In this pilot study, the investigators will evaluate care delivery via telemedicine to individuals with drug-induced movement disorders (DIMDs). DIMDs can be disabling, and prevention is important; but these disorders are often under-reported, under-recognized and poorly managed. Interprofessional telemedicine for movement disorders is feasible and may provide similar care as in-person visits; however, the majority of studies to date have shown benefit in Parkinson's disease and further validation in other movement disorders is necessary. In this randomized controlled trial the aim is to study the acceptability, feasibility, and patient and clinician outcomes when a neurological consultation is provided for patients with DIMDs either in-person or through telemedicine. The investigators will apply the evaluation framework RE-AIM (Reach and Effectiveness, Adoption, Implementation, and Maintenance) to comprehensively assess the factors that may impact study success and program implementation. Mixed methods will be implemented to gather outcome data from mental health clinicians that refer patients and the patient participants.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
28
Neurological consultation completed remotely
Neurological consultation completed in-person
University of Vermont Medical Center
Burlington, Vermont, United States
Effectiveness; Client Satisfaction Questionnaire-8 (CSQ-8)
How satisfied are patients with the program
Time frame: 12 months
Effectiveness; PROMIS 29+2 V2.1
What are the impacts on patient health status
Time frame: 12 months
Effectiveness; referral forms and visit notes
Was there concordance in diagnosis between the MHC and movement disorder specialist
Time frame: 12 months
Effectiveness; visit notes
Was there an impact on care plan
Time frame: 12 months
Effectiveness; MHC survey and Qualitative Interviews
Were the MHCs Satisfied with the program
Time frame: 12 months
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