Attitudes and Preferences Towards Screening for Dementia From the Perspectives of Healthcare Professionals: An Updated Systematic Review

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2025-02-20 DOI:10.1002/gps.70057

Ríona Mc Ardle, Abigail Dsouza, Alexander Hagan, Amani Al-Oraibi, Matilda Hanjari, Blossom C. M. Stephan, Carol Brayne, Louise Lafortune, Manpreet Bains, Nadeem Qureshi, Louise Robinson

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引用次数: 0

Abstract

Objectives

Approximately 55 million people are living with dementia globally. Global policies have suggested that screening for dementia in asymptomatic populations may support risk-reduction approaches to stem the rising numbers of people with the condition. A previous systematic review of literature up to 2012 indicated that healthcare professionals negatively view dementia screening; however, the research and clinical landscape has made significant advances in the last decade. Therefore, the aim of this systematic review is to re-examine the attitudes and preferences of healthcare professionals since 2012 regarding primary and community care-based dementia screening.

Methods

This review was pre-registered on PROSPERO (CRD42024531455) and followed PRISMA guidelines. Key terms relevant to the aim were input into six databases, and articles between 2012 and 2024 were considered. Titles, abstracts and full texts were independently screened by two reviewers. Articles were eligible for inclusion if peer-reviewed, written in English, considered primary or community care-based dementia screening and included healthcare perspectives from either quantitative or qualitative methods.

Results

From 18,732 identified titles, 19 articles were included in this review. Seventeen studies presented perspectives from primary care practitioners. Key findings suggest that healthcare professionals have mixed views regarding their willingness to conduct dementia screening, although limited studies suggest an interest in engaging in dementia risk reduction. Common influences on perspectives included knowledge, skills and training; resource provision; access to a dedicated screening service and referral pathways; and stigma.

Conclusions

These findings suggest that healthcare professionals' perspectives and resource are not aligned with international policies promoting dementia screening. When considering implementing evidence-based dementia screening in the future, a dedicated screening service is recommended.

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从医疗保健专业人员的角度对痴呆症筛查的态度和偏好：一项最新的系统综述

全球约有5500万人患有痴呆症。全球政策表明，在无症状人群中筛查痴呆症可能支持降低风险的方法，以遏制痴呆症患者人数的增加。之前对2012年文献的系统回顾表明，医疗保健专业人员对痴呆症筛查持负面看法；然而，在过去十年中，研究和临床领域取得了重大进展。因此，本系统综述的目的是重新审视自2012年以来医疗保健专业人员对初级和社区护理为基础的痴呆症筛查的态度和偏好。方法本综述在PROSPERO （CRD42024531455）上预注册，遵循PRISMA指南。将与目标相关的关键术语输入到六个数据库中，并考虑2012年至2024年之间的文章。题目、摘要和全文由两位审稿人独立筛选。通过同行评审、英文写作、考虑初级或社区护理为基础的痴呆症筛查，并包括定量或定性方法的医疗保健观点的文章符合入选条件。结果从18,732个已确定的标题中，纳入了19篇文章。17项研究提出了来自初级保健从业人员的观点。主要研究结果表明，尽管有限的研究表明，医疗保健专业人员对参与痴呆症风险降低的兴趣，但他们对进行痴呆症筛查的意愿有不同的看法。对观点的共同影响包括知识、技能和培训；资源供应;获得专门的筛查服务和转诊途径；和耻辱。这些研究结果表明，卫生保健专业人员的观点和资源与促进痴呆筛查的国际政策不一致。当考虑在未来实施循证痴呆筛查时，建议提供专门的筛查服务。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.