Patients' attitudes of dementia screening across the Atlantic

Background Dementia is a common and growing global public health problem. It leads to a high burden of suffering for society with an annual cost of $100 billion in the US and $10 billion in the UK. New strategies for both treatment and prevention of dementia are currently being developed. Implementa...

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Bibliographic Details
Published in:International journal of geriatric psychiatry 2009-06, Vol.24 (6), p.632-637
Main Authors: Justiss, Michael D., Boustani, Malaz, Fox, Chris, Katona, Cornelius, Perkins, Anthony J., Healey, Patrick J., Sachs, Greg, Hui, Siu, Callahan, Christopher M., Hendrie, Hugh C., Scott, Emma
Format: Article
Language:English
Subjects:
African Americans
Aged
Aged, 80 and over
Attitude to Health - ethnology
Biological and medical sciences
Comparative analysis
Cross-Cultural Comparison
Cross-Sectional Studies
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Dementia
Dementia - diagnosis
Dementia - psychology
Disease prevention
European Continental Ancestry Group
Female
Geriatric psychiatry
Geriatrics
Humans
Male
Mass Screening - psychology
Medical sciences
Medical screening
Medical treatment
Neurology
Older people
Patient Acceptance of Health Care
perceived harms and benefits
Prevention and actions
Primary care
Primary Health Care - organization & administration
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
screening acceptance
Studies
Surveys and Questionnaires
United Kingdom - epidemiology
United States - epidemiology
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Summary:Background Dementia is a common and growing global public health problem. It leads to a high burden of suffering for society with an annual cost of $100 billion in the US and $10 billion in the UK. New strategies for both treatment and prevention of dementia are currently being developed. Implementation of these strategies will depend on the presence of a viable community or primary care based dementia screening and diagnosis program and patient acceptance of such a program. Objective To compare the acceptance, perceived harms and perceived benefits of dementia screening among older adults receiving their care in two different primary health care systems in two countries. Design A Cross‐sectional study. Setting Primary care clinics in Indianapolis, USA and Kent, UK. Participants A convenience sample of 245 older adults (Indianapolis, n = 125; Kent, n = 120). Outcomes Acceptance of dementia screening and its perceived harms and benefits as determined by a 52‐item questionnaire (PRISM‐PC questionnaire). Results Four of the five domains were significantly different across the two samples. The UK sample had significantly higher dementia screening acceptance scores (p 
ISSN:0885-6230
1099-1166
DOI:10.1002/gps.2173