Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice

BMC Health Services Research

Research

Monica Zigman Suchsland¹  Jaqueline Raetz¹  Annette L. Fitzpatrick²  Barak Gaster³  Lisa McGuire⁴  Benjamin Olivari⁴  Basia Belza⁵  Karen Tracy⁶ 

[1] Department of Family Medicine, University of Washington, Box 356390, 1959 NE Pacific St, 98195-6390, Seattle, WA, USA;Department of Family Medicine, University of Washington, Box 356390, 1959 NE Pacific St, 98195-6390, Seattle, WA, USA;Departments of Epidemiology and Global Health, University of Washington, UW Box 351619, 98195, Seattle, WA, USA;Department of Medicine, University of Washington, Box 356420, 1959 NE Pacific St, 98195-6390, Seattle, WA, USA;National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road, 30329-4027, Atlanta, GA, USA;School of Nursing, University of Washington, Box 357260, 1959 NE Pacific St, 98195- 6390, Seattle, WA, USA;The Gerontological Society of America, 1220 L Street NW, Suite 901, 20005, Washington, DC, USA;

关键词: Dementia;    Cognition;    Memory;    Aging;    Assessment;    Evaluation;    Diagnosis;    Referral;   

DOI  :  10.1186/s12913-023-09991-7

 received in 2022-08-18, accepted in 2023-08-30,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundBurden of dementia is expected to substantially increase. Early dementia is underdiagnosed in primary care. Given the benefits of active management of dementia, earlier detection in primary care is imperative. The aim of this study was to understand primary care provider (PCP) perceptions of implementing a cognitive assessment toolkit in primary care.MethodsPCPs in a large health system in the US were recruited to a qualitative study utilizing semi-structured interviews. Interviews captured provider perceptions of options for implementing a cognitive assessment toolkit derived from the Gerontological Society of America (GSA) KAER (Kickstart, Assess, Evaluate, Refer) toolkit, including a workflow and adapted clinical tools. A content analysis approach distinguished themes and exemplary quotes.ResultsTen PCPs were interviewed. They found the toolkit useful, felt the term Kickstart was not specific to dementia care, and stressed that addressing cognitive evaluation would need to be easy to implement in a clinical workflow. Finally, providers knew many resources for referral but were unsure how to help patients navigate options.ConclusionsProviders stressed simplicity, ease, and efficiency for implementation of a cognitive assessment toolkit. Incorporating these findings into the development of clinical tools and workflows may increase cognitive evaluations conducted by PCPs.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023