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Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
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Shared decision making in mild cognitive impairment.

Andrea M Mejia1, Glenn E Smith1, Meredith Wicklund1

  • 1Department of Clinical and Health Psychology (AMM, GES), University of Florida College of Public Health and Health Professions; and Department of Neurology (MW, MJA), University of Florida College of Medicine, Gainesville, FL.

Neurology. Clinical Practice
|May 2, 2019
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Summary
This summary is machine-generated.

Shared decision making (SDM) helps patients with mild cognitive impairment (MCI) voice preferences for current and future care. Optimizing SDM in neurology practice requires addressing barriers and supporting clinicians in facilitating these crucial conversations.

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Area of Science:

  • Neurology
  • Gerontology
  • Health Psychology

Background:

  • Shared decision making (SDM) is crucial for aligning healthcare choices with patient values.
  • Patients with mild cognitive impairment (MCI) face unique challenges in expressing preferences.
  • Clinicians often underutilize SDM with patients experiencing cognitive decline.

Purpose of the Study:

  • To review research on SDM for individuals with MCI.
  • To identify barriers and facilitators of SDM in MCI.
  • To propose strategies for optimizing SDM in clinical neurology.

Main Methods:

  • Literature review of studies on value solicitation, evidence appraisal, and decision-making in MCI.
  • Exploration of the role of caregivers in SDM.
  • Analysis of barriers and facilitators impacting SDM for MCI patients.

Main Results:

  • SDM allows MCI patients to articulate values for present and future decisions.
  • Caregivers play a significant role in supporting SDM for individuals with MCI.
  • Numerous barriers hinder effective SDM, necessitating targeted strategies.

Conclusions:

  • Optimizing SDM for MCI patients requires specific interventions in clinical practice.
  • Further research is needed to develop effective decision-support tools for cognitive impairment.
  • Enhancing SDM can improve patient-centered care for those with MCI.