Acceptability and Results of Dementia Screening Among Older Adults in the United States

Author(s): Amanda Harrawood, Nicole R. Fowler*, Anthony J. Perkins, Michael A. LaMantia, Malaz A. Boustani.

Journal Name: Current Alzheimer Research

Volume 15 , Issue 1 , 2018

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Abstract:

Objectives: To measure older adults acceptability of dementia screening and assess screening test results of a racially diverse sample of older primary care patients in the United States.

Design: Cross-sectional study of primary care patients aged 65 and older.

Setting: Urban and suburban primary care clinics in Indianapolis, Indiana, in 2008 to 2009.

Participants: Nine hundred fifty-four primary care patients without a documented diagnosis of dementia.

Measurements: Community Screening Instrument for Dementia, the Mini-Mental State Examination, and the Telephone Instrument for Cognitive Screening.

Results: Of the 954 study participants who consented to participate, 748 agreed to be screened for dementia and 206 refused screening. The overall response rate was 78.4%. The positive screen rate of the sample who agreed to screening was 10.2%. After adjusting for demographic differences the following characteristics were still associated with increased likelihood of screening positive for dementia: age, male sex, and lower education. Patients who believed that they had more memory problems than other people of their age were also more likely to screen positive for dementia.

Conclusion: Age and perceived problems with memory are associated with screening positive for dementia in primary care.

Keywords: Dementia screening, Alzheimer's disease, primary care, diagnostic assessment, memory.

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Article Details

VOLUME: 15
ISSUE: 1
Year: 2018
Page: [51 - 55]
Pages: 5
DOI: 10.2174/1567205014666170908100905

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