{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T22:35:21Z","timestamp":1774305321534,"version":"3.50.1"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T00:00:00Z","timestamp":1656374400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T00:00:00Z","timestamp":1656374400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100013301","name":"Parkinson's Foundation","doi-asserted-by":"publisher","award":["PF-CORE_2004"],"award-info":[{"award-number":["PF-CORE_2004"]}],"id":[{"id":"10.13039\/100013301","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["K23NS097615"],"award-info":[{"award-number":["K23NS097615"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Individuals with advanced Parkinson\u2019s Disease (PD) and Parkinson-related disorders (PRD) are frequently referred for home allied therapies and nursing care, yet home healthcare professionals have limited training in PD\/PRD. While recognizing the need for such care, patients and families report home healthcare professionals are unfamiliar with these conditions, which may be driven by neurophobia and may contribute to suboptimal care and early termination of services. We sought to determine the feasibility and effects of a virtual, multimodal educational intervention on PD knowledge, confidence, and empathy among home health professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Home health nurses, occupational therapists, physical therapists and physical therapy assistants, and speech-language pathologists participated in a daylong, virtual symposium on advanced PD\/PRD, combining focused lectures, discipline-specific breakout sessions, immersive virtual reality vignettes, and interactive panels with both patients and families, and movement disorders and home healthcare experts. Participants completed online pre- and post-symposium surveys including: demographics; PD\/PRD knowledge (0\u201310 points possible); empathy (Interpersonal Reactivity Index); and 10-point scales of confidence with and attitudes towards individuals with PD\/PRD, respectively. Pre-post intervention changes and effect sizes were evaluated with paired t-tests and Cohen\u2019s d. We performed qualitative analyses of post-symposium free-text feedback using a grounded theory approach to identify participants\u2019 intentions to change their practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants had a mean improvement of 3.1 points on the PD\/PRD knowledge test (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, d\u2009=\u20091.97), and improvement in confidence managing individuals with PD\/PRD (<jats:italic>p<\/jats:italic>\u2009=\u20090.0003, d\u2009=\u2009.36), and no change in empathy. The interactive, virtual format was rated as effective by 95%. Common themes regarding symposium-motivated practice change included: interdisciplinary collaboration; greater involvement and weighting of the patient and caregiver voice in care plans; attention to visit scheduling in relation to patient function; recognition and practical management of the causes of sudden change in PD\/PRD, including infections and orthostatic hypotension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A virtual, multimodal, brief educational pilot intervention improved PD\/PRD-specific knowledge and confidence among home healthcare nurses and allied health professionals. Future studies are necessary to test the short- and long-term effects of this intervention more broadly and to investigate the impact of this education on patient and caregiver outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12909-022-03430-7","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T03:29:26Z","timestamp":1656386966000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The impact and feasibility of a brief, virtual, educational intervention for home healthcare professionals on Parkinson\u2019s Disease and Related Disorders: pilot study of I SEE PD Home"],"prefix":"10.1186","volume":"22","author":[{"given":"Serena P.","family":"Hess","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Levin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faizan","family":"Akram","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katheryn","family":"Woo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Andersen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristie","family":"Trenkle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bichun","family":"Ouyang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jori E.","family":"Fleisher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,6,28]]},"reference":[{"issue":"13","key":"3430_CR1","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1002\/mds.25945","volume":"29","author":"T Pringsheim","year":"2014","unstructured":"Pringsheim T, Jette N, Frolkis A, Steeves TDL. The prevalence of Parkinson\u2019s disease: a systematic review and meta-analysis: PD PREVALENCE. Mov Disord. 2014;29(13):1583\u201390.","journal-title":"Mov Disord"},{"issue":"4","key":"3430_CR2","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1002\/mds.27277","volume":"33","author":"R Savica","year":"2018","unstructured":"Savica R, Grossardt BR, Rocca WA, Bower JH. Parkinson disease with and without dementia: a prevalence study and future projections. Mov Disord Off J Mov Disord Soc. 2018;33(4):537\u201343.","journal-title":"Mov Disord Off J Mov Disord Soc"},{"issue":"2","key":"3430_CR3","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1177\/0269216308100773","volume":"23","author":"S Giles","year":"2009","unstructured":"Giles S, Miyasaki J. Palliative stage Parkinson\u2019s disease: patient and family experiences of health-care services. Palliat Med. 2009;23(2):120\u20135.","journal-title":"Palliat Med"},{"issue":"7","key":"3430_CR4","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1177\/0269216310371414","volume":"24","author":"F Hasson","year":"2010","unstructured":"Hasson F, Kernohan WG, McLaughlin M, Waldron M, McLaughlin D, Chambers H, et al. An exploration into the palliative and end-of-life experiences of carers of people with Parkinson\u2019s disease. Palliat Med. 2010;24(7):731\u20136.","journal-title":"Palliat Med"},{"key":"3430_CR5","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.parkreldis.2015.11.001","volume":"22","author":"EV Cohen","year":"2016","unstructured":"Cohen EV, Hagestuen R, Gonz\u00e1lez-Ramos G, Cohen HW, Bassich C, Book E, et al. Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson\u2019s disease. Parkinsonism Relat Disord. 2016;22:21\u20137.","journal-title":"Parkinsonism Relat Disord"},{"issue":"3","key":"3430_CR6","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/CEH.0000000000000358","volume":"41","author":"EV Cohen","year":"2021","unstructured":"Cohen EV, Luce V, Gonz\u00e1lez MJ, Hagestuen R, Gonz\u00e1lez-Ramos G, Cohen HW. Improving team skills of health care practitioners: effects of an interprofessional education program. J Contin Educ Health Prof. 2021;41(3):185\u201394.","journal-title":"J Contin Educ Health Prof"},{"issue":"11","key":"3430_CR7","doi-asserted-by":"crossref","first-page":"1987","DOI":"10.1377\/hlthaff.2017.0832","volume":"36","author":"BR Bloem","year":"2017","unstructured":"Bloem BR, Rompen L, de Vries NM, Klink A, Munneke M, Jeurissen P. ParkinsonNet: a low-cost health care innovation with a systems approach from The Netherlands. Health Aff (Millwood). 2017;36(11):1987\u201396.","journal-title":"Health Aff (Millwood)"},{"issue":"1\u20132","key":"3430_CR8","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.jns.2015.07.019","volume":"357","author":"E Cubo","year":"2015","unstructured":"Cubo E, Doumbe J, Njiengwe E, Onana P, Garo\u00f1a R, Alcalde J, et al. A Parkinson\u2019s disease tele-education program for health care providers in Cameroon. J Neurol Sci. 2015;357(1\u20132):285\u20137.","journal-title":"J Neurol Sci"},{"issue":"3","key":"3430_CR9","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1097\/NHH.0000000000000760","volume":"37","author":"TL Collins","year":"2019","unstructured":"Collins TL, Yong KW, Marchetti MT, Miller KL, Booths B, Falvey JR. The value of home health physical therapy. Home Healthc Now. 2019;37(3):145\u201351.","journal-title":"Home Healthc Now"},{"issue":"3","key":"3430_CR10","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1519\/JPT.0000000000000114","volume":"41","author":"E Gallo","year":"2018","unstructured":"Gallo E, Stelmach M, Frigeri F, Ahn D-H. Determining whether a dosage-specific and individualized home exercise program with consults reduces fall risk and falls in community-dwelling older adults with difficulty walking: a randomized control trial. J Geriatr Phys Ther. 2018;41(3):161\u201372.","journal-title":"J Geriatr Phys Ther"},{"issue":"7","key":"3430_CR11","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1001\/jama.2014.469","volume":"311","author":"NK Latham","year":"2014","unstructured":"Latham NK, Harris BA, Bean JF, Heeren T, Goodyear C, Zawacki S, et al. Effect of a home-based exercise program on functional recovery following rehabilitation after hip fracture: a randomized clinical trial. JAMA. 2014;311(7):700\u20138.","journal-title":"JAMA"},{"issue":"2","key":"3430_CR12","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3928\/19404921-20180223-02","volume":"11","author":"CR Whitehouse","year":"2018","unstructured":"Whitehouse CR, Sharts-Hopko NC, Smeltzer SC, Horowitz DA. Supporting transitions in care for older adults with type 2 diabetes mellitus and obesity. Res Gerontol Nurs. 2018;11(2):71\u201381.","journal-title":"Res Gerontol Nurs"},{"issue":"1","key":"3430_CR13","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.parkreldis.2014.10.021","volume":"21","author":"Y-J Wei","year":"2015","unstructured":"Wei Y-J, Palumbo FB, Simoni-Wastila L, Shulman LM, Stuart B, Beardsley R, et al. Relationships between antiparkinson medication nonadherence, regimen modifications, and healthcare utilization and expenditures. Parkinsonism Relat Disord. 2015;21(1):36\u201341.","journal-title":"Parkinsonism Relat Disord"},{"issue":"11","key":"3430_CR14","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1016\/j.parkreldis.2013.06.006","volume":"19","author":"A Hassan","year":"2013","unstructured":"Hassan A, Wu SS, Schmidt P, Dai Y, Simuni T, Giladi N, et al. High rates and the risk factors for emergency room visits and hospitalization in Parkinson\u2019s disease. Park Relat Disord. 2013;19(11):949\u201354.","journal-title":"Park Relat Disord"},{"issue":"1","key":"3430_CR15","doi-asserted-by":"crossref","DOI":"10.1111\/ijcp.13039","volume":"72","author":"L Koay","year":"2018","unstructured":"Koay L, Rose J, Abdelhafiz AH. Factors that lead to hospitalisation in patients with Parkinson disease\u2014a systematic review. Int J Clin Pract. 2018;72(1): e13039.","journal-title":"Int J Clin Pract"},{"issue":"6","key":"3430_CR16","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1111\/jgs.15337","volume":"66","author":"J Fleisher","year":"2018","unstructured":"Fleisher J, Barbosa W, Sweeney MM, Oyler SE, Lemen AC, Fazl A, et al. Interdisciplinary home visits for individuals with advanced parkinson\u2019s disease and related disorders. J Am Geriatr Soc. 2018;66(6):1226\u201332.","journal-title":"J Am Geriatr Soc"},{"issue":"Suppl 1","key":"3430_CR17","doi-asserted-by":"crossref","first-page":"S80","DOI":"10.21037\/apm.2019.09.12","volume":"9","author":"JE Fleisher","year":"2020","unstructured":"Fleisher JE, Klostermann EC, Hess SP, Lee J, Myrick E, Chodosh J. Interdisciplinary palliative care for people with advanced Parkinson\u2019s disease: a view from the home. Ann Palliat Med. 2020;9(Suppl 1):S80\u20139.","journal-title":"Ann Palliat Med"},{"issue":"9","key":"3430_CR18","doi-asserted-by":"crossref","first-page":"e31690","DOI":"10.2196\/31690","volume":"10","author":"JE Fleisher","year":"2021","unstructured":"Fleisher JE, Hess S, Sennott BJ, Myrick E, Wallace EK, Lee J, et al. Longitudinal, interdisciplinary home visits versus usual care for homebound people with advanced Parkinson Disease: protocol for a controlled trial. JMIR Res Protoc. 2021;10(9):e31690.","journal-title":"JMIR Res Protoc"},{"issue":"5","key":"3430_CR19","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.nedt.2012.04.022","volume":"33","author":"L Chenoweth","year":"2013","unstructured":"Chenoweth L, Sheriff J, McAnally L, Tait F. Impact of the Parkinson\u2019s disease medication protocol program on nurses\u2019 knowledge and management of Parkinson\u2019s disease medicines in acute and aged care settings. Nurse Educ Today. 2013;33(5):458\u201364.","journal-title":"Nurse Educ Today"},{"issue":"4","key":"3430_CR20","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1001\/archneur.1994.00540160018003","volume":"51","author":"RF Jozefowicz","year":"1994","unstructured":"Jozefowicz RF. Neurophobia: the fear of neurology among medical students. Arch Neurol. 1994;51(4):328\u20139.","journal-title":"Arch Neurol"},{"issue":"4","key":"3430_CR21","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1212\/WNL.0000000000006716","volume":"92","author":"S Sandrone","year":"2019","unstructured":"Sandrone S, Berthaud JV, Chuquilin M, Cios J, Ghosh P, Gottlieb-Smith RJ, et al. Neurologic and neuroscience education: Mitigating neurophobia to mentor health care providers. Neurology. 2019;92(4):174\u20139.","journal-title":"Neurology"},{"issue":"1","key":"3430_CR22","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1002\/ase.1711","volume":"11","author":"MA Javaid","year":"2018","unstructured":"Javaid MA, Chakraborty S, Cryan JF, Schellekens H, Toulouse A. Understanding neurophobia: Reasons behind impaired understanding and learning of neuroanatomy in cross-disciplinary healthcare students. Anat Sci Educ. 2018;11(1):81\u201393.","journal-title":"Anat Sci Educ"},{"key":"3430_CR23","doi-asserted-by":"crossref","first-page":"105025","DOI":"10.1016\/j.nedt.2021.105025","volume":"105","author":"GL Gillespie","year":"2021","unstructured":"Gillespie GL, Farra S, Regan SL, Brammer SV. Impact of immersive virtual reality simulations for changing knowledge, attitudes, and behaviors. Nurse Educ Today. 2021;105:105025.","journal-title":"Nurse Educ Today"},{"key":"3430_CR24","unstructured":"Foundation NP. Aware in Care Kit [Internet]. Available from: http:\/\/www.parkinson.org\/find-help\/aware-in-care-kit"},{"issue":"2","key":"3430_CR25","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","volume":"42","author":"PA Harris","year":"2009","unstructured":"Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)\u2013a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inf. 2009;42(2):377\u201381.","journal-title":"J Biomed Inf"},{"issue":"2","key":"3430_CR26","first-page":"383","volume":"6","author":"JE Fleisher","year":"2016","unstructured":"Fleisher JE, Dahodwala NA, Xie SX, Mayo M, Weintraub D, Chodosh J, et al. Development and Validation of the Parkinson\u2019s Disease medication beliefs scale (PD-Rx). J Park Dis. 2016;6(2):383\u201392.","journal-title":"J Park Dis"},{"issue":"3","key":"3430_CR27","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1097\/ACM.0000000000002083","volume":"93","author":"H Gehlbach","year":"2018","unstructured":"Gehlbach H, Artino ARJ. The survey checklist (manifesto). Acad Med. 2018;93(3):360\u20136.","journal-title":"Acad Med"},{"key":"3430_CR28","doi-asserted-by":"crossref","first-page":"457","DOI":"10.3389\/fpubh.2020.00457","volume":"8","author":"M Niederberger","year":"2020","unstructured":"Niederberger M, Spranger J. Delphi Technique in Health Sciences: A Map. Front Public Health. 2020;8:457.","journal-title":"Front Public Health"},{"key":"3430_CR29","first-page":"85","volume":"10","author":"MH Davis","year":"1980","unstructured":"Davis MH. A multidimensional approach to individual differences in empathy. JSAS Cat Sel Doc Psychol. 1980;10:85.","journal-title":"JSAS Cat Sel Doc Psychol"},{"issue":"4","key":"3430_CR30","first-page":"498","volume":"106","author":"E Dyer","year":"2018","unstructured":"Dyer E, Swartzlander BJ, Gugliucci MR. Using virtual reality in medical education to teach empathy. J Med Libr Assoc JMLA. 2018;106(4):498\u2013500.","journal-title":"J Med Libr Assoc JMLA"},{"issue":"1","key":"3430_CR31","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","volume":"112","author":"J Cohen","year":"1992","unstructured":"Cohen J. A power primer. Psychol Bull. 1992;112(1):155\u20139.","journal-title":"Psychol Bull"},{"issue":"3","key":"3430_CR32","first-page":"17","volume":"4","author":"K Smith","year":"1997","unstructured":"Smith K, Biley F. Understanding grounded theory: principles and evaluation. Nurse Res. 1997;4(3):17\u201330.","journal-title":"Nurse Res"},{"issue":"2","key":"3430_CR33","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77\u2013101.","journal-title":"Qual Res Psychol"},{"issue":"21","key":"3430_CR34","first-page":"00978","volume":"S1525\u20138610","author":"L Lee","year":"2021","unstructured":"Lee L, Hillier LM, Weston WW. Comparing Virtual to In-Person Delivery of Continuing Medical Education in Dementia Care: Which Is Preferred? J Am Med Dir Assoc. 2021;S1525\u20138610(21):00978\u201386.","journal-title":"J Am Med Dir Assoc"},{"issue":"2","key":"3430_CR35","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.ijrobp.2020.12.026","volume":"110","author":"BA Nelson","year":"2021","unstructured":"Nelson BA, Lapen K, Schultz O, Nangachiveettil J, Braunstein SE, Fernandez C, et al. The Radiation oncology education collaborative study group 2020 spring symposium: is virtual the new reality? Int J Radiat Oncol Biol Phys. 2021;110(2):315\u201321.","journal-title":"Int J Radiat Oncol Biol Phys"},{"issue":"8","key":"3430_CR36","doi-asserted-by":"crossref","first-page":"e0219589","DOI":"10.1371\/journal.pone.0219589","volume":"14","author":"S Fukui","year":"2019","unstructured":"Fukui S, Fujita J, Ikezaki S, Nakatani E, Tsujimura M. Effect of a multidisciplinary end-of-life educational intervention on health and social care professionals: A cluster randomized controlled trial. Galletta M, editor. PLoS ONE. 2019;14(8):e0219589.","journal-title":"PLoS ONE"},{"issue":"2","key":"3430_CR37","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1016\/j.jpainsymman.2020.05.010","volume":"60","author":"CE Schneider","year":"2020","unstructured":"Schneider CE, Bristol A, Ford A, Lin S-Y, Palmieri J, Meier MR, et al. The impact of aliviado dementia care\u2014hospice edition training program on hospice staff\u2019s dementia symptom knowledge. J Pain Symptom Manage. 2020;60(2):e7-13.","journal-title":"J Pain Symptom Manage"},{"issue":"1","key":"3430_CR38","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/s12909-017-0949-5","volume":"17","author":"A Berndt","year":"2017","unstructured":"Berndt A, Murray CM, Kennedy K, Stanley MJ, Gilbert-Hunt S. Effectiveness of distance learning strategies for continuing professional development (CPD) for rural allied health practitioners: a systematic review. BMC Med Educ. 2017;17(1):117.","journal-title":"BMC Med Educ"},{"issue":"4","key":"3430_CR39","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/1048291117739418","volume":"27","author":"SS Butler","year":"2018","unstructured":"Butler SS. Exploring relationships among occupational safety, job turnover, and age among home care aides in Maine. New Solut J Environ Occup Health Policy NS. 2018;27(4):501\u201323.","journal-title":"New Solut J Environ Occup Health Policy NS"},{"key":"3430_CR40","first-page":"107755872110343","volume":"26","author":"A Bergman","year":"2021","unstructured":"Bergman A, Song H, David G, Spetz J, Candon M. The role of schedule volatility in home health nursing turnover. Med Care Res Rev MCRR. 2021;26:10775587211034310.","journal-title":"Med Care Res Rev MCRR"},{"key":"3430_CR41","doi-asserted-by":"crossref","unstructured":"Global, regional, and national burden of neurological disorders during 1990\u20132015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Neurol. 2017 Nov;16(11):877\u201397.","DOI":"10.1097\/01.ogx.0000511935.64476.66"},{"issue":"1","key":"3430_CR42","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/S1474-4422(18)30403-4","volume":"18","author":"E Nichols","year":"2019","unstructured":"Nichols E, Szoeke CEI, Vollset SE, Abbasi N, Abd-Allah F, Abdela J, et al. Global, regional, and national burden of Alzheimer\u2019s disease and other dementias, 1990\u20132016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18(1):88\u2013106.","journal-title":"Lancet Neurol"},{"issue":"4","key":"3430_CR43","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1212\/CPJ.0000000000000716","volume":"10","author":"JE Fleisher","year":"2020","unstructured":"Fleisher JE, Sweeney MM, Oyler S, Meisel T, Friede N, Rocco AD, et al. Disease severity and quality of life in homebound people with advanced Parkinson disease: A pilot study. Neurol Clin Pract. 2020;10(4):277\u201386.","journal-title":"Neurol Clin Pract"}],"container-title":["BMC Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-022-03430-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12909-022-03430-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-022-03430-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T20:39:53Z","timestamp":1700771993000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmededuc.biomedcentral.com\/articles\/10.1186\/s12909-022-03430-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,28]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["3430"],"URL":"https:\/\/doi.org\/10.1186\/s12909-022-03430-7","relation":{},"ISSN":["1472-6920"],"issn-type":[{"value":"1472-6920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,28]]},"assertion":[{"value":"20 December 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 June 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This intervention was initially designed as an educational and quality improvement initiative. Following the data collection and based on participant feedback, we sought and received retrospective approval of this work, including the coded, anonymous data and waiver of informed consent, as an exempt study by the Rush University Medical Center Institutional Review Board. All methods were carried out in accordance with relevant guidelines and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"506"}}