An international 20 country patient and physician survey of the usability and acceptability of Stepped Care pathway in Parkinson’s disease

Parkinson's disease (PD) is not a single condition and has multiple heterogeneous presentations with several endophenotypes as well as collateral factors affecting care and health. However, clinical consultations globally often miss these important aspects in clinic. The Stepped Care pathway of care was developed from PD patients' opinion and attempts to combine these gaps in care in a simple 3-stage clinical paradigm. We conducted a survey across twenty (20) countries to explore the views of clinicians and PD patients on the process, acceptability and need of the Stepped Care pathway. A structured questionnaire was administered in both affluent and under-resourced clinics, capturing data from a multi-ethnic and diverse patient base. 99% patients (White, Asian and Black) felt Stepped Care toolkit asked relevant questions addressing needs and concerns in PD care that are often missed, and 96% agreed with the importance of using this toolkit during Outpatient Clinic visits. Moreover, a significant majority of PD patients (96%) felt Stepped Care makes them understand their condition better. 92% of clinicians indicated that the Stepped care toolkit could be an effective asset in clinical practice, while 91% of clinicians agreed that the toolkit provides holistic care which is often missed in clinic. This novel global survey of the efficacy and useability of Stepped Care for PD is overwhelmingly endorsed by PD patients and clinicians from a diverse, multi-ethnic background across high- and low- income countries. Stepped Care can be used in clinical practice in order to ensure a holistic and comprehensive care for PD.

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Publication Details

Journal
Scientific Reports
Published
2025-11-13
DOI
https://doi.org/10.1038/s41598-025-23465-2
Primary Topic
Parkinson's Disease Mechanisms and Treatments
Type
article
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article

An international 20 country patient and physician survey of the usability and acceptability of Stepped Care pathway in Parkinson’s disease

Michele Tagliati, Indu Subramanian, S. Michalak, Per Odin et al.
Scientific Reports
Parkinson's Disease Mechanisms and Treatments
article

An international 20 country patient and physician survey of the usability and acceptability of Stepped Care pathway in Parkinson’s disease

Michele Tagliati, Indu Subramanian, S. Michalak, Per Odin, Daniele Urso, Prashanth Lingappa Kukkle, Haidar S. Dafsari, Yie Hui Lau, Wolfgang H. Jost, Cleanthe Spanaki, Antonio Pisani, Mayela Rodríguez‐Violante, Yoshio Tsuboi, Tom Loney, Jarosław Sławek, Hani T. S. Benamer, К. Ray Chaudhuri, Valentina Leta, Vinod Metta, Karolina Popławska-Domaszewicz, Ali Shalash, Chandrasekhara Padmakumar, Rukmini Mridula Kandadai, Arwa Rekik, A. Sauerbier, Giancarlo Logroscino, Dhaval Trivedi, Cristian Falup Pecurariu, Angelo Antonini, Riaan van Coller, Vinay Goyal, Rupam Borgohain, Soaham Desai, Karina Koh, Dariusz Koziorowski, Sharon Muzerengi, Pablo Martínez‐Martín, Lucia Batzu, Claudia Lazcano‐Ocampo, S. Ben Amor, Iro Boura, Milica Gregorič Kramberger, Carmen Rodríguez‐Blázquez, Wojciech Kozubski, CharulataSavant Sankhla, Sanjay Gangadharan, J. Chacko, Kit Wu, N. Mostyn, M. Chengjiei
article en

Abstract

Parkinson's disease (PD) is not a single condition and has multiple heterogeneous presentations with several endophenotypes as well as collateral factors affecting care and health. However, clinical consultations globally often miss these important aspects in clinic. The Stepped Care pathway of care was developed from PD patients' opinion and attempts to combine these gaps in care in a simple 3-stage clinical paradigm. We conducted a survey across twenty (20) countries to explore the views of clinicians and PD patients on the process, acceptability and need of the Stepped Care pathway. A structured questionnaire was administered in both affluent and under-resourced clinics, capturing data from a multi-ethnic and diverse patient base. 99% patients (White, Asian and Black) felt Stepped Care toolkit asked relevant questions addressing needs and concerns in PD care that are often missed, and 96% agreed with the importance of using this toolkit during Outpatient Clinic visits. Moreover, a significant majority of PD patients (96%) felt Stepped Care makes them understand their condition better. 92% of clinicians indicated that the Stepped care toolkit could be an effective asset in clinical practice, while 91% of clinicians agreed that the toolkit provides holistic care which is often missed in clinic. This novel global survey of the efficacy and useability of Stepped Care for PD is overwhelmingly endorsed by PD patients and clinicians from a diverse, multi-ethnic background across high- and low- income countries. Stepped Care can be used in clinical practice in order to ensure a holistic and comprehensive care for PD.

Scientific ReportsVol. 15(1)
Ain Shams University (EG), Poznan University of Medical Sciences (PL), Cedars-Sinai Medical Center (US), West Los Angeles College (US), Medanta The Medicity (IN), University Hospitals Birmingham NHS Foundation Trust (GB), University of Padua (IT), University of Crete (GR), University of California, Los Angeles (US), King's College London (GB), Lund University (SE), Universidad de Los Andes, Chile (CL), University of Pavia (IT), Medical University of Warsaw (PL), Queen Elizabeth Hospital Birmingham (GB), Hospital Kuala Lumpur (MY), P. D. Hinduja Hospital and Medical Research Centre (IN), John Hunter Hospital (AU), Ljubljana University Medical Centre (SI), Instituto de Salud Carlos III (ES), Dubai Hospital (AE), Karolinska Institutet (SE), Wikimedia UK (GB), Transylvania University of Brașov (RO), Juntendo University (JP), Soochow University (CN), Biomedical Research Networking Center on Neurodegenerative Diseases (ES), Parkinson's UK (GB), Mohammed Bin Rashid University of Medicine and Health Sciences (AE), Shree Krishna Hospital (IN), Centre for Movement Disorders (CA), Pramukhswami Medical College (IN), Second Affiliated Hospital of Soochow University (CN), Skåne University Hospital (SE), University Hospital of Heraklion (GR), Westmead Institute for Medical Research (AU), Hôpital Sahloul (TN), King's College Hospital (GB), University Hospital Cologne (DE), Clínica Dávila (CL), Parkinson-Klinik Ortenau (DE), Tengku Ampuan Rahimah Hospital (MY), Fondazione IRCCS Istituto Neurologico Carlo Besta (IT), Manipal Hospital (IN), Bhaikaka University, University of Bari Aldo Moro (IT), University of Pretoria (ZA), Gdańsk Medical University (PL), Sunway University (MY), University of Sousse (TN)
Openalex Percentile: Top 53%
Parkinson's Disease Mechanisms and Treatments
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