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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：
10267188
负责人：
ROBIN C HILSABECK
金额：
$ 46.06万
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 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10267188
关键词：
Address Age Alzheimer disease detection Alzheimer&apos s Disease Assessment tool Attention Benefits and Risks Blood Pressure Caring Cholesterol Clinic Cognition Cognitive Dementia Development Diagnosis Disease Early Diagnosis Early identification Elderly Electronic Health Record Face Goals Health Professional Impaired cognition Individual Instruction Intervention Knowledge Label Measurement Measures Medical Medicare Memory Methods Participant Patients Phase Play Population Preventive healthcare Primary Health Care Procedures Process Recommendation Reporting Research Risk Assessment Role Sampling Screening procedure Short-Term Memory Speech System Testing Thinking Time United States Validation Visit Voice Work care providers cognitive ability cognitive performance cognitive testing cost dementia risk effectiveness testing experience high risk indexing mild cognitive impairment patient population pressure prevent primary care setting processing speed racial and ethnic 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.

项目摘要在美国和世界各地，人们的寿命越来越长。随着人口老龄化，许多老年人可能会经历记忆力、注意力、推理或其他思维能力的下降。如果及早发现，其中一些认知变化是可以治疗和逆转的。其他的可以慢下来希望有一天能被阻止不幸的是，患有认知能力下降或非常轻微的痴呆症的人通常直到病程后期治疗效果不佳时才被发现。作为第一个医疗保健专业的大多数人接触有关医疗问题，初级保健提供者发挥关键作用，及早发现认知能力下降虽然许多初级保健提供者在Medicare进行认知筛查，年度健康访问，当患者表达担忧时，10人中有9人希望了解更多关于谁的信息筛查，使用哪种评估工具，以及如果筛查结果为阳性，该怎么说。决定和谁一起看一个简短的认知评估工具是这个过程的关键部分，因为不是每个人都需要被筛选，初级保健提供者已经面临时间压力，以解决他们明显和直接的关注，患者该项目的长期目标是开发一种风险评估和认知筛查工具，需要初级保健提供者或其工作人员最少的时间和精力，来自不同教育和种族/民族背景的老年人。该工具将纳入电子健康记录系统，使初级保健提供者和患者更容易看到结果。具体目标该项目第一阶段的目标是修改现有的痴呆症风险筛查指数，有认知障碍高风险的人，开发一个简短的认知评估工具，老年人容易执行，但对认知能力下降敏感，在150人中证实了它们的效用，不同水平的认知能力，已经很好地定义，并测试方法，以整合研究结果，电子健康记录。第二阶段的具体目标是进一步测试在250名接受初级保健诊所护理的老年人中使用新开发的工具，使用该工具的供应商有多喜欢它，它是否有用和易于使用，并整合调查结果多个电子健康记录系统该项目的研究结果将填补现有工具包中的空白，初级保健提供者，并将使筛查认知能力下降快速，容易和有效。