Physical Therapy Delivery Models for Long-Term Parkinsons Disease Management

帕金森病长期管理的物理治疗实施模型

• 批准号: 9352689
• 负责人: Miriam Rose Rafferty
• 金额: $ 6.83万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9352689
• 关键词: Physical; Therapy; Delivery; Models; Long

Project Summary/Abstract: Parkinson's disease is a chronic, complex neurologic condition that causes progressive declines in activity level, walking, and balance. These mobility impairments are associated with worse quality of life and mortality. Physical therapy (PT) has been shown to effectively treat these mobility problems, and exercise is associated with better quality of life and increased physical activity. Evidence-based PT guidelines for people with Parkinson's disease have been developed to support mobility and exercise participation across all disease severities, but our preliminary data indicates that PT is used inconsistently in the United States (US). The two research objectives of this F32 postdoctoral fellowship are (1) to describe current PT practice in the US and evaluate the extent to which it reflects the existing evidence-based guidelines, and then (2) to determine barriers and facilitators to the delivery of evidence-based PT from patient and provider perspectives. Objective 1 will survey expert physician/referrers and expert physical therapists for people with Parkinson's disease to describe their PT-related referral and practice decisions across the stages of the disease. The results of this survey will be mapped onto existing guidelines to evaluate conformity with evidence-based practice. Objective 2 will use focus groups and key informant interviews of people with Parkinson's disease, physical therapists, and physicians to explain how current practice is similar or different from evidence-based practice. The focus group and interview questions will probe for barriers and facilitators to the delivery of evidence-based PT services within the US healthcare context. The results of these studies promote improved synthesis of evidence into healthcare delivery and form the basis for future implementation or knowledge translation efforts to improve the quality of PT delivery. These research goals are aligned with AHRQ's 2014-2018 Strategic Plan goal 1B to “improve healthcare quality,” goal 1E to ensure access to “quality, culturally competent care, including long-term services and supports for vulnerable populations,” and goal 3C to “improve the accessibility and quality of supportive services for people with disabilities and older adults.” The final outcomes of these studies are to develop implementation strategies to improve the delivery of high-quality, evidence-based PT for people with Parkinson's disease.

项目摘要/摘要： 帕金森病是一种慢性、复杂的神经系统疾病，会导致活动进行性下降 这些活动障碍与较差的生活质量和死亡率相关。 物理治疗 (PT) 已被证明可以有效治疗这些行动问题，而锻炼与运动相关 为患者提供更好的生活质量和增加体力活动。 帕金森病的开发是为了支持所有疾病的活动能力和运动参与 严重程度，但我们的初步数据表明 PT 在美国 (US) 的使用不一致。 F32 博士后奖学金的研究目标是 (1) 描述美国当前的 PT 实践，以及 评估其反映现有循证指南的程度，然后 (2) 确定 从患者和提供者的角度来看，实施循证 PT 的障碍和促进因素。 1 将调查帕金森病患者的专家医生/推荐人和专家物理治疗师，以 描述他们在疾病各个阶段的 PT 相关转诊和实践决策。 调查将映射到现有指南，以评估是否符合基于证据的实践。 2 将利用焦点小组和对帕金森病患者、物理治疗师、 和医生解释当前实践与循证实践有何相似或不同。 小组和访谈问题将探讨提供循证 PT 的障碍和促进因素 这些研究的结果促进了美国医疗保健领域的服务综合。 医疗保健提供的证据并构成未来实施或知识转化工作的基础 提高 PT 交付的质量 这些研究目标与 AHRQ 的 2014-2018 年战略计划保持一致。 目标 1B 是“提高医疗保健质量”，目标 1E 是确保获得“高质量、符合文化要求的护理”， 包括对弱势群体的长期服务和支持”以及目标 3C“改善无障碍环境 以及为残疾人和老年人提供的支持服务的质量。” 实施研究的目的是制定战略，以改善高质量、基于证据的 PT 的提供 患有帕金森病的人。

项目成果

Evaluation of an Interdisciplinary Screening Program for People With Parkinson Disease and Movement Disorders.

• DOI: 10.1016/j.arrct.2020.100067
• 发表时间: 2020-09
• 期刊: Archives of rehabilitation research and clinical translation
• 作者: Khan U;Stoff L;Yahuaca JD;Bhagavat B;Toledo S;Goldman JG;Simuni T;Rafferty M
• 通讯作者: Rafferty M