The Benchmark Clinic: An Interdisciplinary Comprehensive Care Model for People With Parkinson Disease

Study Overview
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Brief Summary
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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.

Official Title
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The Benchmark Clinic: An Interdisciplinary Comprehensive Care Model for People With Parkinson Disease

Conditions
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Parkinson Disease

Intervention / Treatment
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* Behavioral: Interdisciplinary Visit


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with Parkinson's Disease over the age of 30, Caregiver willing to also participate. Must be able to provide consent. Exclusion Criteria: -Atypical Parkinsonism

Ages Eligible for Study
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Minimum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interdisciplinary Care<br>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 participant's doctor for a discussion of treatment. After this meeting, the participants doctor will meet to discuss a treatment plan and make recommendations. | Behavioral: Interdisciplinary Visit<br>* 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.<br>|
| No Intervention: Standard of Care<br>If assigned to standard of care, group participants will have a normally scheduled visit with neurologist. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 1, Maximum score is 10. Higher score is a better outcome. | Baseline, 3 months after interdisciplinary or standard clinic visit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in total weekly minutes exercised as measured by patient engagement survey. | Investigator developed patient engagement survey | 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. | 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 | Baseline, 3 months after interdisciplinary or standard care visit | 
| Number of hospitalizations as reported by participant and medical record review | Number of hospitalizations as reported by participant and medical record review | Baseline, 3-6 months after interdisciplinary or standard care visit | 
| Number of ER visits as reported by participant and medical record review | Number of ER visits as reported by participant and medical record review | Baseline, 3-6 months after interdisciplinary or standard care visit | 
| Number of falls as reported by participant | Number of falls as reported by participant | Baseline, 3 months after interdisciplinary or standard care visit | 
| Number of contraindicated medication combinations as determined by medical record review | Number of contraindicated medication combinations as determined by medical record review | Baseline, 3-6 months after interdisciplinary or standard care visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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interdisciplinary care, patient engagement, preventative care