Caregivers’ Experience of Decision-Making regarding Diagnostic Assessment following Cognitive Screening of Older Adults

Targeted screening for dementia among older adults in primary healthcare has potential benefits such as better clinical outcomes and the opportunity to access services. Cognitive screening can be followed up by further diagnostic assessment to determine a diagnosis of dementia. Unfortunately, the ra...

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Main Authors: Jamie J. Y. Lee, Joanna Barlas, Claire L. Thompson, Yan Hong Dong
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2018/8352816
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author Jamie J. Y. Lee
Joanna Barlas
Claire L. Thompson
Yan Hong Dong
author_facet Jamie J. Y. Lee
Joanna Barlas
Claire L. Thompson
Yan Hong Dong
author_sort Jamie J. Y. Lee
collection DOAJ
description Targeted screening for dementia among older adults in primary healthcare has potential benefits such as better clinical outcomes and the opportunity to access services. Cognitive screening can be followed up by further diagnostic assessment to determine a diagnosis of dementia. Unfortunately, the rates of accepting further diagnostic assessment following cognitive screening are low. The objective of this study was to explore the caregivers’ decision-making process regarding uptake of diagnostic assessment following positive screening results. A qualitative design was employed, and interpretative phenomenological analysis was used to analyze the data. Three major themes in caregiver decision-making were identified: gathering information, protecting the patient, and balancing obligation and convenience in caregiving. These findings suggest that the decision-making process involved effort to process information through observations of the patient and that caregivers emphasized quality of life.
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series Journal of Aging Research
spelling doaj-art-ae8d738503724ebaa718704edfcbb4842025-08-20T03:39:00ZengWileyJournal of Aging Research2090-22042090-22122018-01-01201810.1155/2018/83528168352816Caregivers’ Experience of Decision-Making regarding Diagnostic Assessment following Cognitive Screening of Older AdultsJamie J. Y. Lee0Joanna Barlas1Claire L. Thompson2Yan Hong Dong3School of Psychology, James Cook University, SingaporeSchool of Psychology, James Cook University, SingaporeSchool of Psychology, Central Queensland University, Rockhampton, AustraliaCentre for Healthy Brain Ageing (CHeBA) and Dementia Collaborative Research Centre—Assessment and Better Care, School of Psychiatry, UNSW Medicine, The University of New South Wales, Sydney, AustraliaTargeted screening for dementia among older adults in primary healthcare has potential benefits such as better clinical outcomes and the opportunity to access services. Cognitive screening can be followed up by further diagnostic assessment to determine a diagnosis of dementia. Unfortunately, the rates of accepting further diagnostic assessment following cognitive screening are low. The objective of this study was to explore the caregivers’ decision-making process regarding uptake of diagnostic assessment following positive screening results. A qualitative design was employed, and interpretative phenomenological analysis was used to analyze the data. Three major themes in caregiver decision-making were identified: gathering information, protecting the patient, and balancing obligation and convenience in caregiving. These findings suggest that the decision-making process involved effort to process information through observations of the patient and that caregivers emphasized quality of life.http://dx.doi.org/10.1155/2018/8352816
spellingShingle Jamie J. Y. Lee
Joanna Barlas
Claire L. Thompson
Yan Hong Dong
Caregivers’ Experience of Decision-Making regarding Diagnostic Assessment following Cognitive Screening of Older Adults
Journal of Aging Research
title Caregivers’ Experience of Decision-Making regarding Diagnostic Assessment following Cognitive Screening of Older Adults
title_full Caregivers’ Experience of Decision-Making regarding Diagnostic Assessment following Cognitive Screening of Older Adults
title_fullStr Caregivers’ Experience of Decision-Making regarding Diagnostic Assessment following Cognitive Screening of Older Adults
title_full_unstemmed Caregivers’ Experience of Decision-Making regarding Diagnostic Assessment following Cognitive Screening of Older Adults
title_short Caregivers’ Experience of Decision-Making regarding Diagnostic Assessment following Cognitive Screening of Older Adults
title_sort caregivers experience of decision making regarding diagnostic assessment following cognitive screening of older adults
url http://dx.doi.org/10.1155/2018/8352816
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