Illness Behavior in the Aged

Levkoff, Sue E.; Cleary, Paul D.; Wetle, Terrie; Besdine, Richard W.

doi:10.1111/j.1532-5415.1988.tb06158.x

Cited by 58 publications

(4 citation statements)

References 49 publications

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“…The diverse meanings of dementia present opportunities for research. Theoretical models of health behaviors, such as the health belief and illness behavior models, emphasize that illness attributions may play an important role in shaping decisions to seek help or adhere to treatment recommendations 26,27 . For example, families who understand Alzheimer's disease as “normal aging” may be less likely to seek help or comply with treatment because they perceive the condition as less serious and treatments of less potential benefit than those who perceive it as a brain disease.…”

Section: Discussionmentioning

confidence: 99%

Conceptions of Dementia in a Multiethnic Sample of Family Caregivers

Hinton

Franz

Yeo

et al. 2005

J American Geriatrics Society

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128

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Understanding variability in conceptions of dementia in multiethnic populations is important to improve care and guide research. The objectives of this study were to describe caregiver conceptions of dementia using a previously developed typology and to examine the correlates of conceptions of dementia in a multiethnic sample. This is a cross-sectional study conducted in Boston and the San Francisco Bay area. Participants were a convenience sample of 92 family dementia caregivers from four ethnic/racial groups: African-American, Anglo European-American, Asian-American, and Latino. In-depth, qualitative interviews explored the caregivers' ideas about the nature and cause of dementia (i.e., explanatory models). Explanatory models of caregivers were categorized as biomedical, folk, or mixed (folk/biomedical). Quantitative analyses examined the association between ethnicity and other caregiver characteristics, and explanatory model type. Overall, 54% of caregivers, including 41% of Anglo European Americans, held explanatory models that combined folk and biomedical elements (i.e., mixed models). For example, many families attributed Alzheimer's disease and related dementias to psychosocial stress or normal aging. Ethnicity, lower education, and sex were associated with explanatory model type in bivariate analyses. In multiple logistic regression analysis, minority caregivers (P<.02) and those with less formal education (P<.02) were more likely to hold mixed or folk models of dementia. Although minority and nonminority caregivers often incorporated folk models into their understanding of dementia, this was more common in minority caregivers and those with less formal education. Further research on cross-ethnic differences in a larger, more-representative sample is needed.

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Section: Discussionmentioning

confidence: 99%

Conceptions of Dementia in a Multiethnic Sample of Family Caregivers

Hinton

Franz

Yeo

et al. 2005

J American Geriatrics Society

Self Cite

128

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“…18, 19 Patients may present with somatic rather than emotional complaints, decreasing the likelihood of being diagnosed with depression. 20, 21 Patients may also resist a diagnosis of depression and attribute their symptoms to physical causes or to ‘normal aging.’ 22-24 Patients often have limited knowledge about depression and available treatments. Unique help seeking patterns among certain population groups, stigma, and poor adherence have been also identified as barriers.…”

Section: Quality Of Depression Treatment In Primary Care Settingsmentioning

confidence: 99%

Geriatric Depression in Primary Care

Park¹,

Unützer²

2011

Psychiatric Clinics of North America

117

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Primary care settings present important opportunities for the detection and management of depression in older adults. As many as 10 % of older adults presenting in primary care have clinically significant depression, but only about half are recognized and only one in five depressed older adults receive effective treatment in primary care. We review common barriers to effective treatment such as atypical clinical presentations and comorbid medical conditions that are common in older adults. We identify treatment strategies such as measurement-based stepped care and collaborative care that can substantially improve the effectiveness of treatment in this setting and we highlight opportunities for addressing health disparities in geriatric depression care. We also point out the importance of engaging and supporting family caregivers of depressed older adults. We conclude by identifying three strategic areas to improve the treatment of geriatric depression in primary care: activation and engagement of patients and family members, health care provider training, and broader system changes.

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“…However, many patients did not actively seek help because they thought their memory loss was a natural part of aging or the result of stressful situations that happened suddenly. In fact, when people have memory issues, they tend to assume what the symptoms mean and try to interpret them as they want [ 26 ]. It is true that Chinese people traditionally view dementia as a part of normal aging and often do not believe they should seek medical help [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…It has been applied to analyze the help-seeking process of patients with Alzheimer’s disease (AD) and related disorders [ 22 – 25 ]. This model describes the process and is a comprehensive application of four behavioral phases: (1) disease and symptom experience, (2) symptom appraisal, (3) decision to seek care, and (4) contact with care providers [ 26 ]. This model may provide a theoretical basis for a further understanding of the help-seeking process of patients with MCI.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the help-seeking behavior in patients with mild cognitive impairment: a qualitative study

Jiao,

Chang,

Liu

et al. 2023

BMC Health Serv Res

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Background The early diagnosis and intervention of mild cognitive impairment (MCI) patients is expected to delay the progression of AD. Delayed treatment will lead to MCI patients missing the best intervention expectation. At present, the medical help-seeking behavior of this group is not optimistic. This study aimed to explore influencing factors of help-seeking behavior among patients with MCI in China based on the help-seeking behavior model. Methods Twenty-two patients with MCI were recruited to participate in semi-structured interviews via purposeful sampling with a qualitative, descriptive design. Data were analyzed by qualitative content analysis. Results The study revealed the main influencing factors of help-seeking behavior among MCI patients in China included perceived disease threat, symptom attribution, disease knowledge, use of cognitive compensation strategies, sense of foreseeable burden, social support, economic condition, and accessibility of medical service. Conclusions The help-seeking behavior of patients with MCI is affected by multiple factors. There are some key factors in different stages of the help-seeking process. Healthcare providers can utilize these factors to design targeted interventions for promoting early help-seeking of patients with MCI.

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Illness Behavior in the Aged

Cited by 58 publications

References 49 publications

Conceptions of Dementia in a Multiethnic Sample of Family Caregivers

Conceptions of Dementia in a Multiethnic Sample of Family Caregivers

Geriatric Depression in Primary Care

Factors influencing the help-seeking behavior in patients with mild cognitive impairment: a qualitative study

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