{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T06:28:46Z","timestamp":1786343326460,"version":"build-2736575974"},"reference-count":54,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Newcastle Health Research Partnership research and innovation fund"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Parkinson\u2019s Disease"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose of research<\/jats:title>\n                    <jats:p>SMaRT-PD is a clinical decision support system (CDSS) for the home-based management and care of Parkinson's disease. It utilises remote monitoring and artificial intelligence to generate patient and clinician-facing outputs with self-management guidance, care recommendations and triggered follow-up appointments when needed. This study aimed to identify current care pathways for people with Parkinson's (PwP) and elicit healthcare professionals\u2019 perspectives on how the introduction of SMaRT-PD would affect current care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve semi-structured interviews with health care professionals working in the management and care of people with Parkinson's in NHS secondary or tertiary settings informed care pathway analysis and thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants described a care pathway which largely aligned with guidelines. Limitations of the existing care pathway included lengthy time to diagnosis, inconsistent care, staff shortages and challenges of appointment length and frequency. Participants outlined the potential advantages of introducing a home-based pathway including patient empowerment and education, earlier identification of patients who require an in-person review, and efficient use of clinic time. Perceived challenges to implementation of a home-based pathway were clinical and administrative. One concern was that patients and staff would miss regular face-to-face contact. A key evidence requirement for the adoption of SMaRT-PD was identified as demonstrable patient, carer and staff satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participants were generally supportive of introducing a home-based pathway for people with Parkinson's, suggesting that SMaRT-PD could provide an opportunity to direct limited resources to where they are most needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1877718x261440705","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T13:58:41Z","timestamp":1776434321000},"page":"752-768","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Transformation of Parkinson's care through SMART-PD (Self-Management, Remote monitoring and Timely review for Parkinson's Disease): Care pathway mapping with clinical experts"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9446-8314","authenticated-orcid":false,"given":"Nicola","family":"Howe","sequence":"first","affiliation":[{"name":"NIHR Newcastle HealthTech Research Centre in Diagnostic and Technology Evaluation, Newcastle upon Tyne NE2 4HH, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1308-0594","authenticated-orcid":false,"given":"Chikomborero C.","family":"Mutepfa","sequence":"additional","affiliation":[{"name":"NIHR Newcastle HealthTech Research Centre in Diagnostic and Technology Evaluation, Newcastle upon Tyne NE2 4HH, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8277-711X","authenticated-orcid":false,"given":"Sara","family":"Pretorius","sequence":"additional","affiliation":[{"name":"NIHR Newcastle HealthTech Research Centre in Diagnostic and Technology Evaluation, Newcastle upon Tyne NE2 4HH, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana","family":"Suklan","sequence":"additional","affiliation":[{"name":"NIHR Newcastle HealthTech Research Centre in Diagnostic and Technology Evaluation, Newcastle upon Tyne NE2 4HH, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullahi","family":"Ali","sequence":"additional","affiliation":[{"name":"NIHR Newcastle HealthTech Research Centre in Diagnostic and Technology Evaluation, Newcastle upon Tyne NE2 4HH, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisling","family":"Ponzo","sequence":"additional","affiliation":[{"name":"NIHR Newcastle HealthTech Research Centre in Diagnostic and Technology Evaluation, Newcastle upon Tyne NE2 4HH, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phakapan","family":"Walker","sequence":"additional","affiliation":[{"name":"NIHR Newcastle HealthTech Research Centre in Diagnostic and Technology Evaluation, Newcastle upon Tyne NE2 4HH, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Carroll","sequence":"additional","affiliation":[{"name":"Clinical Ageing Research Unit, Campus for Ageing and Vitality, Newcastle upon Tyne, UK"},{"name":"NIHR Newcastle Biomedical Research Centre, Biomedical Research Building, Campus for Ageing and Vitality, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Parkinson's UK. 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Iterative cycles in qualitative research: Introducing the RREAL sheet as an innovative process. Available at SSRN 4162797 2022.","DOI":"10.2139\/ssrn.4162797"},{"key":"e_1_3_3_29_2","unstructured":"NVivo. NVivo Qualitative data analysis https:\/\/www.qsrinternational.com\/nvivo-qualitative-data-analysis-software\/home (2021 2021)."},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X10388468"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-019-0707-y"},{"key":"e_1_3_3_33_2","unstructured":"NICE. Parkinson\u2019s disease. Quality standard. 2018."},{"key":"e_1_3_3_34_2","unstructured":"NICE. Parkinson\u2019s disease in adults NG71. 2017."},{"key":"e_1_3_3_35_2","unstructured":"NICE. Appendix B: Stakeholder consultation comments table. 2017."},{"key":"e_1_3_3_36_2","unstructured":"SIGN. Diagnosis and pharmacological management of Parkinson's a national clinical guideline 113. 2010."},{"key":"e_1_3_3_37_2","unstructured":"Parkinson's UK. Parkinson\u2019s exercise framework- Key messages for professionals to give the people they support. 2017."},{"key":"e_1_3_3_38_2","volume-title":"Occupational therapy for people with Parkinson's","author":"The Royal College of Occupational Therapists","year":"2018","unstructured":"The Royal College of Occupational Therapists. Occupational therapy for people with Parkinson's. 2nd ed. London: Royal College of Occupational Therapists, 2018.","edition":"2"},{"key":"e_1_3_3_39_2","unstructured":"The Association of British Dietitians. Best practice guidance for dietitians on the nutritional management of Parkinson\u2019s 2021."},{"key":"e_1_3_3_40_2","unstructured":"UK Parkinson's Excellence Network. . Consensus statement for the optimisation of parkinson\u2019s medicines in hospital. 2017."},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0226916"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26744"},{"key":"e_1_3_3_43_2","unstructured":"UK Ps. Written evidence submitted by Parkinson\u2019s UK (RTR0067) https:\/\/committees.parliament.uk\/writtenevidence\/42721\/pdf\/ (2022 accessed 17\/07\/2025)."},{"key":"e_1_3_3_44_2","article-title":"Self-management interventions for people with Parkinson disease","volume":"24","author":"Milne-Ives M","year":"2022","unstructured":"Milne-Ives M, Carroll C, Meinert E. Self-management interventions for people with Parkinson disease. Scoping Review. J Med Internet Res 2022; 24: e40181. 20220805.","journal-title":"Scoping Review. J Med Internet Res"},{"key":"e_1_3_3_45_2","unstructured":"The Health Foundation. 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