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

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

doi:10.1016/j.parkreldis.2015.11.001

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

Parkinsonism Relat Disord. 2016 Jan:22:21-7. doi: 10.1016/j.parkreldis.2015.11.001. Epub 2015 Nov 6.

Authors

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

Affiliations

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.

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

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.

Keywords: Collaborative care in Parkinson's disease; Continuing education or continuing professional development; Healthcare teams; Interprofessional or interdisciplinary education.

Publication types

Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

MeSH terms

Allied Health Personnel / education*
Case-Control Studies
Clinical Competence*
Curriculum
Education, Medical / methods*
Education, Nursing / methods*
Educational Measurement
Female
Humans
Male
Music Therapy / education
Occupational Therapy / education
Parkinson Disease / therapy*
Patient Care Team*
Physical Therapists / education
Physician Assistants / education
Social Work / education
Speech-Language Pathology / education

Grants and funding

D37HP00862-01/PHS HHS/United States