Clinical trial NCT05640167: EMPOWER PD - Feasibility of an Interdisciplinary Clinic for People With Parkinson's Disease
Official title: EMPOWER PD - Feasibility of an Interdisciplinary Clinic for People With Parkinson's Disease
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Parkinson Disease
Keywords: Patient-centric care
Interdisciplinary care
Parkinson Disease education
Lead sponsor: University of Rhode Island
Sponsor class: OTHER
Collaborators: name: Brown University
First posted: 2022-12-07
Enrollment: 19
Sex: ALL
Minimum age (years): 40
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study is a nonrandomized, pilot study of an interdisciplinary, patient-centric model of health care delivery in a "boot camp" style structured clinic for people diagnosed with Parkinson's disease (PwPD). 20 participants will attend a three session EMPOWER PD clinic and a two month follow up interview. The primary objective is to assess feasibility and acceptability of the newly developed clinic intervention as well as individual perception of experience and barriers.

Detailed description: This study is a nonrandomized, pilot study of an interdisciplinary, patient-centric model of health care delivery in a "boot camp" style structured clinic for people diagnosed with Parkinson's disease (PwPD). 20 participants will attend a three session EMPOWER PD clinic and a two month follow up interview.

Participants will receive a comprehensive assessment by each member of an interdisciplinary team including physical therapy, speech therapy, nutrition, social work or psychology, and pharmacy. Participants will return the following week for a half day educational symposium. This is a group format and they will receive a session from each of the disciplines covering topics such as exercise, nutrition, communication, socialization, sleep hygiene, medication management, and coping. The final clinic session will be a one hour 1:1 meeting where individualized recommendations will be provided. A participant identified caregiver is invited/allowed to accompany the participant throughout the assessment and educational process whenever possible however, no information or questionnaires are being collected from them.

The primary objective is to assess feasibility and acceptability of the newly developed clinic intervention as well as individual perception of experience and barriers with data derived from a program survey and semi-structured interview completed two months after clinic completion. Secondary objectives will test patient response to clinic intervention related to self-reported outcome measures (SROs) including Patient Centered Outcome Questionnaire PD, PD Knowledge, quality of life, fatigue, confidence with balance, and self-efficacy for exercise.

Eligibility criteria: Inclusion Criteria:

* A diagnosis of idiopathic Parkinson Disease
* Living in the community (not institutionalized)

Exclusion Criteria:

* A diagnosis of atypical Parkinsonism
* Institutionalized (living in a nursing home setting)

Primary outcomes:
measure: Feasibility: Semi-structured Interview
timeFrame: End of Study - 2 Months
measure: Feasibility: Program Survey
timeFrame: End of Study - 2 Months
measure: Change in Patient Centered Outcome Questionnaire
timeFrame: End of Study - 2 Months
measure: Change in Parkinson's Disease Knowledge Questionnaire
timeFrame: Post Education Seminar - 2 weeks
measure: Change in Health Education Impact Questionnaire
timeFrame: End of Study - 2 Months
Secondary outcomes:
measure: Change in Self-Efficacy for Exercise
timeFrame: End of Study - 2 Months
measure: Change in balance confidence measured with the Activities-specific Balance Confidence (ABC) Scale.
timeFrame: End of Study - 2 Months
measure: Change in quality of life measured with the Parkinson Disease Questionnaire-39 (PDQ-39)
timeFrame: End of Study - 2 Months
measure: Change in the Parkinson's Fatigue Scale (PFS-16).
timeFrame: End of Study - 2 Months
Other outcomes:
Locations:
city: Kingston
country: United States
facility: University of Rhode Island - Physical Therapy Department
state: Rhode Island
Study officials:
affiliation: University of Rhode Island
name: Christine M Clarkin, PhD
role: PRINCIPAL_INVESTIGATOR
References: