Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre (RUNMC), Nijmegen, The Netherlands.
Mov Disord. 2010 May 15;25(7):830-7. doi: 10.1002/mds.22815.
The companion paper describes how implementation of professional networks (ParkinsonNet) may improve the quality and efficiency of allied health care in Parkinson's disease (PD). We designed a cluster-randomized controlled trial to evaluate this ParkinsonNet concept for one allied health discipline, namely physical therapy. Here we describe the study design and baseline characteristics. The design fully complies with the CONSORT criteria. Sixteen regions in the Netherlands were randomly divided into eight experimental regions where a ParkinsonNet was implemented, and eight control regions where the organization of care was left unchanged (usual care). Participating patients were followed for 6 months to evaluate the implementation process, health benefits and costs of the intervention. In the ParkinsonNet regions, 46 therapists were trained and 358 patients were included. In the usual care regions, 341 patients were included. Baseline characteristics of participants in the ParkinsonNet and control clusters were comparable. With 699 participating patients, this is the largest allied health study in PD to date.
伴随文件描述了专业网络(ParkinsonNet)的实施如何提高帕金森病(PD)中辅助医疗保健的质量和效率。我们设计了一项集群随机对照试验,以评估帕金森网络概念在一个辅助医疗学科,即物理治疗中的应用。在此,我们描述了研究设计和基线特征。该设计完全符合 CONSORT 标准。荷兰的 16 个地区被随机分为 8 个实验组,在实验组中实施帕金森网络,8 个对照组则保持护理组织不变(常规护理)。对参与的患者进行了 6 个月的随访,以评估干预措施的实施过程、健康效益和成本。在帕金森网络地区,有 46 名治疗师接受了培训,有 358 名患者参与。在常规护理地区,有 341 名患者参与。帕金森网络和对照组集群参与者的基线特征相当。该研究纳入了 699 名参与者,是迄今为止 PD 中最大的辅助健康研究。