Shirley Ryan AbilityLab, Chicago, IL, USA; Department Physical Medicine & Rehabilitation, Northwestern University, Chicago, IL, USA; Department Psychiatry and Behavioral Science, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Parkinson's Foundation, New York, NY, USA.
Parkinsonism Relat Disord. 2023 Jul;112:105407. doi: 10.1016/j.parkreldis.2023.105407. Epub 2023 May 1.
The Parkinson's Foundation sought to develop Parkinson's specific competencies for exercise professionals who work with people with Parkinson's (PwP). These competencies built upon exercise guidelines and professional competencies for healthy populations. The purpose of this article is to describe the development of the professional competencies, continuing education criteria, and a pilot accreditation process.
Competency development included: (1) an expert panel conducting an environmental scan, within the USA, related to exercise professional education in Parkinson's and synthesizing Parkinson's-specific exercise guidelines, (2) surveying people with Parkinson's in the USA, and (3) developing the competencies and curriculum criteria with psychometricians. A pilot accreditation process for Parkinson's exercise educational programs and continuing education courses includes an application, baseline, 6- and 12-month assessments. Activities reported here did not require ethical review. The survey was approved by NORC at the University of Chicago's Institutional Review Board (IRB).
The environmental scan, exercise guidelines, and survey (n = 627) informed competency development. The five key condition-specific domains were: (1) foundational information on the disease and role of exercise, (2) exercise screening, (3) group and individual exercise design, (4) behavior and counseling for exercise, and (5) interprofessional communication and program development. Seven applicants were accredited as certification programs (n = 3) or continuing education courses (n = 4).
The competencies, curriculum criteria, and accreditation processes support exercise professionals working with PwP. Reducing variation in the knowledge and skills of exercise professionals can improve the safe implementation and effectiveness of exercise programs, which are a critical part of integrated plan for people with Parkinson's disease (PD).
帕金森基金会旨在为与帕金森病患者（PwP）合作的运动专业人员制定针对帕金森病的特定能力。这些能力建立在针对健康人群的运动指南和专业能力基础上。本文的目的是描述专业能力、继续教育标准和试点认证流程的制定过程。
能力发展包括：（1）一个专家小组在美国范围内进行与帕金森病运动专业教育相关的环境扫描，并综合帕金森病特定的运动指南；（2）在美国对帕金森病患者进行调查；（3）与心理测量学家一起制定能力和课程标准。帕金森病运动教育计划和继续教育课程的试点认证过程包括申请、基线、6 个月和 12 个月评估。此处报告的活动不需要伦理审查。该调查得到了芝加哥大学 NORC 机构审查委员会（IRB）的批准。
环境扫描、运动指南和调查（n=627）为能力发展提供了信息。五个关键的特定于疾病的领域是：（1）关于疾病和运动作用的基础知识；（2）运动筛查；（3）团体和个人运动设计；（4）运动行为和咨询；（5）跨专业沟通和计划发展。有 7 个申请人被认证为认证计划（n=3）或继续教育课程（n=4）。
这些能力、课程标准和认证流程为与 PwP 合作的运动专业人员提供了支持。减少运动专业人员知识和技能的差异可以提高运动计划的安全性和有效性，这是帕金森病患者综合计划的重要组成部分。
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