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

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

Neurology

Research output: Contribution to journal › Article › peer-review

60 Scopus citations

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.

Original language	English (US)
Pages (from-to)	21-27
Number of pages	7
Journal	Parkinsonism and Related Disorders
Volume	22
DOIs	https://doi.org/10.1016/j.parkreldis.2015.11.001
State	Published - Jan 1 2016

Funding

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.

Funders	Funder number
U.S. Bureau of Health Professions
Health Resources and Services Administration	D37HP00862-01
National Park Foundation

Keywords

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

ASJC Scopus subject areas

Neurology
Geriatrics and Gerontology
Clinical Neurology

Access to Document

10.1016/j.parkreldis.2015.11.001

Cite this

Cohen, E. V., Hagestuen, R., González-Ramos, G., Cohen, H. W., Bassich, C., Book, E., Bradley, K. P., Carter, J. H., Di Minno, M., Gardner, J., Giroux, M., González, M. J., Holten, S., Joseph, R., Kornegay, D. D., Simpson, P. A., Tomaino, C. M., Vandendolder, R. P., Walde-Douglas, M., ... Morgan, J. C. (2016). Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson's disease. Parkinsonism and Related Disorders, 22, 21-27. https://doi.org/10.1016/j.parkreldis.2015.11.001

Cohen, EV, Hagestuen, R, González-Ramos, G, Cohen, HW, Bassich, C, Book, E, Bradley, KP, Carter, JH, Di Minno, M, Gardner, J, Giroux, M, González, MJ, Holten, S, Joseph, R, Kornegay, DD, Simpson, PA, Tomaino, CM, Vandendolder, RP, Walde-Douglas, M, Wichmann, R & Morgan, JC 2016, 'Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson's disease', Parkinsonism and Related Disorders, vol. 22, pp. 21-27. https://doi.org/10.1016/j.parkreldis.2015.11.001

@article{f18e180b36ef4a1a8bf17e673eb07f9c,

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

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",

author = "Cohen, \{Elaine V.\} and Ruth Hagestuen and Gladys Gonz{\'a}lez-Ramos and Cohen, \{Hillel W.\} and Celia Bassich and Elaine Book and Bradley, \{Kathy P.\} and Carter, \{Julie H.\} and \{Di Minno\}, Mariann and Joan Gardner and Monique Giroux and Gonz{\'a}lez, \{Manny J.\} and Sandra Holten and Ricky Joseph and Kornegay, \{Denise D.\} and Simpson, \{Patricia A.\} and Tomaino, \{Concetta M.\} and Vandendolder, \{Richard P.\} and Maria Walde-Douglas and Rosemary Wichmann and Morgan, \{John C.\}",

note = "Publisher Copyright: {\textcopyright} 2015 Elsevier Ltd.",

year = "2016",

month = jan,

day = "1",

doi = "10.1016/j.parkreldis.2015.11.001",

language = "English (US)",

volume = "22",

pages = "21--27",

journal = "Parkinsonism and Related Disorders",

issn = "1353-8020",

publisher = "Elsevier Ltd",

}

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.

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

UR - https://www.scopus.com/pages/publications/84952871818

UR - https://www.scopus.com/pages/publications/84952871818#tab=citedBy

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 -

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

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this