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Published on: February 14, 2014
Help-seeking for cognitive problems in older adults without dementia: A systematic review
Nikki L Hill1, Emily Bratlee-Whitaker1, Andrea Sillner1
1College of Nursing, Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.
Older adults without dementia seek help for cognitive issues when problems are severe, they have support, and value early detection. Normalizing issues or seeing no benefit deters help-seeking.
Area of Science:
- Gerontology
- Cognitive Health
- Public Health
Background:
- Early identification of cognitive impairment is crucial for better outcomes.
- Understanding help-seeking behaviors in older adults is essential for timely diagnosis.
Purpose of the Study:
- To systematically review factors influencing help-seeking for cognitive problems in community-dwelling older adults without dementia.
Main Methods:
- A mixed-methods systematic review was conducted.
- Searches included major databases (PubMed, CINAHL, PsycINFO, Web of Science, ProQuest).
- Narrative synthesis integrated findings from 18 eligible studies.
Main Results:
- Facilitating factors included problem intensity, social support, valuing early detection, family history of dementia, and positive healthcare views.
- Barriers included normalizing cognitive problems, attributing them to psychosocial causes, and perceiving no benefit in disclosure.
Conclusions:
- Help-seeking decisions in older adults without dementia are influenced by unique factors.
- Findings have implications for developing interventions to improve early detection of cognitive impairment.
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