Evidence map›Paper›PMID 35963046›Full record

ArticleParkinsonism & related disorders2022

IN-HOME-PD: The effects of longitudinal telehealth-enhanced interdisciplinary home visits on care and quality of life for homebound individuals with Parkinson's disease.

Jori E Fleisher, Serena P Hess, Ellen C Klostermann, Jeanette Lee, Erica Myrick, Daniela Mitchem, Claire Niemet, Katheryn Woo, Brianna J Sennott, Maya Sanghvi and 6 more

Registry-linked trialOpen access · greenAbstract readControlled Clinical Trial
In one paragraph

Article in Parkinsonism & related disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03189459 (Reaching the Most Vulnerable), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 8% 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.

NCT03189459 nacompletednot on this map

Reaching the Most Vulnerable: A Novel Model of Care in Advanced Parkinson's Disease

TypeinterventionalSponsorRush University Medical CenterRan2018 to 2021Enrolled164ConditionsParkinson DiseaseArmsHome Visit Program, Caregiver Mentorship Program
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Televisits for Parkinson's disease: benefits and barriers.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
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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

16 authors at 4 institutions in 1 country.

Jori E FleisherDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA; Rush Graduate College, Rush University Medical Center, 600 South Paulina Street, Suite 438, Chicago, IL, 60612, USA. Electronic address: Jori_Fleisher@rush.edu.
Serena P HessDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: serenahess773@gmail.com.
Ellen C KlostermannDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: eckwallace@gmail.com.
Jeanette LeeDepartment of Social Work and Community Health, Rush University Medical Center, 701 South Paulina Street, Chicago, IL, 60612, USA. Electronic address: jparked@gmail.com.
Erica MyrickDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: emyrick@umich.edu.
Daniela MitchemDepartment of Social Work and Community Health, Rush University Medical Center, 701 South Paulina Street, Chicago, IL, 60612, USA. Electronic address: Daniela_mitchem@rush.edu.
Claire NiemetDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: claire.j.niemet@gmail.com.
Katheryn WooDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA; Loyola University Chicago College of Arts and Sciences, 1032 West Sheridan Road, Chicago, IL, 60660, USA. Electronic address: Katheryn_woo@rush.edu.
Brianna J SennottDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA; Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 1118, Chicago, IL, 60612, USA. Electronic address: Brianna_j_sennott@rush.edu.
Maya SanghviDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: maya.sanghvi@yale.edu.
Natalie WitekDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: Natalie_p_witek@rush.edu.
James C BeckParkinson's Foundation, 1359 Broadway, Suite 1509, New York, NY, 10018, USA. Electronic address: jbeck@parkinson.org.
Jayne R WilkinsonCorporal Michael J. Crescenz VA Medical Center, 3900 Woodland Avenue, Philadelphia, PA, 19104, USA; Department of Neurology, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA. Electronic address: jayne.wilkinson@va.gov.
Bichun OuyangDepartment of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 1118, Chicago, IL, 60612, USA. Electronic address: Bichun_ouyang@rush.edu.
Deborah A HallDivision of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA.
Joshua ChodoshDivision of Geriatric Medicine and Palliative Care, Department of Medicine, New York University Grossman School of Medicine, 227 E. 30th Street, TRB 839, New York, NY, 10016, USA; VA New York Harbor Healthcare System, Medicine Service, 423 E. 23rd Street, New York, NY, 10010, USA. Electronic address: Joshua.chodosh@nyulangone.org.
Rush University Medical Center · USParkinson's Foundation · USPhiladelphia VA Medical Center · USVA NY Harbor Healthcare System · US

Funding

Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Ricardo S Osorio · 2020 to 2026
$28.4M
Reaching the Most Vulnerable: A Novel Model of Care in Advanced Parkinson's DiseaseK23NS097615 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI FLEISHER, JORI ERIN · 2017 to 2021
$921k
NIA NIH HHS P30 AG066512NINDS NIH HHS K23 NS097615NINDS NIH HHS L30 NS084235
6 · The paper itself

Abstract

introductionHomebound individuals with advanced Parkinson's disease (PD) are underrepresented in research and care. We tested the impact of interdisciplinary, telehealth-enhanced home visits (IN-HOME-PD) on patient quality of life (QoL) compared with usual care.

methodsNonrandomized controlled trial of quarterly, structured, telehealth-enhanced interdisciplinary home visits focused on symptom management, home safety, medication reconciliation, and psychosocial needs (ClinicalTrials.gov NCT03189459). We enrolled homebound participants with advanced PD (Hoehn & Yahr (HY) stage ≥3). Usual care participants had ≥2 visits in the Parkinson's Outcomes Project (POP) registry. We compared within- and between-group one-year change in QoL using the Parkinson's Disease Questionnaire.

resultsSixty-five individuals enrolled in IN-HOME-PD (32.3% women; mean age 78.9 (SD 7.6) years; 74.6% white; 78.5% HY ≥ 4) compared with 319 POP controls, with differences in age, race, and PD severity (37.9% women; mean age 70.1 (7.8) years; 96.2% white; 15.1% HY ≥ 4). Longitudinally, the intervention group's QoL remained unchanged (within-group p = 0.74, Cohen's d = 0.05) while QoL decreased over time in POP controls (p < 0.001, Cohen's d = 0.27). The difference favored the intervention (between-group p = 0.04). POP participants declined in 7/8 dimensions while IN-HOME-PD participants' bodily discomfort improved and hospice use and death at home-markers of goal-concordant care-far exceeded national data.

conclusionsTelehealth-enhanced home visits can stabilize and may improve the predicted QoL decline in advanced PD via continuity of care and facilitating goal-concordant care, particularly among diverse populations. Extrapolating features of this model may improve continuity of care and outcomes in advanced PD.

Indexed as

Homebound PersonsParkinson DiseaseTelemedicineAgedChildFemaleHouse CallsHumansMaleQuality of Life

Identifiers

PMID35963046
PMCPMC9578443
OpenAlexW4291015588

What OpenQuestion holds

Textmetadata
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Registered trials

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.