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Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson's disease.

Identifieur interne : 000C22 ( Main/Exploration ); précédent : 000C21; suivant : 000C23

Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson's disease.

Auteurs : Elaine V. Cohen [États-Unis] ; Ruth Hagestuen [États-Unis] ; Gladys González-Ramos [États-Unis] ; Hillel W. Cohen [États-Unis] ; Celia Bassich [États-Unis] ; Elaine Book [Canada] ; Kathy P. Bradley [États-Unis] ; Julie H. Carter [États-Unis] ; Mariann Di Minno [États-Unis] ; Joan Gardner [États-Unis] ; Monique Giroux [États-Unis] ; Manny J. González [États-Unis] ; Sandra Holten [États-Unis] ; Ricky Joseph [États-Unis] ; Denise D. Kornegay [États-Unis] ; Patricia A. Simpson [États-Unis] ; Concetta M. Tomaino [États-Unis] ; Richard P. Vandendolder [États-Unis] ; Maria Walde-Douglas [États-Unis] ; Rosemary Wichmann [États-Unis] ; John C. Morgan [États-Unis]

Source :

RBID : pubmed:26620547

Descripteurs français

English descriptors

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.


DOI: 10.1016/j.parkreldis.2015.11.001
PubMed: 26620547


Affiliations:


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Le document en format XML

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<name sortKey="Carter, Julie H" sort="Carter, Julie H" uniqKey="Carter J" first="Julie H" last="Carter">Julie H. Carter</name>
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<name sortKey="Joseph, Ricky" sort="Joseph, Ricky" uniqKey="Joseph R" first="Ricky" last="Joseph">Ricky Joseph</name>
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<name sortKey="Kornegay, Denise D" sort="Kornegay, Denise D" uniqKey="Kornegay D" first="Denise D" last="Kornegay">Denise D. Kornegay</name>
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<name sortKey="Simpson, Patricia A" sort="Simpson, Patricia A" uniqKey="Simpson P" first="Patricia A" last="Simpson">Patricia A. Simpson</name>
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<name sortKey="Tomaino, Concetta M" sort="Tomaino, Concetta M" uniqKey="Tomaino C" first="Concetta M" last="Tomaino">Concetta M. Tomaino</name>
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<name sortKey="Vandendolder, Richard P" sort="Vandendolder, Richard P" uniqKey="Vandendolder R" first="Richard P" last="Vandendolder">Richard P. Vandendolder</name>
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<name sortKey="Wichmann, Rosemary" sort="Wichmann, Rosemary" uniqKey="Wichmann R" first="Rosemary" last="Wichmann">Rosemary Wichmann</name>
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<title xml:lang="en">Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson's disease.</title>
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<name sortKey="Cohen, Elaine V" sort="Cohen, Elaine V" uniqKey="Cohen E" first="Elaine V" last="Cohen">Elaine V. Cohen</name>
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<nlm:affiliation>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.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>National Parkinson Foundation, Miami, FL, USA; Parkinson and Movement Disorders Center, New York University Langone School of Medicine, New York, NY</wicri:regionArea>
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<region type="state">État de New York</region>
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<name sortKey="Hagestuen, Ruth" sort="Hagestuen, Ruth" uniqKey="Hagestuen R" first="Ruth" last="Hagestuen">Ruth Hagestuen</name>
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<country xml:lang="fr">États-Unis</country>
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<region type="state">Minnesota</region>
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<name sortKey="Gonzalez Ramos, Gladys" sort="Gonzalez Ramos, Gladys" uniqKey="Gonzalez Ramos G" first="Gladys" last="González-Ramos">Gladys González-Ramos</name>
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<name sortKey="Bassich, Celia" sort="Bassich, Celia" uniqKey="Bassich C" first="Celia" last="Bassich">Celia Bassich</name>
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<nlm:affiliation>Department of Audiology, Speech-Language Pathology and Deaf Studies, Towson University, Towson, MD, USA.</nlm:affiliation>
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<name sortKey="Book, Elaine" sort="Book, Elaine" uniqKey="Book E" first="Elaine" last="Book">Elaine Book</name>
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<orgName type="university">Université de la Colombie-Britannique</orgName>
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<name sortKey="Bradley, Kathy P" sort="Bradley, Kathy P" uniqKey="Bradley K" first="Kathy P" last="Bradley">Kathy P. Bradley</name>
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<name sortKey="Carter, Julie H" sort="Carter, Julie H" uniqKey="Carter J" first="Julie H" last="Carter">Julie H. Carter</name>
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<nlm:affiliation>Parkinson Center of Oregon, Oregon Health & Science University, Portland, OR, USA.</nlm:affiliation>
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<name sortKey="Di Minno, Mariann" sort="Di Minno, Mariann" uniqKey="Di Minno M" first="Mariann" last="Di Minno">Mariann Di Minno</name>
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<name sortKey="Gardner, Joan" sort="Gardner, Joan" uniqKey="Gardner J" first="Joan" last="Gardner">Joan Gardner</name>
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<nlm:affiliation>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN</wicri:regionArea>
<placeName>
<region type="state">Minnesota</region>
</placeName>
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<author>
<name sortKey="Giroux, Monique" sort="Giroux, Monique" uniqKey="Giroux M" first="Monique" last="Giroux">Monique Giroux</name>
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<nlm:affiliation>Movement and Neuroperformance Center of Colorado, Englewood, CO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Movement and Neuroperformance Center of Colorado, Englewood, CO</wicri:regionArea>
<placeName>
<region type="state">Colorado</region>
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<name sortKey="Gonzalez, Manny J" sort="Gonzalez, Manny J" uniqKey="Gonzalez M" first="Manny J" last="González">Manny J. González</name>
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<nlm:affiliation>Silberman School of Social Work at Hunter College, City University of New York, New York, NY, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Silberman School of Social Work at Hunter College, City University of New York, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
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<name sortKey="Holten, Sandra" sort="Holten, Sandra" uniqKey="Holten S" first="Sandra" last="Holten">Sandra Holten</name>
<affiliation wicri:level="2">
<nlm:affiliation>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN</wicri:regionArea>
<placeName>
<region type="state">Minnesota</region>
</placeName>
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<name sortKey="Joseph, Ricky" sort="Joseph, Ricky" uniqKey="Joseph R" first="Ricky" last="Joseph">Ricky Joseph</name>
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<nlm:affiliation>Department of Occupational Therapy, University of Texas Health Science Center, San Antonio, TX, USA.</nlm:affiliation>
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<wicri:regionArea>Department of Occupational Therapy, University of Texas Health Science Center, San Antonio, TX</wicri:regionArea>
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<region type="state">Texas</region>
</placeName>
</affiliation>
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<author>
<name sortKey="Kornegay, Denise D" sort="Kornegay, Denise D" uniqKey="Kornegay D" first="Denise D" last="Kornegay">Denise D. Kornegay</name>
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<nlm:affiliation>Statewide Area Health Education Center, Medical College of Georgia at Georgia Regents University, Augusta, GA, USA.</nlm:affiliation>
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<wicri:regionArea>Statewide Area Health Education Center, Medical College of Georgia at Georgia Regents University, Augusta, GA</wicri:regionArea>
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<region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
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<name sortKey="Simpson, Patricia A" sort="Simpson, Patricia A" uniqKey="Simpson P" first="Patricia A" last="Simpson">Patricia A. Simpson</name>
<affiliation wicri:level="2">
<nlm:affiliation>Simpson & Associates, Temple, TX, USA.</nlm:affiliation>
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<wicri:regionArea>Simpson & Associates, Temple, TX</wicri:regionArea>
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<region type="state">Texas</region>
</placeName>
</affiliation>
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<author>
<name sortKey="Tomaino, Concetta M" sort="Tomaino, Concetta M" uniqKey="Tomaino C" first="Concetta M" last="Tomaino">Concetta M. Tomaino</name>
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<nlm:affiliation>Institute for Music and Neurologic Function, CenterLight Health Systems, Bronx, NY, USA.</nlm:affiliation>
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<region type="state">État de New York</region>
</placeName>
</affiliation>
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<author>
<name sortKey="Vandendolder, Richard P" sort="Vandendolder, Richard P" uniqKey="Vandendolder R" first="Richard P" last="Vandendolder">Richard P. Vandendolder</name>
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<nlm:affiliation>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA.</nlm:affiliation>
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<wicri:regionArea>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN</wicri:regionArea>
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<region type="state">Minnesota</region>
</placeName>
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<name sortKey="Walde Douglas, Maria" sort="Walde Douglas, Maria" uniqKey="Walde Douglas M" first="Maria" last="Walde-Douglas">Maria Walde-Douglas</name>
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<nlm:affiliation>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA.</nlm:affiliation>
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<region type="state">Minnesota</region>
</placeName>
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<author>
<name sortKey="Wichmann, Rosemary" sort="Wichmann, Rosemary" uniqKey="Wichmann R" first="Rosemary" last="Wichmann">Rosemary Wichmann</name>
<affiliation wicri:level="2">
<nlm:affiliation>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Struthers Parkinson's Center, Golden Valley, Minneapolis, MN</wicri:regionArea>
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<region type="state">Minnesota</region>
</placeName>
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<name sortKey="Morgan, John C" sort="Morgan, John C" uniqKey="Morgan J" first="John C" last="Morgan">John C. Morgan</name>
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<nlm:affiliation>Movement and Cognitive Disorders Center, Medical College of Georgia at Georgia Regents University, Augusta, GA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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</placeName>
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<title level="j">Parkinsonism & related disorders</title>
<idno type="eISSN">1873-5126</idno>
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<date when="2016" type="published">2016</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Allied Health Personnel (education)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Clinical Competence (MeSH)</term>
<term>Curriculum (MeSH)</term>
<term>Education, Medical (methods)</term>
<term>Education, Nursing (methods)</term>
<term>Educational Measurement (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Music Therapy (education)</term>
<term>Occupational Therapy (education)</term>
<term>Parkinson Disease (therapy)</term>
<term>Patient Care Team (MeSH)</term>
<term>Physical Therapists (education)</term>
<term>Physician Assistants (education)</term>
<term>Social Work (education)</term>
<term>Speech-Language Pathology (education)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Assistants médecins (enseignement et éducation)</term>
<term>Auxiliaires de santé (enseignement et éducation)</term>
<term>Compétence clinique (MeSH)</term>
<term>Enseignement infirmier (méthodes)</term>
<term>Enseignement médical (méthodes)</term>
<term>Ergothérapie (enseignement et éducation)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Kinésithérapeutes (enseignement et éducation)</term>
<term>Maladie de Parkinson (thérapie)</term>
<term>Musicothérapie (enseignement et éducation)</term>
<term>Mâle (MeSH)</term>
<term>Pathologie de la parole et du langage (spécialité) (enseignement et éducation)</term>
<term>Programme d'études (MeSH)</term>
<term>Services sociaux et travail social (activité) (enseignement et éducation)</term>
<term>Équipe soignante (MeSH)</term>
<term>Études cas-témoins (MeSH)</term>
<term>Évaluation des acquis scolaires (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="education" xml:lang="en">
<term>Allied Health Personnel</term>
<term>Music Therapy</term>
<term>Occupational Therapy</term>
<term>Physical Therapists</term>
<term>Physician Assistants</term>
<term>Social Work</term>
<term>Speech-Language Pathology</term>
</keywords>
<keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr">
<term>Assistants médecins</term>
<term>Auxiliaires de santé</term>
<term>Ergothérapie</term>
<term>Kinésithérapeutes</term>
<term>Musicothérapie</term>
<term>Pathologie de la parole et du langage (spécialité)</term>
<term>Services sociaux et travail social (activité)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Education, Medical</term>
<term>Education, Nursing</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Enseignement infirmier</term>
<term>Enseignement médical</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr">
<term>Maladie de Parkinson</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Case-Control Studies</term>
<term>Clinical Competence</term>
<term>Curriculum</term>
<term>Educational Measurement</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Patient Care Team</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Compétence clinique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Programme d'études</term>
<term>Équipe soignante</term>
<term>Études cas-témoins</term>
<term>Évaluation des acquis scolaires</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Healthcare professionals need education in evidence-based PD practices and working effectively in teams. Few evidence-based models of IPE in PD exist.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>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.</p>
</div>
</front>
</TEI>
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<DateCompleted>
<Year>2016</Year>
<Month>09</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>12</Month>
<Day>28</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1873-5126</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>22</Volume>
<PubDate>
<Year>2016</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Parkinsonism & related disorders</Title>
<ISOAbbreviation>Parkinsonism Relat Disord</ISOAbbreviation>
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<ArticleTitle>Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson's disease.</ArticleTitle>
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<MedlinePgn>21-7</MedlinePgn>
</Pagination>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Healthcare professionals need education in evidence-based PD practices and working effectively in teams. Few evidence-based models of IPE in PD exist.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
<CopyrightInformation>Copyright © 2015 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<Author ValidYN="Y">
<LastName>Cohen</LastName>
<ForeName>Elaine V</ForeName>
<Initials>EV</Initials>
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<Affiliation>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.</Affiliation>
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<Initials>R</Initials>
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<Affiliation>National Parkinson Foundation, Miami, FL, USA; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA.</Affiliation>
</AffiliationInfo>
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<LastName>González-Ramos</LastName>
<ForeName>Gladys</ForeName>
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<Affiliation>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.</Affiliation>
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<LastName>Cohen</LastName>
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<Affiliation>Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.</Affiliation>
</AffiliationInfo>
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<ForeName>Celia</ForeName>
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<Affiliation>Department of Audiology, Speech-Language Pathology and Deaf Studies, Towson University, Towson, MD, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Book</LastName>
<ForeName>Elaine</ForeName>
<Initials>E</Initials>
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<Affiliation>Pacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, Canada.</Affiliation>
</AffiliationInfo>
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<LastName>Bradley</LastName>
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</AffiliationInfo>
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<LastName>Di Minno</LastName>
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</AffiliationInfo>
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</AffiliationInfo>
</Author>
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<LastName>Giroux</LastName>
<ForeName>Monique</ForeName>
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<Affiliation>Movement and Neuroperformance Center of Colorado, Englewood, CO, USA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>González</LastName>
<ForeName>Manny J</ForeName>
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<AffiliationInfo>
<Affiliation>Silberman School of Social Work at Hunter College, City University of New York, New York, NY, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Holten</LastName>
<ForeName>Sandra</ForeName>
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</AffiliationInfo>
</Author>
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<LastName>Joseph</LastName>
<ForeName>Ricky</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Department of Occupational Therapy, University of Texas Health Science Center, San Antonio, TX, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Kornegay</LastName>
<ForeName>Denise D</ForeName>
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<Affiliation>Statewide Area Health Education Center, Medical College of Georgia at Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Simpson</LastName>
<ForeName>Patricia A</ForeName>
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</AffiliationInfo>
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</AffiliationInfo>
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<LastName>Walde-Douglas</LastName>
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</AffiliationInfo>
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</AffiliationInfo>
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<Affiliation>Movement and Cognitive Disorders Center, Medical College of Georgia at Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
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<Country>England</Country>
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