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Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
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Barriers to seeking care for memory problems: A vignette study.

Mireille Jacobson1,2,3, Elizabeth Joe4, Julie Zissimopoulos1,2,5

  • 1University of Southern California Davis School of Gerontology Los Angeles California USA.

Alzheimer'S & Dementia (New York, N. Y.)
|March 21, 2022
PubMed
Summary
This summary is machine-generated.

Older adults are less likely to seek follow-up for their own memory problems compared to similar issues in others. This highlights a potential barrier in early detection of cognitive impairment and dementia.

Keywords:
follow‐up carememory‐related problemsvignette study

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Area of Science:

  • Gerontology
  • Cognitive Health
  • Public Health

Background:

  • Older adults often face memory-related problems, necessitating timely healthcare follow-up.
  • Self-perception versus perception of peers can influence health-seeking behaviors in seniors.
  • Understanding these differences is crucial for effective cognitive health strategies.

Purpose of the Study:

  • To compare older adults' judgments on the need for follow-up care for memory issues.
  • To assess if self-referral versus other-referral impacts perceived need for healthcare consultation.
  • To explore implications for early detection of cognitive impairment and dementia.

Main Methods:

  • Survey administered to adults aged 65+ from the Understanding America Study internet panel.
  • Participants randomly assigned to vignettes describing memory problems about themselves or a peer.
  • Assessed likelihood of recommending follow-up discussion with a healthcare provider.

Main Results:

  • A significant majority (66.9%–90.5%) recognized the need for follow-up across vignettes.
  • Respondents were systematically less likely to recommend follow-up for self-described memory issues.
  • Differences ranged from -10.8 to -13.9 percentage points, indicating a self-bias.

Conclusions:

  • Seniors are more inclined to seek care for others' memory problems than their own.
  • This suggests that education on cognitive impairment symptoms alone may be insufficient.
  • Interventions should address self-perception biases to improve cognitive assessment rates.