Professional education on dementias in Primary Health Care: an integrative review

Costa, Gislaine Desani da; Spineli, Vívian Marina Calixto Damasceno; Oliveira, María Amélia de Campos

doi:10.1590/0034-7167-2018-0652

Cited by 9 publications

(7 citation statements)

References 21 publications

(75 reference statements)

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“…PCPs included preferences on training content and materials to promote early detection and building cultural competence. These topics are rarely included in ADRD care training [16]. There is evidence that early detection can bring about health and economic benefits to families with ADRD [25-29].…”

Section: Discussionmentioning

confidence: 99%

“…PCPs’ preference for relatively brief and flexible training programs that capitalize on technology is not surprising given their busy schedules [13, 14]. These preferences, however, contrast with the rather time-intensive, in-person, and rigid schedules of most existing training programs [16]. The opportunity to receive feedback from the instructors after PCPs put their learning into practice is reasonable given the importance of performance experience in skills learning [34].…”

Section: Discussionmentioning

confidence: 99%

“…ADRD care navigators may assist with care coordination, making PCP visits more efficient. While some ADRD care training programs for PCPs and ADRD care navigation models exist [16-20], most are built from the top-down. Tailoring training programs and care navigation services to PCPs preferences may improve implementation and acceptability [21].…”

Section: Introductionmentioning

confidence: 99%

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Primary care provider preferences on dementia training and care navigation services: A qualitative study

Perales‐Puchalt

Strube

Townley

et al. 2022

Preprint

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Background: Dementia has no cure but interventions can stabilize the progression of cognitive, functional, and behavioral symptoms. Primary care providers (PCPs) are vital for the early detection, and long-term management of these diseases, given their gatekeeping role in the healthcare system. However, PCPs rarely implement evidence-based dementia care due to barriers such as limited dementia knowledge and time. Training PCPs and linking them to dementia care navigators may address these barriers. Objective: We explored the preferences of PCPs about dementia care training programs and dementia care navigation services. Methods: We conducted qualitative interviews with 24 PCPs recruited nationally via snowball sampling. We conducted all interviews via videocall and organized the transcripts for qualitative review to identify codes and themes, using a pragmatic approach, a qualitative description methodology, and thematic analysis methods. Results: PCP preferences varied regarding the topic, duration, materials, modality, and incentives of the dementia training. With regards to dementia care navigation services, preferences varied with respect to whether they benefited the PCP or the patient, and which were the optimal qualities of a dementia care navigator. Conclusions: Dementia training and care navigation services would benefit from embedding cultural proficiency within their content, materials, and navigation abilities. EMR-based decision-support tools would facilitate PCPs' implementation of evidence-based dementia care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Primary care provider preferences on dementia training and care navigation services: A qualitative study

Perales‐Puchalt

Strube

Townley

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…This is particularly relevant in Brazil where there is a large proportion of older adults who are illiterate. 21 We identified that it is critical to increase public awareness of the risk factors for dementia in order to foster proactive personal and societal management of them; at present, there is a tendency toward a reactive approach, where people seek treatment and support only after they experience the onset of symptoms, and when these symptoms are associated with functional decline. 19…”

Section: Prevention Awareness and Educationmentioning

confidence: 99%

Challenges in public perception: highlights from the United Kingdom-Brazil Dementia Workshop

Pelegrini

Hall

Hooper

et al. 2020

Dement. neuropsychol.

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ABSTRACT. In July 2019, Belo Horizonte hosted an international workshop for 27 junior researchers, whose participants were from Brazil and the United Kingdom. This three-day meeting organized by the Universidade Federal de Minas Gerais and the University of East Anglia addressed challenges in cognitive impairment and dementia, with particular interest in public perceptions, diagnosis and care management. The purpose of this report is to highlight the outcomes of the above-mentioned workshop regarding the topic of public perceptions (part I). Discussions focused on differences and similarities between countries, as well as on identifying main issues that required collaborative and creative solutions. After these group discussions, four core themes emerged: I) cognitive impairment; II) dementia - beyond Alzheimer’s disease; III) prevention; and IV) stigma. National and international initiatives to deal with public misperceptions about cognitive impairment and dementia were discussed.

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“…Training healthcare professionals can address some of the barriers to ADRD care implementation. Few ADRD training programs for healthcare professionals exist and most have been developed and tested in the last decade (Costa et al, 2019; Perry et al, 2011). However, most training programs have relied on in-person sessions, which pose barriers to largely rural regions such as the Midwestern US.…”

Section: Introductionmentioning

confidence: 99%

Acceptability and preliminary effectiveness of a remote dementia educational training among healthcare professionals

Perales‐Puchalt

Townley

Niedens

et al. 2022

Preprint

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Background: Optimal care for families living with Alzheimer's disease and related disorders (ADRD) has the potential to improve their lives. However, ADRD care remains under-implemented among healthcare professionals, partly due to professionals' limited ADRD training and inexperience. Professional training might help, but most training is in person, time-intensive, and does not focus on the potential of early detection, client empowerment, and cultural competency. We aimed to explore the acceptability and preliminary effectiveness of an online ADRD training, The Dementia Update Course, which addressed these issues. We hypothesized that the Dementia Update Course would lead to increased levels of perceived ADRD care competency among healthcare professionals. Methods: This was a mixed-methods research design using pre-post training assessments. The training included 59 primary care providers (PCPs) and other healthcare professionals (e.g., medical specialists, nurses, social workers). The Dementia Update Course was a remote 6.5-hour training that included didactic lectures, case discussion techniques, and materials on ADRD detection and care. Outcomes included two 5-point Likert scales on acceptability, eleven on perceived dementia care competency, and the three subscales of the General Practitioners Confidence and Attitude Scale for Dementia. We used paired samples t-tests to assess the mean differences in all preliminary effectiveness outcomes. Results: The training included 18.0% of professionals that self-identified as non-White or Latino and 37.7% of professionals who served in rural areas. Most participants (90.0% and 87.5%) reported a high likelihood to recommend the training and high satisfaction respectively. All preliminary effectiveness outcomes analyzed in the total sample experienced a statistically significant improvement from pre- to post-training averaging 0.7 points in 1-5 scales (p<0.05). Most outcomes improved statistically among PCPs too. Conclusions: A relatively brief, remote, and inclusive ADRD training led to high levels of acceptability and improved perceived ADRD care competency among PCPs and other healthcare professionals. Future research should include a control group and assess guideline compliance, behavioral outcomes, and health outcomes among people with ADRD and their families.

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Professional education on dementias in Primary Health Care: an integrative review

Cited by 9 publications

References 21 publications

Primary care provider preferences on dementia training and care navigation services: A qualitative study

Primary care provider preferences on dementia training and care navigation services: A qualitative study

Challenges in public perception: highlights from the United Kingdom-Brazil Dementia Workshop

Acceptability and preliminary effectiveness of a remote dementia educational training among healthcare professionals

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