Evidence map›Paper›PMID 30998707›Full record

Trial reportPloS one2019

Barriers and facilitators of communication about off periods in Parkinson's disease: Qualitative analysis of patient, carepartner, and physician Interviews.

Melissa J Armstrong, Tara Rastgardani, Anna R Gagliardi, Connie Marras

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Real-World Experiences of Parkinson's Disease OFF Time and Role of Demographics.Journal of patient-centered research and reviews · 2024
    Article
  9. Article
  10. Observational
  11. Living with Parkinson's disease: disease and medication experiences of patients and caregivers.International journal of qualitative studies on health and well-being · 2022
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. The Most Bothersome Aspects ofMovement disorders clinical practice · 2020
    Article
  19. Article
  20. The experience ofClinical parkinsonism & related disorders · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Melissa J ArmstrongDepartment of Neurology, University of Florida College of Medicine, Gainesville, Florida, United States of America.ORCID 0000-0002-2163-1907
Tara RastgardaniMorton and Gloria Shulman Movement Disorders Centre and the Edmond J Safra Program in Parkinson's Research, Toronto Western Hospital, Toronto, Ontario, Canada.
Anna R GagliardiToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Connie MarrasMorton and Gloria Shulman Movement Disorders Centre and the Edmond J Safra Program in Parkinson's Research, Toronto Western Hospital, Toronto, Ontario, Canada.
Toronto Western Hospital · CAUniversity Health Network · CAUniversity of Florida · US

Funding

Clinical Coordination Center for STEADY-PD3U01NS080818 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIMUNI, TANYA · 2014 to 2018
$13.0M
Data Coordination Center for STEADY-PD3U01NS080840 · NINDS · UNIVERSITY OF ROCHESTER · PI HOLLOWAY, ROBERT G. · 2014 to 2018
$8.6M
Development and Validation of a Self-Efficacy Item BankU01AR057967 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULMAN, LISA M. · 2009 to 2012
$2.5M
Enhancing Clinical Guideline Development via Patient and Stakeholder EngagementK08HS024159 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ARMSTRONG, MELISSA JO · 2015 to 2019
$693k
AHRQ HHS K08 HS024159NIAMS NIH HHS U01 AR057967NINDS NIH HHS U01 NS080818NINDS NIH HHS U01 NS080840
6 · The paper itself

Abstract

backgroundSuccessful patient-physician communication is critical for improving health outcomes, but research regarding optimal communication practices in Parkinson's disease is limited. The objective of the current study was to investigate barriers and facilitators of communication between persons with Parkinson's disease, carepartners, and physicians, specifically in the setting of off periods, with the goal of identifying ways to improve patient-carepartner-physician communication.

methodWe interviewed persons with Parkinson's, carepartners, and physicians (specialists and non-specialists) using a semi-structured questionnaire to identify and describe experiences, barriers, and facilitators relating to communication about off periods in Parkinson's disease. We used a qualitative descriptive approach to analyze interview transcripts and compare themes between participating groups.

resultsTwenty persons with Parkinson's and their carepartners and 20 physicians (10 specialists, 10 non-specialists) participated in interviews. Identified communication barriers included patient-level (e.g. cognitive impairment, reluctance to discuss symptoms), caregiver-level (e.g. caregiver absence), and physician-level (e.g. distraction by technology, lack of appreciation of the burden of off periods) factors. Other barriers included the challenging nature of off periods themselves. Positive physician characteristics such as empathy, respect, and taking time to listen were major facilitators of communication regarding off periods. Persons with Parkinson's, carepartners, and physicians described using various tools (e.g. home diaries, questionnaires, mobile phone videos) to aid communication regarding off periods but participants identified a need for more formal educational materials.

conclusionsPhysicians caring for persons with Parkinson's can improve communication through more patient-centered practice but there is a need for improved educational tools regarding off periods. Further research is needed to identify optimal strategies for communication about off periods and preferred approaches for off period education.

Indexed as

CaregiversCommunicationCommunication BarriersPhysician-Patient RelationsPhysiciansSurveys and QuestionnairesAgedFemaleHumansMaleMiddle AgedParkinson Disease

Identifiers

PMID30998707
PMCPMC6472878
OpenAlexW2937016058

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.