Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-26T19:03:38.973Z Has data issue: false hasContentIssue false

Familiarity, knowledge, and preferences of family physicians regarding mild cognitive impairment

Published online by Cambridge University Press:  25 January 2013

Perla Werner*
Affiliation:
Department of Gerontology University of Haifa, Haifa, Israel
Jeremia Heinik
Affiliation:
Margoletz Psychogeriatric Center, Ichilov Hospital, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Eliezer Kitai
Affiliation:
Department of Family Medicine, Leumit Health Services, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
*
Correspondence should be addressed to: Prof. Perla Werner, Department of Gerontology, Faculty of Social Welfare and Health Sciences, University of Haifa, Mt. Carmel, Haifa 31905, Israel. Phone: 972-4-8249950; Fax: 972-4-8249946. Email: werner@research.haifa.ac.il.

Abstract

Background: Mild cognitive impairment (MCI) is a common condition among elderly persons. Its early identification is important because MCI can be a precursor of dementia. Since physicians’ knowledge and preferences regarding MCI can be critical in its identification, this study assessed family physicians’ familiarity, knowledge, and preferences regarding help-seeking, diagnosis, and treatment options for MCI.

Method: A convenience sample of 197 family physicians working in one of the largest Health Maintenance Organizations (HMOs) in Israel completed a structured questionnaire. Familiarity, knowledge, and preferences regarding diagnosis, help-seeking, and treatment of MCI were assessed.

Results: The majority of the participants had heard about MCI but a third of those familiar with the term reported knowing almost nothing about it. Participants’ objective knowledge was good regarding several causes of MCI, but 70% reported it to be caused by normal aging. Help-seeking and treatment preferences corresponded with the literature on MCI.

Conclusion: Our findings stress the need to broaden the understanding of primary care physicians’ knowledge and preferences regarding MCI. This research can guide in developing continuous education programs to strengthen areas and groups of physicians reporting low knowledge.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Albert, M. S.et al. (2011). The diagnosis of mild cognitive impairment due to Alzheimer's disease: recommendations from the national institute on aging and Alzheimer's association workgroup. Alzheimer's and Dementia, 7, 270279.CrossRefGoogle Scholar
American Psychiatric Association DSM-V Development. DSM-V: The future of Psychiatric Diagnosis. www.dsm5.org. Accessed October 10, 2012.Google Scholar
Bartlett, M. S. (1954). A note on the multiplying factors for various chi-square approximations. Journal of the Royal Statistical Society, 16, 296298.Google Scholar
Cahill, S., Clark, M., Walsh, C., O'Connell, H. and Lawlor, B. (2006). Dementia in primary care: the first survey of irish general practitioners. International Journal of Geriatric Psychiatry, 21, 319324.CrossRefGoogle ScholarPubMed
Day, K. L.et al. (2011). Prevention of cognitive impairment: physician perceptions and practices. Journal of Applied Gerontology, 31, 743754.CrossRefGoogle Scholar
Feldman, H. H. and Jacova, C. (2005). Mild cognitive impairment. American Journal of Geriatric Psychiatry, 13, 645655.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician”. Journal of Psychiatric Research, 12, 189–98.CrossRefGoogle ScholarPubMed
Frisoni, G., Canu, E., Geroldi, C., Zenetti, O. and Zacchi, V. (2006). Drug prescription in mild cognitive impairment: the physicians’ perspective in Italy. International Journal of Geriatric Psychiatry, 21, 10711077.CrossRefGoogle ScholarPubMed
Geda, Y. E.et al. (2010). Physical exercise and mild cognitive impairment: a population-based study. Archives of Neurology, 67, 8086.CrossRefGoogle ScholarPubMed
Gouni-Berthold, I. and Berthold, H. K. (2011). Role of physician gender in the quality of care of cardiometabolic diseases. Current Pharmaceutical Design, 17, 36903698.CrossRefGoogle ScholarPubMed
Joukar, F., Mansour-Ghanaei, F., Soati, F. and Meskinkhoda, P. (2012). Knowledge levels and attitudes of health care professionals toward patients with hepatitis C infection. World Journal of Gastroenterology, 18, 22382244.CrossRefGoogle ScholarPubMed
Kaduszkiewicz, H.et al. (2010). Do general practitioners recognize mild cognitive impairment in their patients? The Journal of Nutrition, Health, and Aging, 14, 697702.CrossRefGoogle ScholarPubMed
Kaiser, H. (1974). An index of factor simplicity. Psychometrika, 3, 3136.CrossRefGoogle Scholar
Lopez, O. L.et al. (2003). Prevalence and classification of mild cognitive impairment in the cardiovascular health study cognition study: part 1. Archives of Neurology, 60, 13851389.CrossRefGoogle ScholarPubMed
Lopponen, M., Raiha, I., Isoaho, R., Vahlberg, T. and Kivela, S. (2003). Diagnostic cognitive impairment and dementia in primary health – a more active approach is needed. Age and Ageing, 37, 606612.CrossRefGoogle Scholar
Luck, T., Luppa, M., Briel, S. and Riedel-Heller, S. G. (2010). Incidence of mild cognitive impairment: a systematic review. Dementia and Geriatric Cognitive Disorders, 29, 164175.CrossRefGoogle ScholarPubMed
Mitchell, A. J., Meader, N. and Pentzek, M. (2011). Clinical recognition of dementia and cognitive impairment in primary care: a meta-analysis of physician accuracy. Acta Psychiatrica Scandinavica, 124, 165183.CrossRefGoogle ScholarPubMed
Mitchell, T., Woodward, M. and Hirose, Y. (2008). A survey of attitudes towards the diagnosis and treatment of mild cognitive impairment in Australia and New Zealand. International Psychogeriatrics, 20, 7785.CrossRefGoogle ScholarPubMed
Olazaran, J.et al. (2011). Mild cognitive impairment and dementia in primary care: the value of medical history. Family Practice, 28, 385392.CrossRefGoogle ScholarPubMed
Petersen, R. C.et al. (2009). Mild cognitive impairment: ten years later. Archives of Neurology, 66, 14471455.CrossRefGoogle ScholarPubMed
Reiner, Z., Sonicki, Z. and Tedeschi-Reiner, E. (2010). Physicians’ perceptions and awareness of cardiovascular risk factors and adherence to prevention guidelines: the PERCRO-DOC survey. Atherosclerosis, 213, 598603.CrossRefGoogle ScholarPubMed
Roberts, J. S., Karlawish, J. H., Uhlmann, W. R., Petersen, R. C. and Green, R. C. (2010). Mild cognitive impairment in clinical care: a survey of american academy of neurology members. Neurology, 75, 425431.CrossRefGoogle Scholar
Rosenberg, P. B. and Lyketsos, C. (2008). Mild cognitive impairment: searching for the prodrome of Alzheimer's disease. World Psychiatry, 7, 7278.CrossRefGoogle ScholarPubMed
Sadowsky, C. H. and Galvin, J. E. (2012). Guidelines for the management of cognitive and behavioral problems in dementia. Journal of the American Board of Family Medicine, 25, 350366.CrossRefGoogle ScholarPubMed
Sarma, S., Devlin, R. A., Thind, A. and Chu, M. (2012). Canadian family physicians’ decision to collaborate: age, period and cohort effects. Social Science & Medicine, 75, 18111819.CrossRefGoogle ScholarPubMed
Serrano, C. M., Allegri, R. F., Caramelli, P., Taragano, F. E. and Camera, L. (2007). Mild cognitive impairment: survey of attitudes of specialists and general physicians. Medicina, 67, 1926.Google ScholarPubMed
Sorbi, S.et al. (2012). EFNS-ENS Guidelines on the diagnosis and management of disorders associated with dementia. European Journal of Neurology, 19, 11591179.CrossRefGoogle ScholarPubMed
Van den Dungen, P.et al. (2012). The accuracy of family physicians’ dementia diagnoses at different stages of dementia: a systematic review. International Journal of Geriatric Psychiatry, 27, 342354.CrossRefGoogle ScholarPubMed
Van Hout, H., Vernooioij-Dassen, M., Bakker, K., Blom, M. and Grol, R. (2000). General practitioners on dementia: tasks, practices and obstacles. Patient Education and Counseling, 39, 219225.CrossRefGoogle ScholarPubMed
Vellas, B., Cestac, P. and Moreley, J. E. (2012). Implementing frailty into clinical practice: we cannot wait. Journal of Nutrition, Health and Aging, 16, 599600.CrossRefGoogle ScholarPubMed
Werner, P. (2007a).Family physicians’ recommendations for help-seeking for a person with Alzheimer's disease. Aging Clinical and Experimental Research, 19, 356363.CrossRefGoogle ScholarPubMed
Werner, P. (2007b). Family physicians’ recommendations for the treatment of Alzheimer's disease. American Journal of Alzheimer's Disease and Other Dementias, 21, 403410.CrossRefGoogle Scholar
Werner, P. and Korczyn, A. D. (2008). Mild cognitive impairment: conceptual assessment, ethical, and social issues. Clinical Interventions in Aging, 3, 413420.CrossRefGoogle ScholarPubMed
Yesavage, J. A.et al. (2002). Modeling the prevalence and incidence of Alzheimer's disease and mild cognitive impairment. Journal of Psychiatric Research, 36, 281286.CrossRefGoogle ScholarPubMed