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

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.

Sex differences in tracking performance in patients with Parkinson's disease.

OBJECTIVE: To examine whether Parkinson's disease affects men and women differently, relative to age-matched controls, in manual tracking. DESIGN: Cross-sectional exploratory study. SETTING: Ambulatory activity center. PARTICIPANTS: Ten men and 10 women with Parkinson's disease; 10 men and 10 women age-matched controls. INTERVENTIONS: Patients tracked a sinewave target on a computer monitor in stimulus-response compatible (finger extension/flexion in vertical) or incompatible (horizontal) conditions. MAIN OUTCOME MEASURE: Accuracy Index (AI) score on finger movement tracking tests. RESULTS: With data collapsed across sexes, AI scores were significantly higher for control subjects compared with subjects with Parkinson's disease in compatible (P<.001) and incompatible (P<.001) positions. With data partitioned out across sexes, control men tracked significantly higher than men with Parkinson's disease in compatible (P=.004) and incompatible (P<.001) positions, but control women did not track significantly different from women with Parkinson's disease in either position. Control men tracked significantly higher than control women in compatible (P=.003) and incompatible (P=.001) positions, but men with Parkinson's disease did not track significantly different from women with Parkinson's disease in either position. CONCLUSION: Parkinson's disease affects men and women disproportionately in manual tracking. Comparisons between subjects with Parkinson's disease and controls in spatial skill should include sex as a factor. More research is needed to confirm these findings.