Melissa Armstrong, MD

Melissa Armstrong, MD, MSc, FAAN

(352) 294-5400

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Publications

Treatment of Parkinson's Disease with Cognitive Impairment: Current Approaches and Future Directions.
Behavioral sciences (Basel, Switzerland)
2021

The inconsistency and instability of Parkinson's disease motor subtypes.
Parkinsonism & related disorders
2021

Suicide and Lewy body dementia: Report of a Lewy body dementia association working group.
International journal of geriatric psychiatry
2021

Protocol for an observational cohort study identifying factors predicting accurately end of life in dementia with Lewy bodies and promoting quality end-of-life experiences: the PACE-DLB study.
BMJ open
2021

Prodromal Dementia With Lewy Bodies: Evolution of Symptoms and Predictors of Dementia Onset.
Journal of geriatric psychiatry and neurology
2021

Comparative pharmacovigilance assessment of mortality with pimavanserin in Parkinson disease-related psychosis.
Journal of managed care & specialty pharmacy
2021

Clinical Care and Unmet Needs of Individuals With Dementia With Lewy Bodies and Caregivers: An Interview Study.
Alzheimer disease and associated disorders
2021

Biomarker Use for Dementia With Lewy Body Diagnosis: Survey of US Experts.
Alzheimer disease and associated disorders
2021

Time for a New Image of Parkinson Disease.
JAMA neurology
2020

The Narrowing Path for Nilotinib and Other Potential Disease-Modifying Therapies for Parkinson Disease.
JAMA neurology
2020

Research priorities of caregivers and individuals with dementia with Lewy bodies: An interview study.
PloS one
2020

Practice guideline: Treatment for insomnia and disrupted sleep behavior in children and adolescents with autism spectrum disorder: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2020

Participation and consultation engagement strategies have complementary roles: A case study of patient and public involvement in clinical practice guideline development.
Health expectations : an international journal of public participation in health care and health policy
2020

Parkinson disease with mild cognitive impairment: Domain-specific cognitive complaints predict dementia.
Acta neurologica Scandinavica
2020

How to identify, incorporate and report patient preferences in clinical guidelines: A scoping review
Health Expectations
2020

How do guideline developers identify, incorporate and report patient preferences? An international cross-sectional survey.
BMC health services research
2020

Experience and Impact of OFF Periods in Parkinson's Disease: A Survey of Physicians, Patients, and Carepartners.
Journal of Parkinson's disease
2020

Ethnoracial Differences in Lewy Body Diseases with Cognitive Impairment.
Journal of Alzheimer's disease : JAD
2020

Diagnosis and Treatment of Parkinson Disease: A Review.
JAMA
2020

Dementia with Lewy bodies and Parkinson disease dementia: More different than similar?
Neurology
2020

Common neurodegenerative disorders in the perioperative setting: Recommendations for screening from the Society for Perioperative Assessment and Quality Improvement (SPAQI).
Perioperative care and operating room management
2020

Choosing a Parkinson Disease Treatment.
JAMA
2020

Challenges and opportunities for improving the landscape for Lewy body dementia clinical trials.
Alzheimer's research & therapy
2020

Case Report: Globus Pallidus Internus (GPi) Deep Brain Stimulation Induced Keyboard Typing Dysfunction.
Frontiers in human neuroscience
2020

Caregiver-Reported Barriers to Quality End-of-Life Care in Dementia With Lewy Bodies: A Qualitative Analysis.
The American journal of hospice & palliative care
2020

Assessment of Parkinson disease quality measures on 12-month patient outcomes.
Neurology. Clinical practice
2020

An evidence-based methodology for systematic evaluation of clinical outcome assessment measures for traumatic brain injury
PLOS ONE
2020

Virtual Support Groups for Informal Caregivers of Individuals With Dementia: A Scoping Review.
Alzheimer disease and associated disorders
2019

The Clinician Guideline Determinants Questionnaire was developed and validated to support tailored implementation planning.
Journal of clinical epidemiology
2019

Tackling the imposter phenomenon to advance women in neurology.
Neurology. Clinical practice
2019

Shared decision making in mild cognitive impairment.
Neurology. Clinical practice
2019

Responsiveness to Change of the Montreal Cognitive Assessment, Mini-Mental State Examination, and SCOPA-Cog in Non-Demented Patients with Parkinson's Disease.
Dementia and geriatric cognitive disorders
2019

Recognizing and treating atypical Parkinson disorders.
Handbook of clinical neurology
2019

Practice guideline update summary: Vaccine-preventable infections and immunization in multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2019

Patient Stakeholder Versus Physician Preferences Regarding Amyloid PET Testing.
Alzheimer disease and associated disorders
2019

Lewy Body Dementias
Continuum (Minneapolis, Minn.)
2019

Improving patient-centred care for persons with Parkinson's: Qualitative interviews with care partners about their engagement in discussions of "off" periods.
Health expectations : an international journal of public participation in health care and health policy
2019

End-of-life experiences in dementia with Lewy bodies: Qualitative interviews with former caregivers.
PloS one
2019

Developing the Disorders of Consciousness Guideline and Challenges of Integrating Shared Decision-Making Into Clinical Practice.
The Journal of head trauma rehabilitation
2019

Communication About OFF Periods in Parkinson's Disease: A Survey of Physicians, Patients, and Carepartners.
Frontiers in neurology
2019

Cognitive Complaints in Nondemented Parkinson's Disease Patients and Their Close Contacts do not Predict Worse Cognitive Outcome.
Alzheimer disease and associated disorders
2019

Causes and outcomes of hospitalization in Lewy body dementia: A retrospective cohort study.
Parkinsonism & related disorders
2019

Cause of Death and End-of-Life Experiences in Individuals with Dementia with Lewy Bodies
Journal of the American Geriatrics Society
2019

Barriers and facilitators of communication about off periods in Parkinson's disease: Qualitative analysis of patient, carepartner, and physician Interviews.
PloS one
2019

Author response: Practice guideline update recommendations summary: Disorders of consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research.
Neurology
2019

Understanding, Impact, and Communication of "Off" Periods in Parkinson's Disease: A Scoping Review.
Movement disorders clinical practice
2018

Progressive Supranuclear Palsy: an Update.
Current neurology and neuroscience reports
2018

Practice guideline update summary: Mild cognitive impairment: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2018

Practice guideline update recommendations summary: Disorders of consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research.
Neurology
2018

Practice Guideline Update Recommendations Summary: Disorders of Consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research.
Archives of physical medicine and rehabilitation
2018

Impact of patient involvement on clinical practice guideline development: a parallel group study.
Implementation science : IS
2018

Identifying priority outcomes that influence selection of disease-modifying therapies in MS.
Neurology. Clinical practice
2018

Evidence in focus: Nusinersen use in spinal muscular atrophy: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2018

Comprehensive systematic review update summary: Disorders of consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research.
Neurology
2018

Comprehensive systematic review summary: Treatment of cerebellar motor dysfunction and ataxia: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2018

Comprehensive Systematic Review Update Summary: Disorders of Consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research.
Archives of physical medicine and rehabilitation
2018

Author response: Practice guideline update summary: Mild cognitive impairment: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2018

Approach to assessing and using clinical practice guidelines.
Neurology. Clinical practice
2018

Value Assessment at the Point of Care: Incorporating Patient Values throughout Care Delivery and a Draft Taxonomy of Patient Values.
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
2017

Use of theory to plan or evaluate guideline implementation among physicians: a scoping review.
Implementation science : IS
2017

The Case for Antipsychotics in Dementia with Lewy Bodies.
Movement disorders clinical practice
2017

Shared decision-making in stroke: an evolving approach to improved patient care.
Stroke and vascular neurology
2017

Response shift - The experience of disease progression in Parkinson disease.
Parkinsonism & related disorders
2017

Rehabilitation in multiple sclerosis: Commentary on the recent AAN systematic review.
Neurology. Clinical practice
2017

Recommendations for patient engagement in guideline development panels: A qualitative focus group study of guideline-naïve patients.
PloS one
2017

Recommendations for patient engagement in guideline development panels: A qualitative focus group study of guideline-naïve patients.
PloS one
2017

Practice guideline summary: Reducing brain injury following cardiopulmonary resuscitation: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2017

Patient involvement in guidelines is poor five years after institute of medicine standards: review of guideline methodologies.
Research involvement and engagement
2017

Naturalistic study of guideline implementation tool use via evaluation of website access and physician survey.
BMC medical informatics and decision making
2017

Improving email strategies to target stress and productivity in clinical practice.
Neurology. Clinical practice
2017

Hospitalization and rehospitalization in Parkinson disease patients: Data from the National Parkinson Foundation Centers of Excellence.
PloS one
2017

Framework for enhancing clinical practice guidelines through continuous patient engagement.
Health expectations : an international journal of public participation in health care and health policy
2017

Discordance Between Physician Assessment and Patient-Reported Depressive Symptoms in Parkinson Disease
Journal of Geriatric Psychiatry and Neurology
2017

Dementia with Lewy bodies advances: A new consensus report.
Neurology
2017

Author response: Practice guideline summary: Treatment of restless legs syndrome in adults: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2017

Summary of comprehensive systematic review: Rehabilitation in multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2016

Practice guideline update summary: Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache: Report of the Guideline Development Subcommittee of the American Academy of Neurology.
Neurology
2016

Practice guideline summary: Treatment of restless legs syndrome in adults: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2016

Patient engagement and shared decision-making: What do they look like in neurology practice?
Neurology. Clinical practice
2016

Augmented Restless Legs Syndrome with Marked Hyperkinesias and Impulsive-Compulsive Behaviors.
Movement disorders clinical practice
2016

Summary of comprehensive systematic review: Rehabilitation in multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.
Neurology
2015

Independent application of montreal cognitive assessment/mini-mental state examination conversion.
Movement disorders : official journal of the Movement Disorder Society
2015

Extracorporeal membrane oxygenation: uncommon cause of corpus callosal microhemorrhage.
Neurology
2015

Does spouse participation influence quality of life reporting in patients with Parkinson's disease?
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation
2015

Which features of Parkinson's disease predict earlier exit from the workforce?
Parkinsonism & related disorders
2014

Diagnosis and treatment of corticobasal degeneration.
Current treatment options in neurology
2014

Can Isolated Enlarged Virchow-Robin Spaces Influence the Clinical Manifestations of Parkinson's Disease?
Movement disorders clinical practice
2014

Author response.
Neurology
2014

"Rapidly" Progressive Supranuclear Palsy.
Movement disorders clinical practice
2014

The meaning of a "hippo" response on the Montreal Cognitive Assessment in Parkinson's disease.
Parkinsonism & related disorders
2013

The American Academy of Neurology's top five choosing wisely recommendations.
Neurology
2013

Summary of evidence-based guideline: periprocedural management of antithrombotic medications in patients with ischemic cerebrovascular disease: report of the Guideline Development Subcommittee of the American Academy of Neurology.
Neurology
2013

Measuring mild cognitive impairment in patients with Parkinson's disease.
Movement disorders : official journal of the Movement Disorder Society
2013

Impact of mild cognitive impairment on health-related quality of life in Parkinson's disease.
Dementia and geriatric cognitive disorders
2013

Criteria for the diagnosis of corticobasal degeneration.
Neurology
2013

Clinicopathological review of pallidonigroluysian atrophy.
Movement disorders : official journal of the Movement Disorder Society
2013

Clinical features of dopamine agonist withdrawal syndrome in a movement disorders clinic.
Journal of neurology, neurosurgery, and psychiatry
2013

Author Response.
Neurology
2013

The pill questionnaire in a nondemented Parkinson's disease population.
Movement disorders : official journal of the Movement Disorder Society
2012

Roles of Education and IQ in Cognitive Reserve in Parkinson's Disease-Mild Cognitive Impairment.
Dementia and geriatric cognitive disorders extra
2012

Improvement of apathy after levofloxacin treatment: an N-of-1 study.
The neurologist
2012

Evidence-based guideline: pharmacologic treatment of chorea in Huntington disease: report of the guideline development subcommittee of the American Academy of Neurology.
Neurology
2012

Expanding the phenomenology of benign hereditary chorea: evolution from chorea to myoclonus and dystonia.
Movement disorders : official journal of the Movement Disorder Society
2011

Cerebroretinal microangiopathy with calcifications and cysts: demonstration of radiological progression.
Journal of computer assisted tomography
2009

Thoracic intramedullary cavernous malformation with posttraumatic hematomyelia: case report and literature review.
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
2006

Discontinuation of perioperative antiplatelet and anticoagulant therapy in stroke patients.
Neurologic clinics
2006

Research Interests

Dr. Armstrong's research interests include two main foci. She has strong clinical interests in cognitive impairment (problems with memory and thinking) in the parkinsonian disorders including Parkinson's disease, Lewy Body Dementia, and the atypical parkinsonisms. As part of this work, she is interested in ways to assess and treat cognitive impairment and in ways to improve quality of life for both patients with cognitive impairment and their carepartners/caregivers and families. Part of her research focuses on engaging patients and carepartners/caregivers directly to understand the questions that are relevant to their daily lives. Dr. Armstrong also performs research on best practices for developing clinical practice guidelines in neurology. She currently has funding from the Agency for Healthcare Research and Quality (AHRQ) to examine the impact of engaging patients, caregivers, and patient advocates during guideline development.