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Co-designing system improvement for Atypical Parkinsonian Syndromes

Co-designing improvements to systems of care and support to tackle inequality of access for people with Atypical Parkinsonian Syndromes: combining a system approach and realist review to inform a discrete choice experiment

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN11510077
Enrollment
56
Registered
2025-10-10
Start date
2026-02-16
Completion date
Unknown
Last updated
2026-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Atypical Parkinsonian Syndromes Nervous System Diseases

Interventions

The project will be conducted over 24 months. It combines realist methodology with an engineering-informed systems approach to understand the factors affecting the provision of care and support to peo

Sponsors

University Hospital Southampton NHS Foundation Trust
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 100 Years

Inclusion criteria

Inclusion criteria: 1. People with mental capacity and ability to communicate. 2. People providing consent to participate of all genders, age, ethnicity, socio economic background, location. Patients’ cohort: People with mental capacity (according to carer/family) and ability to communicate, affected by APS, selected at different stages: 1. People at a moderate stage of the APS disease, 2-3 years from diagnosis, to capture information regarding diagnosis and initial care and referrals, and to obtain their views while still able to communicate. 2. People at later stage of the APS disease, >3 years. Carers’ cohort: 1. Defined as someone who cares for, supports or provides help to someone affected by APS, either family member, relative, paid carer, close friend or neighbour on a regular basis for at least 2 years. 2. Carers of deceased people (<1 year to avoid recall bias) in order to capture information about the majority of the pathway through the care system. 3. Carers able to represent their relative/employer and consenting to also share their own experience of caring for people with APS. Health care, social care and charity staff cohort: Staff with or without experience of liaising with people affected by APS, but aware of barriers and facilitators of access to services for people with APS.

Exclusion criteria

Exclusion criteria: 1. People with multi-morbidities that affect function (mild cognitive impairment, dementia, speech and language impairment, frailty), other conditions that would prevent participations to the study. 2. People who refuse consent after initial meeting or during the study.

Design outcomes

Primary

MeasureTime frame
Diversity of experience measured using interviews and thematic analysis at baseline

Secondary

MeasureTime frame
Health and social care service utilization, informal care, accommodation and living situation, employment and productivity, education measured using the Client Service Receipt Inventory domains at baseline

Countries

England, United Kingdom

Contacts

Public ContactAnnalisa Casarin
annalisa.casarin@nihr.ac.uk+44 (0)7946077082

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: May 16, 2026