title: Group patient visits for Parkinson disease: a randomized feasibility trial.
abstract: BACKGROUND
  Group patient visits are medical appointments shared among patients with a common medical condition. This care delivery method has demonstrated benefits for individuals with chronic conditions but has not been evaluated for Parkinson disease (PD).
  
  
  METHODS
  We conducted a 12-month, randomized trial of group patient visits vs usual (one-on-one) care for patients with PD. Visits were led by one of 3 study physicians, included patients and caregivers, and lasted approximately 90 minutes. Those receiving group visits had 4 sessions over 12 months. The primary outcome measure was feasibility as measured by the ability to recruit participants and by the proportion of participants who completed the study. The primary efficacy outcome was quality of life as measured by the PD Questionnaire-39.
  
  
  RESULTS
  Thirty patients and 27 caregivers enrolled in the study. Thirteen of the 15 patients randomized to group patient visits and 14 of the 15 randomized to usual care completed the study. Quality of life measured 12 months after baseline between the 2 groups was not different (25.9 points for group patient visits vs 26.0 points for usual care; p = 0.99).
  
  
  CONCLUSIONS
  Group patient visits may be a feasible means of providing care to individuals with PD and may offer an alternative or complementary method of care delivery for some patients and physicians.
  
  
  METHODS
  This study provides Class II evidence that group patient visits did not improve quality of life for individuals with PD over a 1-year period.
authors.affiliation: Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. ray.dorsey@jhmi.edu
authors.forename: E R
authors.initials: ER
authors.lastname: Dorsey
authors.forename: L M
authors.initials: LM
authors.lastname: Deuel
authors.forename: C A
authors.initials: CA
authors.lastname: Beck
authors.forename: I F
authors.initials: IF
authors.lastname: Gardiner
authors.forename: N J
authors.initials: NJ
authors.lastname: Scoglio
authors.forename: J C
authors.initials: JC
authors.lastname: Scott
authors.forename: F J
authors.initials: FJ
authors.lastname: Marshall
authors.forename: K M
authors.initials: KM
authors.lastname: Biglan
mesh_terms: D000704:Analysis of Variance; D001071:Appointments and Schedules; D003695:Delivery of Health Care; D005240:Feasibility Studies; D006801:Humans; D010300:Parkinson Disease; D017060:Patient Satisfaction; D010818:Practice Patterns, Physicians'; D011788:Quality of Life; D011795:Surveys and Questionnaires