Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease

Pim P Valentijn^{1

2}, Carsten Eggers^{3

4}, Bastiaan R Bloem^{5

6}, David Grimes⁷, Jennifer Goldman^{8

9}, Jennifer McGinley¹⁰, Joan Gardner¹¹, Maria Elisa Pimentel Piemonte¹², Nabila Dahodwala¹³, Laura Brennan¹⁴, Robert Iansek¹⁵, Norbert Kovacs^{16

17}, Sotirios Parashos¹¹, Ariela Hilel¹⁸, Roopa Rajan¹⁹; MDS Study Group on Management of Movement Disorders: Interdisciplinary and Integrated Care

Affiliations

¹ Department of Health Services Research, School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
² Essenburgh Research & Consultancy, Essenburgh Group, Harderwijk, the Netherlands.
³ Department of Neurology, University Hospital of Marburg, Center for Mind, Brain and Behavior, Universities Marburg and Giessen, Marburg, Germany.
⁴ Department of Neurology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
⁵ Scientific Center for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, the Netherlands.
⁶ Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, the Netherlands.
⁷ Neurology, Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
⁸ Parkinson's and Movement Disorders Shirley Ryan Ability Lab and Departments of Physical Medicine and Rehabilitation and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
⁹ Departments of Physical Medicine and Rehabilitation and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
¹⁰ Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia.
¹¹ Struthers Parkinson's Center, HealthPartners, Minneapolis, Minnesota, USA.
¹² Physical Therapy, Speech Therapy, and Occupational Therapy Department, University of São Paulo, São Paulo, Brazil.
¹³ Parkinson's Disease and Movement Disorders Center, Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
¹⁴ Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
¹⁵ Clinical Research Centre for Movement Disorders and Gait, Comprehensive Parkinson Care Program, Parkinson Foundation Centre of Excellence, Kington Centre Monash Health Cheltenham, Cheltenham, Australia.
¹⁶ Department of Neurology, Medical School, University of Pecs, Pecs, Hungary.
¹⁷ ELKH-PTE Clinical Neuroscience MR Research Group, Pecs, Hungary.
¹⁸ Movement Disorders Center Unit, Neurology Division, Tel Aviv Medical Center, Tel Aviv, Israel.
¹⁹ Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

PMID: 37148424
DOI: 10.1002/mds.29413

Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease

Pim P Valentijn et al. Mov Disord. 2023 Jul.

. 2023 Jul;38(7):1253-1261.

doi: 10.1002/mds.29413. Epub 2023 May 6.

Authors

Affiliations

¹ Department of Health Services Research, School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
² Essenburgh Research & Consultancy, Essenburgh Group, Harderwijk, the Netherlands.
³ Department of Neurology, University Hospital of Marburg, Center for Mind, Brain and Behavior, Universities Marburg and Giessen, Marburg, Germany.
⁴ Department of Neurology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
⁵ Scientific Center for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, the Netherlands.
⁶ Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, the Netherlands.
⁷ Neurology, Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
⁸ Parkinson's and Movement Disorders Shirley Ryan Ability Lab and Departments of Physical Medicine and Rehabilitation and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
⁹ Departments of Physical Medicine and Rehabilitation and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
¹⁰ Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia.
¹¹ Struthers Parkinson's Center, HealthPartners, Minneapolis, Minnesota, USA.
¹² Physical Therapy, Speech Therapy, and Occupational Therapy Department, University of São Paulo, São Paulo, Brazil.
¹³ Parkinson's Disease and Movement Disorders Center, Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
¹⁴ Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
¹⁵ Clinical Research Centre for Movement Disorders and Gait, Comprehensive Parkinson Care Program, Parkinson Foundation Centre of Excellence, Kington Centre Monash Health Cheltenham, Cheltenham, Australia.
¹⁶ Department of Neurology, Medical School, University of Pecs, Pecs, Hungary.
¹⁷ ELKH-PTE Clinical Neuroscience MR Research Group, Pecs, Hungary.
¹⁸ Movement Disorders Center Unit, Neurology Division, Tel Aviv Medical Center, Tel Aviv, Israel.
¹⁹ Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

PMID: 37148424
DOI: 10.1002/mds.29413

Abstract

Background: Integrated care is essential for improving the management and health outcomes for people with Parkinson's disease (PD); reliable and objective measures of care integration are few.

Objective: The aim of this study was to test the psychometric properties of the Rainbow Model of Integrated Care Measurement Tool (RMIC-MT, provider version) for healthcare professionals involved in PD care.

Methods: A cross-sectional survey was administered online to an international network representing 95 neurology centers across 41 countries and 588 healthcare providers. Exploratory factor analysis with principal axis extraction method was used to assess construct validity. Confirmatory factor analysis was used to evaluate model fit of the RMIC-MT provider version. Cronbach's alpha was used to assess the internal consistency reliability.

Results: Overall, 371 care providers (62% response rate) participated in this study. No item had psychometric sensitivity problems. Nine factors (professional coordination, cultural competence, triple aims outcome, system coordination, clinical coordination, technical competence, community-centeredness, person-centeredness, and organizational coordination) with 42 items were determined by exploratory factor analysis. Cronbach's alpha ranged from 0.76 (clinical coordination) to 0.94 (system coordination) and showed significant correlation among all items in the scale (>0.4), indicating good internal consistency reliability. The confirmatory factor analysis model passed most goodness-of-fit tests, thereby confirming the factor structure of nine categories with a total of 40 items.

Conclusions: The results provide evidence for the construct validity and other psychometric properties of the provider version of the RMIC-MT to measure integrated care in PD. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Keywords: Parkinson's disease; integrated care; interprofessional collaboration; measurement tool; movement disorders; multidisciplinary team.

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References

1. Bloem BR, Henderson EJ, Dorsey ER, Okun MS, Okubadejo N, Chan P, et al. Integrated and patient-centred management of Parkinson's disease: a network model for reshaping chronic neurological care. Lancet Neurol 2020;19:623-634.
1. Valentijn PP, Kerkhoven M, Heideman J, Arends R. Cross-sectional study evaluating the association between integrated care and health-related quality of life (HRQOL) in Dutch primary care. BMJ Open 2021;11:e040781. https://doi.org/10.1136/bmjopen-2020-040781.
1. Rajan R, Brennan L, Bloem BR, Dahodwala N, Gardner J, Goldman JG, et al. Integrated Care in Parkinson's disease: a systematic review and meta-analysis. Mov Disord 2020;35:1509-1531.
1. Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care 2013;13:e010.
1. Valentijn PP, Pereira F, Sterner CW, Vrijhoef HJM, Ruwaard D, Hegbrant J, et al. Validation of the rainbow model of integrated care measurement tools (RMIC-MTs) in renal care for patient and care providers. PLoS One 2019;14:e0222593.

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Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease

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Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease

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Abstract

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Medical