5. Department of Audiology, Speech-Language Pathology and Deaf Studies, Towson University, Towson, MD, USA. 6. Pacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, Canada. 7. Department of Occupational Therapy, Georgia Regents University (Emeritus), Augusta, GA, USA. 8. Parkinson Center of Oregon, Oregon Health & Science University, Portland, OR, USA. 9. Parkinson's Disease Clinic and Research Center, University of California, San Francisco, CA, USA. 10. Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA. 11. Movement and Neuroperformance Center of Colorado, Englewood, CO, USA. 12. Silberman School of Social Work at Hunter College, City University of New York, New York, NY, USA. 13. Department of Occupational Therapy, University of Texas Health Science Center, San Antonio, TX, USA. 14. Statewide Area Health Education Center, Medical College of Georgia at Georgia Regents University, Augusta, GA, USA. 15. Simpson & Associates, Temple, TX, USA. 16. Institute for Music and Neurologic Function, CenterLight Health Systems, Bronx, NY, USA. 17. Movement and Cognitive Disorders Center, Medical College of Georgia at Georgia Regents University, Augusta, GA, USA.
Abstract
OBJECTIVE: Examine outcomes for the National Parkinson Foundation (NPF) Allied Team Training for Parkinson (ATTP), an interprofessional education (IPE) program in Parkinson's disease (PD) and team-based care for medicine, nursing, occupational, physical and music therapies, physician assistant, social work and speech-language pathology disciplines. BACKGROUND: Healthcare professionals need education in evidence-based PD practices and working effectively in teams. Few evidence-based models of IPE in PD exist. METHODS: Knowledge about PD, team-based care, the role of other disciplines and attitudes towards healthcare teams were measured before and after a protocol-driven training program. Knowledge, attitudes and practice changes were again measured at 6-month post-training. Trainee results were compared to results of controls. RESULTS: Twenty-six NPF-ATTP trainings were held across the U.S. (2003-2013). Compared to control participants (n = 100), trainees (n = 1468) showed statistically significant posttest improvement in all major outcomes, including self-perceived (p < 0.001) and objective knowledge (p < 0.001), Understanding Role of Other Disciplines (p < 0.001), Attitudes Toward Health Care Teams Scale (p < 0.001), and the Attitudes Toward Value of Teams (p < 0.001) subscale. Despite some decline, significant improvements were largely sustained at six-month post-training. Qualitative analyses confirmed post-training practice changes. CONCLUSIONS: The NPF-ATTP model IPE program showed sustained positive gains in knowledge of PD, team strategies and role of other disciplines, team attitudes, and important practice improvements. Further research should examine longer-term outcomes, objectively measure practice changes and mediators, and determine impact on patient outcomes.
OBJECTIVE: Examine outcomes for the National Parkinson Foundation (NPF) Allied Team Training for Parkinson (ATTP), an interprofessional education (IPE) program in Parkinson's disease (PD) and team-based care for medicine, nursing, occupational, physical and music therapies, physician assistant, social work and speech-language pathology disciplines. BACKGROUND: Healthcare professionals need education in evidence-based PD practices and working effectively in teams. Few evidence-based models of IPE in PD exist. METHODS: Knowledge about PD, team-based care, the role of other disciplines and attitudes towards healthcare teams were measured before and after a protocol-driven training program. Knowledge, attitudes and practice changes were again measured at 6-month post-training. Trainee results were compared to results of controls. RESULTS: Twenty-six NPF-ATTP trainings were held across the U.S. (2003-2013). Compared to control participants (n = 100), trainees (n = 1468) showed statistically significant posttest improvement in all major outcomes, including self-perceived (p < 0.001) and objective knowledge (p < 0.001), Understanding Role of Other Disciplines (p < 0.001), Attitudes Toward Health Care Teams Scale (p < 0.001), and the Attitudes Toward Value of Teams (p < 0.001) subscale. Despite some decline, significant improvements were largely sustained at six-month post-training. Qualitative analyses confirmed post-training practice changes. CONCLUSIONS: The NPF-ATTP model IPE program showed sustained positive gains in knowledge of PD, team strategies and role of other disciplines, team attitudes, and important practice improvements. Further research should examine longer-term outcomes, objectively measure practice changes and mediators, and determine impact on patient outcomes.
Keywords:
Collaborative care in Parkinson's disease; Continuing education or continuing professional development; Healthcare teams; Interprofessional or interdisciplinary education
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