Systematic Review Investigating Multi-disciplinary Team Approaches to Screening and Early Diagnosis of Dementia in Primary Care – What are the Positive and Negative Effects and Who Should Deliver It?

Smith, Toby; Cross, Jane; Poland, Fiona; Clay, Felix; Brookes, Abbey; Maidment, Ian; Penhale, Bridget; Laidlaw, Ken; Fox, Chris

doi:10.2174/1567205014666170908094931

Cited by 12 publications

(18 citation statements)

References 41 publications

(167 reference statements)

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“…Consistent with this finding, a qualitative study showed that self-perceived susceptibility to illness may affect ones acceptance of dementia screening. 21 Therefore, people who feel poor health status may be more 25 To solve this issue, it recommends that screening by primary care physicians with quick referral to specialists to confirm the possibility of early dementia for initiation of treatment is recommended. 26 The Japanese government established a training system for physicians certified as Dementia Support Doctors (DSD); the DSD supports older people with dementia from the early stages and provide primary care doctors and care workers with necessary education.…”

Section: Factors Associated With Willingness To Use Subsidized Systemmentioning

confidence: 99%

Intention to undergo dementia screening in primary care settings among community‐dwelling older people

Aihara

Maeda

2020

Int J Geriat Psychiatry

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To improve the quality of care for people with dementia, several local governments in Japan have implemented a subsidized system for screening of dementia. This cross‐sectional study aimed to identify factors that promote public intention to undergo dementia screening. A postal survey was conducted in a residential area that lies across the two cities which started a subsidized system for dementia screening. Semi‐structured questionnaires were distributed to community‐dwelling people aged ≥65 years; a total of 2269 persons were included in the analysis. χ2 test and multiple logistic regression analysis were used to identify factors associated with the willingness to undergo dementia screening. Among the people with dementia, only 28% had undergone a screening test for dementia. The participants who were certified of public long‐term care need tended to undergo dementia screening. Approximately 67% of the participants were willing to undergo a dementia diagnosis test. Younger age, female sex, perceived poor health status, having a primary care physician, and independent daily activity level were associated with a greater willingness to undergo dementia screening using a subsidized system. Our study showed that majority of people with possible dementia do not undergo dementia screening. However, majority of people were willing to use a subsidized system for dementia screening. Further studies are required to support the benefits of a subsidized dementia screening in primary care settings. J Am Geriatr Soc 68:‐, 2020.

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Section: Factors Associated With Willingness To Use Subsidized Systemmentioning

confidence: 99%

Intention to undergo dementia screening in primary care settings among community‐dwelling older people

Aihara

Maeda

2020

Int J Geriat Psychiatry

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“…The study by Vandentorren et al (pp. 207–214) following the Paris terrorist attacks shows that 11%, 18% and 31% of civilians developed symptoms of depression, post-traumatic stress disorder and anxiety, respectively, after 6 months; symptom levels were much lower among rescue workers, although longer-term follow-up may show greater health problems 6 – 8 …”

Section: Big Data and Clinical Epidemiologymentioning

confidence: 99%

“…What might the plight have been of people with dementia, a condition now known to affect 50 million people globally at a cost of $1 trillion? 9 More people are being diagnosed with dementia in the UK, and care standards are improving 10 . More research is now needed, not only on biological–cellular and lifestyle-focused prevention, but also on care processes and support for patients, with implications for all health professionals and teams in primary and secondary care 6 , 11 . Doctors appear to struggle with the delivery of a dementia diagnosis in memory clinics and vary from being sensitive-suggestive to abrupt, the latter surprisingly being more prominent with those with more significant impairments (Dooley et al , pp.…”

Section: Language Mattersmentioning

confidence: 99%

Futuristic prevention science and therapeutic conversations

Bhui¹

2018

Br J Psychiatry

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“…GPs report barriers to making a dementia diagnosis. They may resist undertaking a cognitive assessment because of concerns about conferring stigma related to dementia (Gove, Downs, Vernooij-Dassen, & Small, 2016); or due to uncertainty about how useful an early diagnosis can be if interventions and support are absent (Fox, Lafortune, Boustani & Brayne, 2013;Smith et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Relational experiences of people seeking help and assessment for subjective cognitive concern and memory loss

Birt

Poland

Charlesworth

et al. 2019

Aging & Mental Health

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Objective: To understand the experience of people who seek help for subjective cognitive concern and memory loss, including people not referred for further assessment. To understand the patients' perspective of the medical process of receiving a cognitive assessment. This work is situated within the context of policy priorities for dementia diagnosis. Methods: Participants with and without dementia were recruited through NHS trusts and community organisations in four regional areas in England. Data were collected using longitudinal qualitative interviews. Transcript data were thematically analysed. Results: Sample of 41 people (mean 75 years, 25 dementia diagnoses). Interpretative thematic analyses focused on the presence or absence of trust in relational experiences. There were three transition points where trust could be specifically developed or undermined: 1) deciding to seek help; 2) healthcare practitioners' response to help-seeking; 3) process and outcome of assessment. Triggers for help-seeking for subjective cognitive concern were being prompted by family and knowing a relative with dementia. When participants perceived healthcare practitioners' behaviour as dismissive, they had less trust in the outcome of the healthcare encounter. Misunderstandings and absence of trust in assessment processes led to participants stating they did not fully agree with the outcomes of the assessment. Conclusions: Healthcare practitioners have an important role in supporting people with subjective cognitive concern ensuring patients have trust in assessment outcomes. Where the validity of the assessment process is seen as ambiguous, people can be left dealing with uncertainty, rather than being clear about ways they can manage their condition, situation or status.

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Systematic Review Investigating Multi-disciplinary Team Approaches to Screening and Early Diagnosis of Dementia in Primary Care – What are the Positive and Negative Effects and Who Should Deliver It?

Abstract: Early diagnostic and screening programmes have not been widely adopted into primary care. Until there is rigorous evidence assessing the clinical and cost-effectiveness of such programmes, there remains insufficient evidence to support the adoption of these programmes in practice.

Cited by 12 publications

References 41 publications

Intention to undergo dementia screening in primary care settings among community‐dwelling older people

Intention to undergo dementia screening in primary care settings among community‐dwelling older people

Futuristic prevention science and therapeutic conversations

Relational experiences of people seeking help and assessment for subjective cognitive concern and memory loss

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