Table 2.
Outcome measures for patients which will be measured at baseline, 12 and 24 months
| Domain | Outcome | Measurement tool/method where one is available |
|---|---|---|
| Primary outcome measure | Goal attainment | Bangor Goal-Setting interview [19] |
| Parkinson’s specific measures | Parkinson’s disease assessment | MDS-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) [21] |
| Non-motor symptom burden | MDS Non-Motor Rating Scale (MDS-NMS)* [22] | |
| Parkinson’s-related quality of life | Parkinson’s Disease Questionnaire (PDQ-39)* [23] | |
| Health | Fear of falling | Iconographical Fall Efficacy Scale (ICON-FES)-short version [24] |
| Global impression of change |
Patients’ Global Impression of Change (PGIC) Clinician Global Impression of Change (CGI-I) |
|
| Frailty |
SHARE-FI 75+ (Phenotypic frailty tool) [25] Pictorial fit frail scale* [26] Clinical frailty scale [27] |
|
| Sarcopenia | SARC-F* and SARC-CalF* [28] | |
| Malnutrition risk | Malnutrition Universal Screening Tool (MUST) | |
| Nutritional risk | Seniors in the community: risk Evaluation for Eating and Nutrition (SCREEN II)-14 item version* [29, 30] | |
| Delirium | 4AT tool for delirium assessment [31] | |
| Physical performance | Physical performance |
Short physical performance battery (SPPB) Time up and go test (TUG) |
| Physical activity | Incidental and Planned Exercise Questionnaire for the Usual week (IPEQ-WA)* [32] | |
| Endurance | Endurance measure (2-min walk test, 6-min walk for those who are sufficiently mobile) | |
| Gait | Single and dual task gait assessments | |
| Grip strength | Hand-held dynamometer | |
| Falls# | N/A | |
| Palliative measures | Advance Care Plan data | N/A |
| Palliative symptom burden |
Edmonton Symptom Assessment System Scale for Parkinson’s Disease (ESAS-R-PD) [33] Palliative outcome score-symptoms-Parkinson’s Disease (POS-S-PD) [34] |
|
| Presence of gold standard framework register | Hospice utilisation outside place of death | |
| Healthcare contacts with hospice and / or palliative care services | Use of anticipatory medication | |
| Social | Loneliness/social isolation | 3-item Revised-UCLA Loneliness Scale plus a single item direct measure of loneliness [35] |
| Social participation | English Longitudinal Study of Ageing questions (ELSA)* [36] | |
| Perceived social support | Multidimensional scale of perceived social support [37] | |
| Coping strategy | BriefCOPE [38] | |
| Acceptance of illness | Acceptance of illness scale [39] | |
| Capability | ICEpop CAPability measure for Older people (ICECAP-O)* [40] | |
| Patient activation | Patient Activation Measure (PAM) [41] | |
| Economic measures | Health-related quality of life | EuroQoL 5D-5L health status questionnaire (EQ-5D-5L)* [42] |
| Mortality# | N/A | |
| Healthcare events (including elective & unplanned admissions, emergency department attendances, outpatient appointments, primary care contacts, investigations and prescriptions, discharge destination) | Captured from hospital and GP records and participant self-report | |
| Process measures | Frequency of Parkinson’s follow-up and referral to, and review, by allied health professionals (intervention and control arms) | N/A |
| Frequency and type of engagement with PRIME Parkinson care (intervention arm) | N/A | |
| Experience of holistic patient-centred care | Patient Assessment of Chronic Illness Care measure (PACIC) - 26 item [43, 44] |
*=outcomes that will be completed by a representative who knows the patient well, where the patient cannot self-complete; #=outcome measures which will also be assessed at 3, 6, 9, 15, 18 and 21 months. The following parameters will be assessed at baseline and/or at 12/24 months but are not outcome measures per se: fracture risk using FRAX* [45] and/or QFracture* [46] with bone densitometry where required; habitual dietary intake using the European Prospective Investigation into Cancer Food frequency questionnaire* [47]; comorbidity using Cumulative Illness Rating Scale-Geriatrics [48]; cognition using Montreal Cognitive Assessment (MoCA) [49]. Place and date of death, where applicable, will also be captured