The purpose of this study is to determine if an interdisciplinary clinic can help people with Parkinson's disease care for themselves, improve their ability to follow recommended treatments, and have fewer problems like falls or visits to the emergency room. Participants will be randomly assigned to receive either care from the interdisciplinary clinic or standard neurological specialist care. This study involves questionnaires both before and 3 months after participation in a one time interdisciplinary care clinic or standard care depending on which type of care the participant is randomized to. Participants will be in the study for up to 6 months. The study will end upon completion of questionnaires about 3 months after treatment with the interdisciplinary care clinic or standard care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
61
If assigned to the interdisciplinary group, participants will see social work, physical therapy, occupational therapy, speech therapy, and pharmacy in a scheduled rotation for about 45 minutes each. After these evaluations, the team meets with the participants doctor for a discussion of treatment. After this meeting, the participants doctor will meet to discuss a treatment plan and make recommendations.
Duke University
Durham, North Carolina, United States
Change in Composite Score on Self-efficacy Scale
Title of scale: Self-efficacy Scale for Chronic Diseases. This is a validated scale. Minimum score is 6, Maximum score is 60. Higher score is a better outcome.
Time frame: Baseline, 3 months after interdisciplinary or standard clinic visit
Change in Total Weekly Minutes Exercised as Measured by Patient Engagement Survey.
Investigator developed patient engagement survey
Time frame: Baseline, 3 months after interdisciplinary or standard care visit
Change in Caregiver Burden Score on Zarit Burden Interview Scale
Title of scale: Zarit Burden Interview. This is validated scale. Minimum score is 0. Maximum score is 88. Higher score is a worse outcome.
Time frame: Baseline, 3 months after interdisciplinary or standard care visit
Number of Skilled Therapy Visits as Reported by Participant
Number of skilled therapy visits as reported by participant
Time frame: Baseline, 3 months after interdisciplinary or standard care visit
Number of Participants With a Hospitalization as Reported by Participant and Medical Record Review
Number of participants with a hospitalization as reported by participant and medical record review
Time frame: Baseline, 3-6 months after interdisciplinary or standard care visit
Number of Participants With an ER Visit as Reported by Participant and Medical Record Review
Number of participants with an ER visit as reported by participant and medical record review
Time frame: Baseline, 3-6 months after interdisciplinary or standard care visit
Number Participants With a Fall as Reported by Participant and Medical Record Review
Number participants with a fall as reported by Participant and Medical Record Review
Time frame: Baseline, 3 months after interdisciplinary or standard care visit
Number of Participants With a Contraindicated Medication Combination as Determined by Medical Record Review
Number of participants with a contraindicated medication combination as determined by medical record review
Time frame: Baseline, 3-6 months after interdisciplinary or standard care visit
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