Standardizing Outcome Assessment in Parkinson Disease: A Knowledge Translation Project.
Supplemental Digital Content is Available in the Text. Background and Purpose: Rehabilitation therapists do not consistently utilize standardized outcome measures. The purpose of this study was to develop and implement a tailored knowledge translation (KT) intervention to facilitate application of s...
| Publicado en: | Journal of Neurologic Physical Therapy Vol. 45; no. 1; pp. 21 - 28 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147874502&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147874502 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15570576 1FUT jtl: Journal of Neurologic Physical Therapy issn: 15570576 maglogo: N pubinfo: dt: Jan2021 vid: 45 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 147874502 147874502 147874502 10.1097/NPT.0000000000000343 147874502 ppf: 21 ppct: 7 formats: tig: atl: Standardizing Outcome Assessment in Parkinson Disease: A Knowledge Translation Project. aug: au: Yorke, Amy M. Trojanowski, Suzanne Fritz, Nora E. Ludwa, Angee Schroeder, Matthew affil: Physical Therapy Department, University of Michigan-Flint, Flint (A.M.Y., S.T.) sug: subj: Parkinson Disease Rehabilitation Outcome Assessment Professional Knowledge Outpatient Service Physical Therapy Human Physical Therapists Occupational Therapists Multimethod Studies Sitting Standing Implementation Science Clinical Assessment Tools Questionnaires Knowledge ab: Supplemental Digital Content is Available in the Text. Background and Purpose: Rehabilitation therapists do not consistently utilize standardized outcome measures. The purpose of this study was to develop and implement a tailored knowledge translation (KT) intervention to facilitate application of standardized outcome measures used in patients with Parkinson disease (PD) receiving outpatient rehabilitation. Methods: Four clinics within a hospital-based outpatient system including physical therapists (n = 7) and occupational therapists (n = 2) collaborated with researcher clinicians. A mixed-methods study, using the knowledge to action (KTA) framework, was executed to standardize the assessment battery completed on patients with PD. The project was titled iKNOW-PD (i ntegrating KNOW ledge translation for P arkinson D isease). Results: Four measures were selected for iKNOW-PD (9-Hole Peg Test, miniBESTest, 10-m walk test, and 5 times sit-to-stand). A multimodal intervention that overcame specific identified barriers (equipment, time) was implemented to ensure successful uptake. Consistency of utilizing iKNOW-PD measures on initial evaluation and discharge, across therapists and clinics, was evaluated. Therapists significantly increased the use of iKNOW-PD measures from 1.9 to 3.1 on initial evaluation (P < 0.001). The 10-meter walk test demonstrated the greatest uptake (>50%) from pre-iKNOW-PD to post-iKNOW-PD. Discussion and Conclusions: Standardizing outcome assessment for persons with PD in an outpatient setting can be successfully implemented. Overcoming identified barriers and capitalizing on facilitators promoted the uptake of standardized outcomes. Following the 6-month intervention period, therapists endorsed an improvement in their application of standardized measures and labeled iKNOW-PD as a positive experience that allowed them to minimize variability in practice. Video Abstract available for more insights from the authors (see the Video, Supplemental Content 1, available at: http://links.lww.com/JNPT/A329). pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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