High Interest in Screening and Treatment for Mild Cognitive Impairment in Older Adults: A Pilot Study

Dale, William; Hougham, Gavin W.; Hill, Emily K.; Sachs, Greg A.

doi:10.1111/j.1532-5415.2006.00852.x

Cited by 24 publications

(18 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No studies contained substantial qualitative components. While some data [23–27] suggest that some respondents have no concerns and are pleased to have their memory evaluated, other results [21] suggest that few people would agree to routine screening for memory problems for reasons such as stigma [28–30]. It is important to take note that no patient or carer mentioned the word stigma; this word was adopted by researchers in their attitudinal scales.…”

Section: Resultsmentioning

confidence: 99%

Attitudes and preferences towards screening for dementia: a systematic review of the literature

et al. 2015

View full text Add to dashboard Cite

BackgroundPopulation screening might provide a mechanism to enable early detection of dementia. Yet the potential benefits, harms or acceptability of such a large-scale intervention are not well understood. This research aims to examine the attitudes and preferences of the general public, health care professionals, people with dementia and their carers towards population screening for dementia.MethodsA systematic review of the international literature was undertaken. A search of fifteen bibliographic databases was conducted (up to 12 July 2012; no language restriction) using terms related to dementia, screening, specific screening tools, case finding, and attitudes and preferences; genetic screening and biomarkers were excluded. All study designs were included except opinion-based papers. Included papers were doubly quality assessed and thematically analysed using NVivo.Results29,910 papers were identified of which 29 met the inclusion criteria. We identified seventeen themes relating to the 3 phases of the screening process (pre-, in- and post-screen) – none emerged as more of a facilitator than a barrier to the acceptance of dementia screening. Seven themes emerged in relation to the patient, carer and general population: existing health state; lifestyle and life view; awareness of dementia; role of clinician; communication; benefit; and role of the family. Ten themes emerged in relation to the clinician and healthcare professional: patient’s existing health and comorbidities; awareness of dementia; confidence; duration of patient contact; suitability of screening tool; cost; disclosure; time; treatment and prognosis; and stigma.ConclusionsAs for all screening programmes, screening for dementia raises complex issues around preference and choice for clinicians and the public, and it is unclear what specific factors promote or reduce screening acceptance the most. Overall, the level of evidence is low, few large scale studies have been undertaken and none were conducted in representative samples, all affecting the generalizability of identified themes across healthcare contexts. Nevertheless, our findings suggest that population screening for dementia may not be acceptable to either the general public or health care professionals, and highlight where focused efforts are needed to gain insights into dementia specific issues.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-015-0064-6) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Attitudes and preferences towards screening for dementia: a systematic review of the literature

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The label of MCI is vague and does not indicate to the person receiving the diagnosis whether it is a disease entity or part of normal aging [55] . The effect of an MCI diagnosis on the individual requires further exploration, given that the term MCI is not known to many [56] and lack of information accompanying the diagnosis may impact on coping responses [57] . This could lead to expressions of unawareness which result from confusion about MCI rather than from a person's appraisal of his/her memory.…”

Section: Discussionmentioning

confidence: 99%

Subjective Memory Complaints and Awareness of Memory Functioning in Mild Cognitive Impairment: A Systematic Review

Roberts

Clare

Woods

2009

Dement Geriatr Cogn Disord

211

183

View full text Add to dashboard Cite

Objectives: Subjective memory complaint (SMC) is central to the diagnosis of mild cognitive impairment (MCI). People with MCI are at a higher risk of progressing to dementia, and research on SMC is contradictory in terms of the accuracy of SMC and its predictive role for future dementia. One possible reason for these contradictory findings is that the level of awareness of memory function may vary among people with MCI. This review examines whether the level of awareness of memory functioning varies amongst people classified as having MCI and whether there is support for the suggestion that the level of awareness in MCI predicts future progression to dementia. Method: Sixteen studies were identified which evaluate the awareness level in people classified as having MCI in either a clinical or research setting. In addition to the outcome of each study, the conceptualization of awareness, ‘object’ of awareness and methodology were also considered. Results: There is evidence to show that the level of awareness in MCI does vary, and this may have implications for future progression to dementia. Conclusions: Given the increased risk of progression to dementia for those identified as having MCI, the role of awareness should be explored further with due consideration given to the conceptualisation of awareness and the methodology employed. The finding of variability in awareness has implications for the use of SMC in the diagnostic criteria for MCI.

show abstract

“…A description of the diagnosis of MCI was provided to all subjects (See Supplemental Digital Text), followed by 54 survey questions compiled from five previously published questionnaires: 1) Anderson et al (12) investigated white participants’ beliefs and perceptions about AD framed around the CSM; 2) Boustani et al (13) investigated the attitudes about screening for memory loss in a diverse population (44% African American); 3) Dale et al (14) surveyed attitudes about and willingness to be screened for MCI with a population-based sample that included whites and African Americans; 4) Galvin et al (15) investigated attitudes about AD and memory screening in a population-based sample of middle-aged and older adults; and 5) Lin et al (11) examined perception MCI using CSM of illness perceptions in sample of predominantly white older adults with MCI. Finally, additional questions developed by the research team members were also included.…”

Section: Methodsmentioning

confidence: 99%

“…After providing a narrative describing the syndrome of MCI, (Supplemental Digital Text), we posed a question originally included in Dale et al questionnaires (14). Specifically, participants were asked, “If you began to notice problems with your memory, would you go see your doctor to see if you have MCI?” Categorical responses to this question ranged from (1) Definitely No to (4) Definitely Yes.…”

Section: Methodsmentioning

confidence: 99%

Common Sense Model Factors Affecting African Americans' Willingness to Consult a Healthcare Provider Regarding Symptoms of Mild Cognitive Impairment

Gleason

Dowling²,

Benton

et al. 2016

The American Journal of Geriatric Psychiatry

View full text Add to dashboard Cite

Objective While at increased risk for developing dementia compared to whites, older African Americans are diagnosed later in the course of dementia. Using Common Sense Model (CSM) of Illness Perception, we sought to clarify processes promoting timely diagnosis of mild cognitive impairment (MCI) for African Americans. Design, Setting, Participants In-person, cross-sectional, survey data were obtained from 187 African Americans, mean age 60.44 years. Data were collected at social and health-focused community events in three southern Wisconsin cities. Measurements The survey represented a compilation of published surveys querying CSM constructs focused on early detection of memory disorders, and willingness to discuss concerns about memory loss with healthcare providers. Derived CSM variables measuring perceived causes, consequences and controllability of MCI were included in a structural equation model (SEM) predicting the primary outcome: Willingness to discuss symptoms of MCI with a provider. Results Two CSM factors influenced willingness to discuss symptoms of MCI with providers. Anticipation of beneficial consequences and perception of low harm associated with an MCI diagnosis predicted a person’s willingness to discuss concerns about cognitive changes. No association was found between perceived controllability and causes of MCI, and willingness to discuss symptoms with a provider. Conclusions These data suggest that allaying concerns about the deleterious effects of a diagnosis, and raising awareness of potential benefits could influence an African American’s willingness to discuss symptoms of MCI with a provider. The findings offer guidance to design culturally congruent MCI education materials, and to healthcare providers caring for older African Americans.

show abstract

High Interest in Screening and Treatment for Mild Cognitive Impairment in Older Adults: A Pilot Study

Abstract: Older adults expressed high interest in screening and treatment for MCI. Interest in screening is even stronger in African Americans than in whites. Such high interest is potentially troubling, given the current state of knowledge about MCI.

Cited by 24 publications

References 27 publications

Attitudes and preferences towards screening for dementia: a systematic review of the literature

Attitudes and preferences towards screening for dementia: a systematic review of the literature

Subjective Memory Complaints and Awareness of Memory Functioning in Mild Cognitive Impairment: A Systematic Review

Common Sense Model Factors Affecting African Americans' Willingness to Consult a Healthcare Provider Regarding Symptoms of Mild Cognitive Impairment

Contact Info

Product

Resources

About