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Public Health
Sylvia Peng1, Tamara J LeCaire2, Molly Schroeder2
1UW Madison School of Medicine and Public Health, Madison, WI, USA.
Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
Summary
Healthcare professionals report significant gaps in identifying and managing behavioral and psychological symptoms of dementia (BPSD). Tailored educational programs are needed to improve care for persons living with dementia (PLWD).
Area of Science:
- Gerontology
- Neurology
- Healthcare Management
Background:
- 6.7 million Americans lived with Alzheimer's disease in 2023.
- Primary care providers (PCPs) manage most dementia care but report limited training and self-efficacy in handling behavioral and psychological symptoms of dementia (BPSD).
- BPSD negatively impact quality of life and survival for persons living with dementia (PLWD).
Purpose of the Study:
- To assess healthcare professionals' identified gaps and needs in managing BPSD.
- To inform the development of targeted educational programs for BPSD management.
Main Methods:
- A survey was distributed to healthcare providers in the Wisconsin Alzheimer's Institute (WAI) Dementia Diagnostic Clinic Network.
- Snowball sampling was used to expand respondent recruitment.
- Mixed methods approaches were used to analyze quantitative and qualitative data on BPSD identification and management practices, gaps, and needs.
Main Results:
- 45 healthcare professionals completed the survey.
- A majority of respondents reported gaps in identifying (53%) and managing (56%) BPSD.
- Identified gaps include diagnostic accuracy, BPSD knowledge, resource access, and staff training; 31% lacked confidence in managing sexually inappropriate behaviors.
Conclusions:
- Prevalent gaps exist in healthcare professionals' ability to identify and manage BPSD.
- Educational programming tailored to identified needs is recommended to enhance BPSD management.
- The ultimate goal is to improve the quality of life for PLWD by increasing healthcare professionals' knowledge and confidence.
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