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P2‐433: Patients’ attitudes and acceptance of dementia screening in primary care
Author(s) -
Fowler Nicole,
Gao Sujuan,
Frame Amie,
Perkins Anthony,
Monahan Patrick,
Boustani Malaz
Publication year - 2011
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2011.05.1306
Subject(s) - dementia , medicine , stigma (botany) , primary care , family medicine , disease , psychiatry , clinical psychology
Screening for Memory in Primary Care (PRISM-PC) instrument. The PRISM-PC includes scales for benefits, stigma, independence, and suffering which are scored from 0 (strongly disagree on all items) to 100 (strongly agree on all items) with 50 as a neutral score. Refusing diagnostic assessment for dementia was determined by the percentage of patients who screened positive on at least one of two written screening instruments MMSE or CSI-D) but subsequently refused a diagnostic assessment at a specialty clinic. Associations were assessed between scores on the PRISM-PC questionnaire, screening performance, and behavior regarding diagnostic assessment for those with a positive screen. Results: 497 individuals completed the PRISM-PC and agreed to dementia screening. Of those who agreed to screening, 63 (12.6%) screened positive. Among the 63 participants who screened positive, 21 (33.3%) accepted diagnostic assessment and 42 (66.6%) refused diagnostic assessment. Those who accepted diagnostic assessment did not differ in age, race, sex, education or income compared to those who refused diagnostic assessment. Individuals who refused diagnostic assessment following a positive screening test were more likely to live alone (p 1⁄4 0.008). A bivariate comparison of the mean PRISM-PC scores of participants who accepted a diagnostic assessment and participants who refused it (Table 1) showed that there was a significant difference in the domain score for stigma of dementia screening (35.2 vs. 42.0; P1⁄4 .045) but not in the domain scores for the benefits of dementia screening, the negative impact of dementia screening on independence, and the suffering related to dementia screening. Therewere also significant differences regarding the individual item that asked about agreement to be tested for Alzheimer’s disease with a short questionnaire (3.9 vs. 3.5; P1⁄4023). Conclusions: In order to improve acceptance of diagnostic assessments for dementia, development of a decision aid that describes the components of what a diagnostic assessment entails as well as emphasizing potential benefits of early identification and acknowledgment of the perceived stigmata of having a dementia diagnosis may reduce patient reluctance to undergo a diagnostics assessment for dementia. P2-433 PATIENTS’ ATTITUDES AND ACCEPTANCE OF DEMENTIA SCREENING IN PRIMARY CARE Nicole Fowler, Sujuan Gao, Amie Frame, Anthony Perkins, Patrick Monahan, Malaz Boustani, University of Pittsburgh, Pittsburgh, Pennsylvania, United States; Indiana University School of Medicine, Indianapolis, Indiana, United States; Indiana University Center for Aging Research, Indiana, Indiana, United States; 4 Indiana University School of Medicine, Indiana, Indiana, United States.