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Measuring primary care patients' attitudes about dementia screening

โœ Scribed by Malaz Boustani; Anthony J. Perkins; Patrick Monahan; Chris Fox; Lea Watson; John Hopkins; Bridget Fultz; Siu Hui; Frederick W. Unverzagt; Christopher M. Callahan; Hugh C. Hendrie


Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
82 KB
Volume
23
Category
Article
ISSN
0885-6230

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โœฆ Synopsis


Abstract

Objectives

To develop a questionnaire that will capture patients' attitudes about dementia screening in primary care.

Methods

Crossโ€sectional study of 315 patients aged 65 and older attending urban and rural primary care clinics in Indianapolis and North Carolina. The Perceptions Regarding Investigational Screening for Memory in Primary Care (PRISMโ€PC) questionnaire was administered via faceโ€toโ€face or telephone interview.

Results

The PRISMโ€PC questionnaire consists of two separate scales: the patient's acceptance of dementia screening scale and the patient's perceived harms and benefits of dementia screening scale. The face validity of the PRISMโ€PC questionnaire was based on a systematic literature review and the opinions of 16 clinicianโ€investigators with experience in screening for dementia. Exploratory factor analyses for the acceptance scale revealed the presence of two dimensions: knowledge about dementia risk and testing for dementia. For the benefits and harms scale, exploratory factor analyses identified four dimensions: perceived benefits of screening, stigma of screening, suffering from screening, and impact of screening on patients' independence. The internal consistency of each of the above subscales was good with Cronbach's alpha ranging from 0.58โ€“0.85.

Conclusion

The PRISMโ€PC questionnaire captures primary care patients' acceptance, perceived harms, and perceived benefits of dementia screening. Copyright ยฉ 2008 John Wiley & Sons, Ltd.


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