Related Experiment Video
Updated: Jun 2, 2025
12:18
A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
7.5K
Designing an intervention to improve cognitive evaluations in primary care.
Kyra S O'Brien1,2, Kristin Harkins3, MaryAnne Peifer4
1Department of Neurology, University of Pennsylvania Perelman School of Medicine, 3400 Spruce Street, 3W Gates, Philadelphia, PA, 19104, USA. kyra.o'brien@pennmedicine.upenn.edu.
Implementation Science Communications
|January 17, 2025
Summary
Early diagnosis of cognitive impairment is vital. This study identified barriers and facilitators to cognitive evaluations in primary care, leading to six promising strategies for improved dementia diagnosis.
Area of Science:
- Gerontology
- Primary Care Medicine
- Neuroscience
Background:
- Early diagnosis of Alzheimer's disease (AD) and related dementias is critical for patient management and access to therapies.
- Primary care providers (PCPs) often underdiagnose cognitive impairment, with significant variability in evaluation methods.
- Understanding barriers and facilitators is key to improving dementia diagnosis in primary care settings.
Purpose of the Study:
- To identify barriers and facilitators to cognitive evaluations in primary care.
- To map these barriers to implementation strategies.
- To reach consensus on strategies for improving dementia diagnosis in primary care.
Main Methods:
- Semi-structured interviews with 20 primary care providers (PCPs).
- Used Consolidated Framework for Implementation Research and chart-stimulated recall.
- Expert stakeholder panel utilized a modified Delphi process to narrow down strategies.
Main Results:
- Key barriers included lack of expertise, time pressures, and limited specialist access.
- Facilitators involved caregiver presence and additional staff for testing.
- 15 candidate strategies were narrowed to six promising interventions.
Conclusions:
- A rigorous process identified key barriers, facilitators, and promising implementation strategies for cognitive assessments.
- This work provides a foundation for future trials to improve primary care dementia diagnosis.
- Stakeholder consensus was achieved on strategies to enhance cognitive evaluations.
Related Concept Videos
01:15Nursing Evaluation
3.2K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.2K
01:17Cognitivism
1.4K
Cognitive psychology emerged as a significant field in the mid-20th century. It focused on understanding humans' internal mental processes. This approach emphasizes how people perceive, remember, think, and solve problems—elements critical to human cognition.
Previously dominated by behaviorism, which prioritized observable behaviors and largely ignored mental processes, psychology transformed in the 1950s. Cognitive psychologists argue that understanding how we think and process...
Previously dominated by behaviorism, which prioritized observable behaviors and largely ignored mental processes, psychology transformed in the 1950s. Cognitive psychologists argue that understanding how we think and process...
1.4K
01:13Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
01:25Cognitive Therapy
143
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
143
01:25Critical Thinking II
2.7K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
2.7K
01:30Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
95
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
95