Global Perspectives on Brief Cognitive Assessments for Dementia Diagnosis1
| Autor: | Lingani Mbakile-Mahlanza, Bruce L Miller, Maritza Pintado-Caipa, Elena Tsoy, Hany Ibrahim, Collette A. Goode, Suchanan Kanjanapong, Stelios Zygouris, Alissa Bernstein Sideman, Aya Ashour Mohamed, Stefanie D Piña Escudero, Victor Valcour, Tala Al-Rousan, Myriam De la Cruz Puebla, Katherine L. Possin, Maira Okada de Oliveira |
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| Rok vydání: | 2021 |
| Předmět: |
Gerontology
050103 clinical psychology Population computer.software_genre 03 medical and health sciences 0302 clinical medicine Videoconferencing Cultural diversity Health care medicine Dementia 0501 psychology and cognitive sciences education education.field_of_study business.industry General Neuroscience 05 social sciences Cognition General Medicine medicine.disease Psychiatry and Mental health Clinical Psychology Identification (information) Geriatrics and Gerontology business Psychology computer 030217 neurology & neurosurgery Qualitative research |
| Zdroj: | Journal of Alzheimer's Disease. 82:1001-1013 |
| ISSN: | 1875-8908 1387-2877 |
| Popis: | Background: Timely diagnosis of dementia is a global healthcare priority, particularly in low to middle income countries where rapid increases in older adult populations are expected. Objective: To investigate global perspectives on the role of brief cognitive assessments (BCAs) in dementia diagnosis, strengths and limitations of existing measures, and future directions and needs. Methods: This is a qualitative study of 18 dementia experts from different areas of the world. Participants were selected using purposeful sampling based on the following criteria: 1) practicing in countries with projected growth of older adult population of over 100%by 2050; 2) expertise in dementia diagnosis and treatment; 3) involvement in clinical practice and training; and 4) recognition as a national dementia expert based on leadership positions within healthcare system, research, and/or policy work. Participants were individually interviewed in their language of choice over secure videoconference sessions. Interviews were analyzed by a multidisciplinary team using theme identification approach. Results: Four domains with subthemes emerged illustrating participants’ perspectives: 1) strengths of BCAs; 2) limitations of BCAs; 3) needs related to the use of BCAs; and 4) characteristics of an ideal BCA. While most experts agreed that BCAs were important and useful for dementia diagnosis, the themes emphasized the need for development and validation of novel measures that are sensitive, psychometrically sound, and culturally appropriate. Conclusion: BCAs are important for guiding diagnosis and care for dementia patients. Findings provide a roadmap for novel BCA development to assist in diagnostic decision making for clinicians serving a rapidly growing and diverse dementia population. |
| Databáze: | OpenAIRE |
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