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Computerized Cognitive Testing in Primary Care: A Qualitative Study.

Geneva Millett¹, Gary Naglie^2,3, Ross Upshur^4,5

¹Primary Care Research Unit, Department of Family & Community Medicine, Sunnybrook Health Sciences Centre.

Alzheimer Disease and Associated Disorders

|November 16, 2017

Summary

This summary is machine-generated.

Primary care physicians found computerized cognitive tests like CAMCI beneficial for early dementia detection. Despite initial concerns, PCPs noted high patient completion rates and positive experiences, highlighting time-saving advantages.

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Area of Science:

Gerontology
Primary Care Medicine
Neuroscience

Background:

Computerized cognitive assessment tools offer potential for early dementia identification in primary care.
Existing paper-based cognitive tests are perceived as time-consuming and insufficiently informative by primary care physicians (PCPs).

Purpose of the Study:

To investigate primary care physicians' (PCPs') views on the advantages and disadvantages of computerized cognitive testing.
To evaluate physician experiences with the Computer Assessment of Mild Cognitive Impairment (CAMCI) tool in a primary care setting.

Main Methods:

A study involving 259 patients aged 65 and older who completed the CAMCI tool.
Individual interviews were conducted with 12 participating PCPs to gather their perspectives on the CAMCI.
Data collection occurred over a 2-month period across 13 primary care practices.

Main Results:

PCPs generally felt patient-physician relationships facilitated cognitive testing.
Despite concerns about computer literacy, high CAMCI completion rates and positive patient experiences were observed.
PCPs valued the CAMCI's time-saving aspect and immediate report generation, suggesting report shortening and interpretation training.

Conclusions:

Computerized cognitive tools like CAMCI can effectively address PCPs' challenges with cognitive testing in primary care settings.
The study suggests that CAMCI is practical for primary care, with recommendations for improving its implementation.
Further development should focus on report conciseness and physician training for optimal utilization.