Dementia assessment and diagnostic practices of healthcare workers in rural southwestern Uganda: a cross-sectional qualitative study

Kamoga, Ronald; Rukundo, Godfrey Zari; Wakida, Edith K.; Nakidde, Gladys; Obua, Celestino; Buss, Stephanie S.

doi:10.21203/rs.2.12551/v1

Cited by 4 publications

(5 citation statements)

References 7 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A qualitative study carried out in southwestern Uganda noted that health‐care staff did not have adequate specific mental health training for assessment and diagnosis of dementia. Health‐care workers with some specialized training in mental health were more likely to use neuropsychological tests and brain imaging in the diagnosis of dementia 135 …”

Section: Current Evidencementioning

confidence: 99%

Dementia in Africa: Current evidence, knowledge gaps, and future directions

Akinyemi

Yaria

Ojagbemi

et al. 2021

Alzheimer's & Dementia

View full text Add to dashboard Cite

In tandem with the ever-increasing aging population in low and middle-income countries, the burden of dementia is rising on the African continent. Dementia prevalence varies from 2.3% to 20.0% and incidence rates are 13.3 per 1000 person-years with increasing mortality in parts of rapidly transforming Africa. Differences in nutrition, cardiovascular factors, comorbidities, infections, mortality, and detection likely contribute to lower incidence. Alzheimer's disease, vascular dementia, and human immunodeficiency virus/acquired immunodeficiency syndrome-associated neurocognitive disorders are the most common dementia subtypes. Comprehensive longitudinal studies with robust methodology and regional coverage would provide more reliable information. The apolipoprotein E (APOE) ε4 allele is most studied but has shown differential effects within African ancestry compared to Caucasian. More candidate gene and genome-wide association studies are needed to relate to dementia phenotypes.Validated culture-sensitive cognitive tools not influenced by education and language differences are critically needed for implementation across multidisciplinary groupings such as the proposed African Dementia Consortium.

show abstract

Section: Current Evidencementioning

confidence: 99%

Dementia in Africa: Current evidence, knowledge gaps, and future directions

Akinyemi

Yaria

Ojagbemi

et al. 2021

Alzheimer's & Dementia

View full text Add to dashboard Cite

show abstract

“…Whilst the Netherlands are renowned for their advanced dementia care both in the community and in long-term care, there are huge variations between high-income and low-and middle-income countries (LMIC). Kamoga et al [15] explored dementia diagnosis and treatment in Uganda and found that health care workers generally had very little training on recognizing and treating dementia symptoms. Those health care workers who were able to recognize symptoms were more likely also to focus on treating other medical symptoms as opposed to those related to dementia.…”

mentioning

confidence: 99%

“Current dementia care: what are the difficulties and how can we advance care globally?”

Giebel

2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: Dementia is a growing global public health concern, with post-diagnostic care often very limited. Depending on where people live, both within a country and depending on high-, middle-, and low-income countries, they might also face barriers in accessing the right care at the right time. Therefore, it is important to highlight recent evidence on the facilitators and barriers to dementia care, but also evidence on how to move dementia care forward. Main text: Current dementia care is subject to several inequalities, including living in rural regions and being from a minority ethnic background. Evidence in this collection highlights the issues that both people living with dementia and unpaid carers are facing in accessing the right care, with evidence from Australia, Canada, Uganda, to the Netherlands, and further afield. Providing improved dementia-specific training to health care professionals and supporting medication and reablement interventions have been identified as possible ways to improve dementia care for all. Conclusions: This special issue focuses on recent evidence on inequalities in dementia care across the globe and how dementia care can be advanced in various areas.

show abstract

“…Most continuing education programs in Nigeria focus on other conditions often neglecting impact of physiotherapy in mental health. Qualitative interviewing of physiotherapists in Ireland (Foley et al, 2020) and other healthcare workers in Uganda (Kamoga et al, 2019) revealed little to no training on dementia in medical school and this causes them to lose confidence when caring for people with dementia and they sometimes ignore the symptoms and focus on other comorbidities of dementia. Although these two countries are in different continents and stages of development (developed and developing country) and have different educational system, it is seen that not much attention is paid to dementia during undergraduate training of healthcare professional including physiotherapists.…”

Section: Discussionmentioning

confidence: 99%

“…In Sub Saharan Africa, there is a dearth of studies on knowledge of dementia among health workers. Two of the articles which were found indicated poor knowledge due to lack of training in pre or post medical education and this made some health workers feel less confident and more uncomfortable whenever they encounter people living with dementia or other cognitive impairments (Cettomai et al, 2011; Kamoga et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Dementia knowledge among physiotherapists in Nigeria

2022

View full text Add to dashboard Cite

Background With the growing population of older adults in Nigeria comes a simultaneous rise in the incidence of dementia in the country. Adequate knowledge of dementia is needed to effectively administer interventions for persons living with dementia. Physiotherapy is one of the professions providing care for people with dementia. The aim of this study was to evaluate the knowledge of dementia among physiotherapists in Nigeria. Methods An online survey method was used to collect data from the sample population of practicing physiotherapists in Nigeria. Data was collected using the 21-item Dementia Knowledge Assessment Tool Version Two (DKAT2) and the respondents also provided some demographic information. Mann Whitney test, Kruskal Wallis test and Spearman’s rho correlation were used to test for association between the DKAT2 scores and the demographic variables and this association was further explored with multiple linear regression analysis. Results A total number of 223 physiotherapists participated in this study. The findings of the study show that there is limited knowledge of dementia among the physiotherapists. Number of years of professional experience and specialty groups predicted significantly higher knowledge scores. Conclusion The knowledge deficits found among physiotherapists in Nigeria indicate that older adults living with dementia might not be receiving the best evidence-based physiotherapy treatments for their condition. This research therefore advocates for an educational intervention to be carried out within the physiotherapy profession in order to improve the quality of services rendered to their patients.

show abstract

Dementia assessment and diagnostic practices of healthcare workers in rural southwestern Uganda: a cross-sectional qualitative study

Cited by 4 publications

References 7 publications

Dementia in Africa: Current evidence, knowledge gaps, and future directions

Dementia in Africa: Current evidence, knowledge gaps, and future directions

“Current dementia care: what are the difficulties and how can we advance care globally?”

Dementia knowledge among physiotherapists in Nigeria

Contact Info

Product

Resources

About