Brazilian transcultural adaptation of an instrument on physicians' knowledge and attitudes towards dementia

Boas

Mayoral

et al. 2016

Dement. neuropsychol.

Self Cite

An estimated 61% of the 24.3 million people diagnosed with dementia worldwide live in underdeveloped countries, including Brazil, where a public healthcare system covers the majority of the population. This care is usually provided by General Practitioners (GP) and in Brazil many doctors recently graduated from medical school and residents of different medical specialties practice as GPs.Objective:The aim of this study was to describe the knowledge and attitudes about dementia in a sample of Brazilian medical residents from a university-hospital in São Paulo, Brazil. Methods:A total of 152 Brazilian medical residents participated in the study. Participants answered a "Knowledge Quiz" (KQ) and "Attitude Quiz" (AQ) about dementia issues, transculturally adapted for use in Brazilian physicians. A descriptive analysis of the correct answers on knowledge and of the attitude aspects was performed. Results:The medical residents showed poor knowledge (<50%) about dementia prevalence and incidence and a good knowledge on disease management and diagnosis. Participants tended to be optimistic about caring for demented patients. Conclusion:In this study, it is likely that the physicians' good knowledge about dementia issues is the reason for their optimism dealing with demented patients.

Section: Methodsmentioning

confidence: 99%

Knowledge and attitudes towards dementia in a sample of medical residents from a university-hospital in São Paulo, Brazil

Boas

Mayoral

et al. 2016

Dement. neuropsychol.

Self Cite

“…A cross-sectional study of GPs' knowledge and attitudes towards dementia was undertaken in 2017. This used a Brazilian adaptation (Jacinto, Oliveira & Citero, 2015) of a measure used in previous UK research (Turner et al, 2004). The measure included a knowledge quiz with 14 questions, each with five possible answers of which one option was correct and one was "I don't know".…”

Section: Methodsmentioning

confidence: 99%

“…All respondents were asked to complete a questionnaire on demographics and background. A full version of the measure in English and Brazilian has been published elsewhere (Jacinto, Oliveira & Citero, 2015).…”

Section: Methodsmentioning

confidence: 99%

Comparing knowledge and attitudes to dementia care in Brazilian and UK GPs to guide future decisions about educational interventions

Gerontology & Geriatrics Education

Gordon

Samra

et al. 2018

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“…The instrument Knowledge and Attitudes Quiz about Dementia was developed in the United Kingdom in 2004 with the purpose of measuring GPs' knowledge of, confidence with and attitudes to the diagnosis and management of dementia in primary care 16 . In 2015, these instruments were translated and culturally adapted for use in the Brazilian setting 20 .The Knowledge Quiz contains 14 multiple-choice questions, each with five possible answers, only one of which is correct, with all questions including the response option "I don´t know". The instrument is divided into 3 sub-items addressing aspects of dementia related to epidemiology (3 questions), diagnosis (8 questions) and management (3 questions).…”

Section: Instrumentsmentioning

confidence: 99%

“…Currently, 73% of older people are treated solely by the SUS and most of them receive care provided by GPs 18,19 . Studies on dementia detection involving medical students and physicians on the first year of medical residency programs in Brazil have shown the need to provide more in-depth education and training in the detection and diagnosis of cognitive impairments in older people 20,21,22 . This lack of training may be due to the teaching method used by medical schools, which until recently, focused on training students about serious illnesses involving hospital inpatients, with little emphasis on outpatient treatment, i.e., primary care.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes in dementia held by general practitioners in the primary care setting of Botucatu, São Paulo, Brazil

Mayoral

Boas

2021

Arq. Neuro-Psiquiatr.

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Background: Alzheimer's disease (AD) is the leading cause of dementia worldwide. Despite alarming evidence on dementia prevalence, the condition is still underdiagnosed by general practitioners (GPs) in primary care. Early detection of the disease is beneficial for patients and relatives, who should be provided comprehensive guidance on dealing with dementia complications, covering medical, family and social aspects, thereby providing an opportunity to plan for the future. Objective: The objective of this study was to assess the knowledge of and attitudes toward dementia held by GPs from a city in the interior of São Paulo State, Brazil. Methods: A non-randomized intervention study was conducted involving six lectures about dementia. Before and after the intervention, the participating physicians completed two quizzes about knowledge of and attitudes towards dementia. The study was carried out in the primary care services of the town and a total of 34 GPs participated in the study. Results: The mean age of the sample was 33.9 (±10.2) years and the majority (76.5%) of the sample had not undertaken medical residency training. The mean number of correct answers on the Knowledge Quiz about dementia before and after the training intervention was 59.6 and 71.2% (p<0.001), respectively. The comparison of the mean responses on the Attitude Quiz revealed no statistically significant difference between the two applications of the instrument, before and after intervention (p=0.059). Conclusions: More training for GPs on dementia should be provided.