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

被引：51

作者：

Cohen, Elaine V. ^{[1
,3
]}

Hagestuen, Ruth ^{[1
,10
]}

Gonzalez-Ramos, Gladys ^{[1
,2
,3
]}

Cohen, Hillel W. ^{[4
]}

Bassich, Celia ^{[5
]}

Book, Elaine ^{[6
]}

Bradley, Kathy P. ^{[7
]}

Carter, Julie H. ^{[8
]}

Di Minno, Mariann ^{[9
]}

Gardner, Joan ^{[10
]}

Giroux, Monique ^{[11
]}

Gonzalez, Manny J. ^{[12
]}

Holten, Sandra ^{[10
]}

Joseph, Ricky ^{[13
]}

Kornegay, Denise D. ^{[14
]}

Simpson, Patricia A. ^{[15
]}

Tomaino, Concetta M. ^{[16
]}

Vandendolder, Richard P. ^{[10
]}

Walde-Douglas, Maria ^{[10
]}

Wichmann, Rosemary ^{[10
]}

Morgan, John C. ^{[17
]}

机构：

[1] Natl Parkinson Fdn, Miami, FL USA

[2] NYU, Silver Sch Social Work, New York, NY USA

[3] NYU, Langone Sch Med, Parkinson & Movement Disorders Ctr, New York, NY USA

[4] Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, New York, NY USA

[5] Towson Univ, Dept Audiol Speech Language Pathol & Deaf Studies, Towson, MD USA

[6] Univ British Columbia, Pacific Parkinsons Res Ctr, Vancouver, BC V5Z 1M9, Canada

[7] Georgia Regents Univ, Dept Occupat Therapy, Augusta, GA USA

[8] Oregon Hlth & Sci Univ, Parkinson Ctr Oregon, Portland, OR 97201 USA

[9] Univ Calif San Francisco, Parkinsons Dis Clin & Res Ctr, San Francisco, CA 94143 USA

[10] Struthers Parkinsons Ctr, Minneapolis, MN USA

[11] Movement & Neuroperformance Ctr Colorado, Englewood, CO USA

[12] CUNY Hunter Coll, Silberman Sch Social Work, New York, NY 10021 USA

[13] Univ Texas Hlth Sci Ctr San Antonio, Dept Occupat Therapy, San Antonio, TX 78229 USA

[14] Georgia Regents Univ, Statewide Area Hlth Educ Ctr, Med Coll Georgia, Augusta, GA USA

[15] Simpson & Associates, Temple, TX USA

[16] CtrLight Hlth Syst, Inst Mus & Neurol Funct, Bronx, NY USA

[17] Georgia Regents Univ, Movement & Cognit Disorders Ctr, Med Coll Georgia, Augusta, GA USA

来源：

PARKINSONISM & RELATED DISORDERS | 2016年 / 22卷

关键词：

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

D O I：

10.1016/j.parkreldis.2015.11.001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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. (C) 2015 Elsevier Ltd. All rights reserved.

引用

页码：21 / 27

页数：7

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