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

Autor: Cohen EV; 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., Hagestuen R; National Parkinson Foundation, Miami, FL, USA; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA., González-Ramos G; 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., Cohen HW; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA., Bassich C; Department of Audiology, Speech-Language Pathology and Deaf Studies, Towson University, Towson, MD, USA., Book E; Pacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, Canada., Bradley KP; Department of Occupational Therapy, Georgia Regents University (Emeritus), Augusta, GA, USA., Carter JH; Parkinson Center of Oregon, Oregon Health & Science University, Portland, OR, USA., Di Minno M; Parkinson's Disease Clinic and Research Center, University of California, San Francisco, CA, USA., Gardner J; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA., Giroux M; Movement and Neuroperformance Center of Colorado, Englewood, CO, USA., González MJ; Silberman School of Social Work at Hunter College, City University of New York, New York, NY, USA., Holten S; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA., Joseph R; Department of Occupational Therapy, University of Texas Health Science Center, San Antonio, TX, USA., Kornegay DD; Statewide Area Health Education Center, Medical College of Georgia at Georgia Regents University, Augusta, GA, USA., Simpson PA; Simpson & Associates, Temple, TX, USA., Tomaino CM; Institute for Music and Neurologic Function, CenterLight Health Systems, Bronx, NY, USA., Vandendolder RP; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA., Walde-Douglas M; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA., Wichmann R; Struthers Parkinson's Center, Golden Valley, Minneapolis, MN, USA., Morgan JC; Movement and Cognitive Disorders Center, Medical College of Georgia at Georgia Regents University, Augusta, GA, USA.
Jazyk: angličtina
Zdroj: Parkinsonism & related disorders [Parkinsonism Relat Disord] 2016 Jan; Vol. 22, pp. 21-7. Date of Electronic Publication: 2015 Nov 06.
DOI: 10.1016/j.parkreldis.2015.11.001
Abstrakt: 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.
(Copyright © 2015 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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