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Published in: BMC Health Services Research 1/2023

Open Access 01-12-2023 | Dementia | Research

Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice

Authors: Monica Zigman Suchsland, Barak Gaster, Jaqueline Raetz, Basia Belza, Lisa McGuire, Benjamin Olivari, Karen Tracy, Annette L. Fitzpatrick

Published in: BMC Health Services Research | Issue 1/2023

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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.
Literature
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Metadata
Title
Developing a cognitive assessment toolkit for primary care: qualitative assessment of providers’ needs and perceptions of usability in clinical practice
Authors
Monica Zigman Suchsland
Barak Gaster
Jaqueline Raetz
Basia Belza
Lisa McGuire
Benjamin Olivari
Karen Tracy
Annette L. Fitzpatrick
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2023
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-023-09991-7

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