Evidence map›Paper›PMID 34579790›Full record

ArticleImplementation science communications2021

Sustainment of proactive physical therapy for individuals with early-stage Parkinson's disease: a quality improvement study over 4 years.

Jillian MacDonald, Laura Doyle, Jennifer L Moore, Miriam R Rafferty

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

4 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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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.

Jillian MacDonaldShirley Ryan AbilityLab, 355 E Erie St, 19th Floor AbilityLab, Chicago, IL, 60611, USA.
Laura DoyleShirley Ryan AbilityLab, 355 E Erie St, 19th Floor AbilityLab, Chicago, IL, 60611, USA.
Jennifer L MooreSouthestern Norway Regional Center of Knowledge Translation in Rehabilitation, Sunnaas Rehabilitation Hospital, Oslo, Norway.
Miriam R RaffertyShirley Ryan AbilityLab, 355 E Erie St, 19th Floor AbilityLab, Chicago, IL, 60611, USA. mrafferty@sralab.org.ORCID http://orcid.org/0000-0002-3182-0314
Shirley Ryan AbilityLab · USNorthwestern University · USSunnaas sykehus · NO

Funding

The Claude D. Pepper Older Americans Independence Center (OAIC) at Northwestern UniversityP30AG059988 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MCDERMOTT, MARY MCGRAE · 2020 to 2024
$7.1M
Physical Therapy Delivery Models for Long-Term Parkinsons Disease ManagementF32HS025077 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI RAFFERTY, MIRIAM ROSE · 2016 to 2017
$137k
Academy of Neurologic Physical Therapy, Knowledge Translation Grant Program NAAgency for Healthcare Research and Quality F32HS025077AHRQ HHS F32 HS025077Foundation for Physical Therapy NIFTI 2016-2018NIA NIH HHS P30 AG059988NIA NIH HHS P30AG059988Parkinson's Foundation Care Improvement Initiative 2017-2018
6 · The paper itself

Abstract

backgroundImplementation science frameworks aided the development of a new, evidence-based clinical physical therapy program. The purpose of this report is to describe the process of sustaining a clinical program in practice for over 4 years. We present a framework for integrating tools for sustainability with the Knowledge-to-Action model in the context of a proactive physical therapy (PAPT) program for individuals with early-stage Parkinson's disease.

methodsSustainability of implementation strategies was addressed using the Dynamic Sustainability Framework and sustainability assessment tools. Repeated retrospective medical record reviews and phone interviews were used to evaluate the reach and adoption of the PAPT over 4 years. Characteristics of those who engaged with PAPT, implementation fidelity, and clinical effectiveness were assessed for year 1 and year 3. Sustainability was measured using RE-AIM, NHS Sustainability Model, and Clinical Sustainability Assessment Tool.

resultsReach increased from 28 to 110 total patients per year and spread occurred from one to three sites. PAPT user age, sex, Hoehn and Yahr rating, time since diagnosis, and type of insurance were similar in year 1 and year 3 (p > 0.05). The program sustained its effect to help participants increase or maintain self-reported exercise (Y1, 95%; Y3, 100%). However, upon evaluation PAPT users in year 3 had longer time since symptom onset and worse UPDRS motor scores compared to the PAPT users in year 1 (p < 0.05). All sites sustained the core intervention components, with sustainability scores of 71/100 (± 9.9) on the NHS Sustainability Model and 6.1/7 (± 0.9) on the Clinical Sustainability Assessment Tool.

conclusionsIntegrating multiple sustainability models and assessments supported continued effectiveness, spread, and sustainment of PAPT for 4 years. Effective planning, anticipating common healthcare changes, and addressing sustainability determinants early in program implementation were essential aspects of long-term success.

Indexed as

Implementation scienceParkinson’s diseasePhysical therapyQuality improvementSpreadSustainment

Identifiers

PMID34579790
PMCPMC8477476
OpenAlexW3133683814

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.