Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice
Abstract Background Burden 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) pe...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09991-7 |
| _version_ | 1797453427889930240 |
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| author | Monica Zigman Suchsland Barak Gaster Jaqueline Raetz Basia Belza Lisa McGuire Benjamin Olivari Karen Tracy Annette L. Fitzpatrick |
| author_facet | Monica Zigman Suchsland Barak Gaster Jaqueline Raetz Basia Belza Lisa McGuire Benjamin Olivari Karen Tracy Annette L. Fitzpatrick |
| author_sort | Monica Zigman Suchsland |
| collection | DOAJ |
| description | Abstract Background Burden 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. Methods PCPs 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. Results Ten 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. Conclusions Providers 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. |
| first_indexed | 2024-03-09T15:22:40Z |
| format | Article |
| id | doaj.art-ad9907aaa7bf437988e9fdbe840c1f0f |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-09T15:22:40Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-ad9907aaa7bf437988e9fdbe840c1f0f2023-11-26T12:43:27ZengBMCBMC Health Services Research1472-69632023-09-012311610.1186/s12913-023-09991-7Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practiceMonica Zigman Suchsland0Barak Gaster1Jaqueline Raetz2Basia Belza3Lisa McGuire4Benjamin Olivari5Karen Tracy6Annette L. Fitzpatrick7Department of Family Medicine, University of WashingtonDepartment of Medicine, University of WashingtonDepartment of Family Medicine, University of WashingtonSchool of Nursing, University of WashingtonNational Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and PreventionNational Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and PreventionThe Gerontological Society of AmericaDepartment of Family Medicine, University of WashingtonAbstract Background Burden 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. Methods PCPs 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. Results Ten 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. Conclusions Providers 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.https://doi.org/10.1186/s12913-023-09991-7DementiaCognitionMemoryAgingAssessmentEvaluation |
| spellingShingle | Monica Zigman Suchsland Barak Gaster Jaqueline Raetz Basia Belza Lisa McGuire Benjamin Olivari Karen Tracy Annette L. Fitzpatrick Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice BMC Health Services Research Dementia Cognition Memory Aging Assessment Evaluation |
| title | Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice |
| title_full | Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice |
| title_fullStr | Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice |
| title_full_unstemmed | Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice |
| title_short | Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice |
| title_sort | developing a cognitive assessment toolkit for primary care qualitative assessment of providers needs and perceptions of usability in clinical practice |
| topic | Dementia Cognition Memory Aging Assessment Evaluation |
| url | https://doi.org/10.1186/s12913-023-09991-7 |
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