TY - JOUR
T1 - Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson's disease
AU - Cohen, Elaine V.
AU - Hagestuen, Ruth
AU - González-Ramos, Gladys
AU - Cohen, Hillel W.
AU - Bassich, Celia
AU - Book, Elaine
AU - Bradley, Kathy P.
AU - Carter, Julie H.
AU - Di Minno, Mariann
AU - Gardner, Joan
AU - Giroux, Monique
AU - González, Manny J.
AU - Holten, Sandra
AU - Joseph, Ricky
AU - Kornegay, Denise D.
AU - Simpson, Patricia A.
AU - Tomaino, Concetta M.
AU - Vandendolder, Richard P.
AU - Walde-Douglas, Maria
AU - Wichmann, Rosemary
AU - Morgan, John C.
N1 - Funding Information:
Authors acknowledge support from the NPF and the U.S. Bureau of Health Professions , Health Resources and Services Administration grant D37HP00862-01 for development, implementation, evaluation and dissemination of the ATTP model. We acknowledge receipt of funds to implement the ATTP program from the following pharmaceutical and other companies (for ATTP implementation only, with no influence on program design): Boehringer Ingelheim, Teva, GlaxcoSmithKline, Forest Research Institute, Medtronic and Vernalis. We are grateful to the many people with PD and their caregivers who volunteered to share their healthcare experiences with ATTP trainees, and to participants in the program evaluation research. A note of thanks goes to the many volunteer curriculum peer reviewers, to the dedicated ATTP faculty and to Denise Beran, CAPM, ATTP Program Manager whose attention to the many details of communication, recruitment and site logistics were essential to the success of each ATTP program.
Publisher Copyright:
© 2015 Elsevier Ltd.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - 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.
AB - 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.
KW - Collaborative care in Parkinson's disease
KW - Continuing education or continuing professional development
KW - Healthcare teams
KW - Interprofessional or interdisciplinary education
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U2 - 10.1016/j.parkreldis.2015.11.001
DO - 10.1016/j.parkreldis.2015.11.001
M3 - Article
C2 - 26620547
AN - SCOPUS:84952871818
SN - 1353-8020
VL - 22
SP - 21
EP - 27
JO - Parkinsonism and Related Disorders
JF - Parkinsonism and Related Disorders
ER -