权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Cognitive Screening Made Easy for Primary Care Providers

初级保健提供者可以轻松进行认知筛查

基本信息

批准号：
10813948
负责人：
Joshua Tsukang Chang
金额：
$ 47.91万
依托单位：
UNIVERSITY OF TEXAS AT AUSTIN
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-30 至 2026-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10813948
关键词：
Address Age Alzheimer disease detection Alzheimer&apos s Disease Assessment tool Attention Benefits and Risks Blood Pressure Caring Cholesterol Cognition Cognitive Communication Dementia Development Diagnosis Disease Early Diagnosis Early identification Education Elderly Electronic Health Record Ethnic Origin Face Goals Health Professional Impaired cognition Individual Instruction Intervention Knowledge Label Measurement Measures Medical Medicare Memory Methods Participant Patients Persons Phase Play Population Preventive healthcare Primary Care Procedures Process Race Recommendation Reporting Research Risk Assessment Role Sampling Screening procedure Short-Term Memory Speech Testing Thinking Time United States Validation Visit Voice Work cognitive ability cognitive performance cognitive testing cost dementia risk effectiveness testing electronic health record system experience high risk indexing mild cognitive impairment patient population pilot test pressure prevent primary care clinic primary care provider primary care setting processing speed screening skills tool usability

项目摘要

Project Summary In the United States and around the world, people are living longer lives. As the population ages, so does the number of older adults who may experience declines in memory, attention, reasoning, or other thinking skills. Some of these changes in cognition can be treated and reversed if caught early. Others can be slowed down and hopefully one day prevented. Unfortunately, people with cognitive decline or very mild dementia often are not recognized until late in the disease course when treatments are less effective. As the first health care professional most people reach out to about medical concerns, primary care providers play a critical role in detecting cognitive decline early. While many primary care providers conduct cognitive screening at Medicare Annual Wellness Visits and when patients voice concerns, 9 out of 10 would like more information about who to screen, which assessment tool to use, and what to say if screening is positive. Deciding who to screen with a brief cognitive assessment tool is a key part of the process because not everyone needs to be screened, and primary care providers already face time pressures to address the obvious and immediate concerns of their patients. The long-term goal of this project is to develop a risk assessment and cognitive screening tool that requires minimal time and effort from primary care providers or their staff and is sensitive to cognitive decline in older adults from diverse educational and racial/ethnic backgrounds. The tool will be integrated into electronic health record systems to make it easy for primary care providers and patients to see results. The specific aims of the first phase of the project are to modify an existing dementia risk screening index to identify older adults who are at high-risk for cognitive impairment, develop a brief cognitive assessment tool using tasks that are easy for older adults to perform yet are sensitive to cognitive decline, confirm their utility in 150 people with varying levels of cognitive abilities that have already been well defined, and test ways to integrate findings into the electronic health record. The specific aims for the second phase are to further test the effectiveness of the newly developed tool in 250 older adults receiving care in a primary care clinic, to find out from primary care providers using the tool how much they liked it and if it was useful and easy to use, and to integrate findings into multiple electronic health record systems. Findings from this project will fill a gap in the existing toolkit of primary care providers and will make screening for cognitive decline quick, easy, and effective.

项目总结