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P1‐523: DOES SOCIAL PARTICIPATION PREDICT THE TRAJECTORY OF COGNITIVE DECLINE IN ADULT AFRICAN AMERICANS?
Author(s) -
Rodriguez Eduardo D.,
Lindauer Allison,
Mattek Nora,
Dodge Hiroko H.,
Kaye Jeffrey A.
Publication year - 2019
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.2019.06.1128
Subject(s) - dementia , gerontology , context (archaeology) , cognitive decline , psychology , cohort , longitudinal study , population , social engagement , medicine , disease , demography , paleontology , social science , environmental health , pathology , sociology , biology
reporting no or minimal confidence (Table 2). Half (50.7%) reported low self-rated competence for managing risk of harm in PwD. While respondents believed strongly that PwD can benefit from MH treatment, system inadequacies and training deficits were identified as key barriers to services (Table 3). Interest in geriatric training topics was high (Table 4). Compared to providers serving <50% older adults, those serving >50% endorsed greater self-rated competence to manage risk among PwD (c1⁄46.25(1), p1⁄4.012). There were no group differences in perceived barriers or confidence in providing services to PwD and caregivers. Conclusions: VA MH providers represent an underutilized resource in dementia care. MH providers place high importance on having skills to work with PwD and caregivers and believe that PwD can benefit from MH treatment. Nevertheless, they report modest self-confidence in providing these services, including clinical management of risk of harm. Interest in dementia-related training is high. In addition to the development of targeted provider training, systemlevel barriers to providingMH services to PwD should be evaluated and addressed. day, July 14, 2019