Caregivers’ experience of decision-making regarding diagnostic assessment following cognitive screening of older adults

Lee, Jamie J.Y., Barlas, Joanna, Thompson, Claire L., and Dong, Yan Hong (2018) Caregivers’ experience of decision-making regarding diagnostic assessment following cognitive screening of older adults. Journal of Aging Research, 2018. 8352816.

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Targeted screening for dementia among older adults in primary healthcare has potential benefits such as better clinical outcomes and the opportunity to access services. Cognitive screening can be followed up by further diagnostic assessment to determine a diagnosis of dementia. Unfortunately, the rates of accepting further diagnostic assessment following cognitive screening are low. The objective of this study was to explore the caregivers’ decision-making process regarding uptake of diagnostic assessment following positive screening results. A qualitative design was employed, and interpretative phenomenological analysis was used to analyze the data. Three major themes in caregiver decision-making were identified: gathering information, protecting the patient, and balancing obligation and convenience in caregiving. These findings suggest that the decision-making process involved effort to process information through observations of the patient and that caregivers emphasized quality of life.

Item ID: 56474
Item Type: Article (Research - C1)
ISSN: 2090-2212
Keywords: dementia, caregivers, decision-making, qualitative, interpretative phenomenological analysis
Copyright Information: Copyright © 2018 Jamie J. Y. Lee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Funders: James Cook Univesity (JCU)
Projects and Grants: JCU Singapore Research Publication Fund
Date Deposited: 03 Dec 2018 23:26
FoR Codes: 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920112 Neurodegenerative Disorders Related to Ageing @ 100%
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