Feasibility and Acceptability of the Informant AD8 for Cognitive Screening in Primary Healthcare: A Pilot Study
Objectives. The utility of informant AD8 for case finding of cognitive impairment at primary healthcare settings is unknown and therefore its feasibility and acceptability for targeted screening at a primary healthcare clinic should be investigated. Methods. The informants of older adult patients at...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/302834 |
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| author | YanHong Dong Tuck Seng Cheng Keith Yu Kei Tsou Qun Lin Chan Christopher Li-Hsian Chen |
| author_facet | YanHong Dong Tuck Seng Cheng Keith Yu Kei Tsou Qun Lin Chan Christopher Li-Hsian Chen |
| author_sort | YanHong Dong |
| collection | DOAJ |
| description | Objectives. The utility of informant AD8 for case finding of cognitive impairment at primary healthcare settings is unknown and therefore its feasibility and acceptability for targeted screening at a primary healthcare clinic should be investigated. Methods. The informants of older adult patients attending a primary healthcare clinic in Singapore were administered the AD8. Positive screening findings were provided to patients’ primary care physicians for referrals to specialist memory clinics. The acceptability of AD8 was evaluated by collecting feedbacks from the informants and primary care physicians. Results. 205 patients and their informants were recruited. However, 6 (2.9%) informants were uncontactable, while the majority of the remaining 199 patients with completed AD8 (96.5%, n=192) found it acceptable where 59 (29.6%) patients were deemed cognitively impaired (AD8 ≥ 2). Clinicians (100%, n=5) found the AD8 helpful in facilitating referrals to memory clinics. However, most referral recommendations (81.4%, n=48) were declined by patients and/or informant due to limited insight of implications of cognitive impairment. Conclusions. The AD8 can be easily administered and is well tolerated. It detected cognitive impairment in one-third of older adult patients and therefore may be useful for case finding of cognitive impairment in the primary healthcare. |
| format | Article |
| id | doaj-art-e07beca70e6b4d8c9dc392953bc03944 |
| institution | OA Journals |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-e07beca70e6b4d8c9dc392953bc039442025-08-20T02:21:29ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/302834302834Feasibility and Acceptability of the Informant AD8 for Cognitive Screening in Primary Healthcare: A Pilot StudyYanHong Dong0Tuck Seng Cheng1Keith Yu Kei Tsou2Qun Lin Chan3Christopher Li-Hsian Chen4Department of Pharmacology, National University Health System, Yong Loo Lin School of Medicine, Clinical Research Centre, MD11, Level 5, No. 05-9, 10 Medical Drive, 117597, SingaporeDepartment of Pharmacology, National University Health System, Yong Loo Lin School of Medicine, Clinical Research Centre, MD11, Level 5, No. 05-9, 10 Medical Drive, 117597, SingaporeNHG Polyclinics, National Healthcare Group, 6 Commonwealth Lane, Level 7, 01/02 GMTI Building, 149547, SingaporeDepartment of Pharmacology, National University Health System, Yong Loo Lin School of Medicine, Clinical Research Centre, MD11, Level 5, No. 05-9, 10 Medical Drive, 117597, SingaporeDepartment of Pharmacology, National University Health System, Yong Loo Lin School of Medicine, Clinical Research Centre, MD11, Level 5, No. 05-9, 10 Medical Drive, 117597, SingaporeObjectives. The utility of informant AD8 for case finding of cognitive impairment at primary healthcare settings is unknown and therefore its feasibility and acceptability for targeted screening at a primary healthcare clinic should be investigated. Methods. The informants of older adult patients attending a primary healthcare clinic in Singapore were administered the AD8. Positive screening findings were provided to patients’ primary care physicians for referrals to specialist memory clinics. The acceptability of AD8 was evaluated by collecting feedbacks from the informants and primary care physicians. Results. 205 patients and their informants were recruited. However, 6 (2.9%) informants were uncontactable, while the majority of the remaining 199 patients with completed AD8 (96.5%, n=192) found it acceptable where 59 (29.6%) patients were deemed cognitively impaired (AD8 ≥ 2). Clinicians (100%, n=5) found the AD8 helpful in facilitating referrals to memory clinics. However, most referral recommendations (81.4%, n=48) were declined by patients and/or informant due to limited insight of implications of cognitive impairment. Conclusions. The AD8 can be easily administered and is well tolerated. It detected cognitive impairment in one-third of older adult patients and therefore may be useful for case finding of cognitive impairment in the primary healthcare.http://dx.doi.org/10.1155/2014/302834 |
| spellingShingle | YanHong Dong Tuck Seng Cheng Keith Yu Kei Tsou Qun Lin Chan Christopher Li-Hsian Chen Feasibility and Acceptability of the Informant AD8 for Cognitive Screening in Primary Healthcare: A Pilot Study The Scientific World Journal |
| title | Feasibility and Acceptability of the Informant AD8 for Cognitive Screening in Primary Healthcare: A Pilot Study |
| title_full | Feasibility and Acceptability of the Informant AD8 for Cognitive Screening in Primary Healthcare: A Pilot Study |
| title_fullStr | Feasibility and Acceptability of the Informant AD8 for Cognitive Screening in Primary Healthcare: A Pilot Study |
| title_full_unstemmed | Feasibility and Acceptability of the Informant AD8 for Cognitive Screening in Primary Healthcare: A Pilot Study |
| title_short | Feasibility and Acceptability of the Informant AD8 for Cognitive Screening in Primary Healthcare: A Pilot Study |
| title_sort | feasibility and acceptability of the informant ad8 for cognitive screening in primary healthcare a pilot study |
| url | http://dx.doi.org/10.1155/2014/302834 |
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