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Family physicians’ recommendations for help-seeking for a person with Alzheimer’s disease

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Abstract

Background and aims: To assess family physicians’ recommendations for help-seeking for a person with Alzheimer’s disease, and their relation to knowledge about symptoms of the disease. Method: An experimental vignette method was used, with a nationally representative sample of 395 Israeli family physicians. Intentions to seek help from professional and non-professional sources and knowledge about 11 warning signs of Alzheimer’s disease (AD) and 4 non-AD symptoms was assessed. Results: With the exception of the spouse and children, family physicianswere more likely to recommend seeking help from professional than from non-professional sources. The main professional sources recommended concerned primary care. Participants were very knowledgeable about the symptoms of AD, and more knowledge about cognitive symptoms was associated with recommendations to seek help from specialists and primary care sources. Conclusions: The findings of this study emphasize the complexity of recommendations for help-seeking in the management of dementia, and stress the importance of improving physicians’ knowledge about symptoms of the disease and about guidelines suggesting collaboration with specialists and community professionals.

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References

  1. Leifer BP. Early diagnosis of Alzheimer’s disease: clinical and economic benefits. J Am Geriatr Assoc 2003; 51: S281–8.

    Article  Google Scholar 

  2. Downs MG. The role of general practice and the primary care team in dementia diagnosis and management. Int J Geriatr Psychiatry 1996; 11: 937–42.

    Article  Google Scholar 

  3. Feldman HH, Gauthier S, Chertkow H, Conn DK, Freedman M, Chris M. Canadian guidelines for the development of antidementia therapies: a conceptual summary. Can J Neurol Sc 2006; 33: 6–26.

    Google Scholar 

  4. Israeli Alzheimer’s Disease Association. First Consensus Conference on Alzheimer’s disease. Tel Aviv, 2002 (in Hebrew).

  5. Holzer C, Warshaw G. Clues to early Alzheimer dementia in the outpatient setting. Arch Fam Med 2006; 9: 1066–70.

    Article  Google Scholar 

  6. Turner S, Iliffe S, Downs M, et al. General practitioners’ knowledge, confidence and attitudes in diagnosis and management of dementia. Age Ageing 2004; 33: 461–7.

    Article  PubMed  Google Scholar 

  7. Riedel-Heller SG, Schorck A, Matschinger H, Angermeyer MC. The role of referrals in diagnosing dementia at the primary care level. Int Psychogeriatr 1999; 11: 251–62.

    Article  PubMed  CAS  Google Scholar 

  8. Lopponen M, Raiha I, Isoaho R, Vahkberet T, Kivela SL. Diagnosing cognitive impairment and dementia in primary health care — a more active approach is needed. Age Ageing 2003; 32: 606–12.

    Article  PubMed  Google Scholar 

  9. Waldorff FB, Dinesen O. Referral from general practice to diagnostic evaluation of dementia. Ugeskr Laeger 1999; 161: 5304–7.

    PubMed  CAS  Google Scholar 

  10. Kvamme OJ, Olesen F, Samuelson M. Improving the interface between primary and secondary care: a statement from the European Working Party on Quality in Family Practice (EquiP). Quality Health Care 2001; 10: 33–9.

    Article  CAS  Google Scholar 

  11. Chen H, Foo S, Ury W. Recognizing dementia. Western J Med 2002; 176: 267–70.

    Google Scholar 

  12. Snyder L. Care of patients with Alzheimer’s disease and their families. Clin Geriatr Med 2001; 17: 319–35.

    Article  PubMed  CAS  Google Scholar 

  13. Younes N, Gasquet I, Gaudebout P. et al. General practitioners’ opinions on their practice in mental health and their collaboration with mental health professionals. BMC Fam Pract 2005; 6: 18–24.

    Google Scholar 

  14. De Nooijer J, Lechner L, de Vries H. Help-seeking behaviour for cancer symptoms: perceptions of patients and general practitioners. Psycho-Oncology 2001; 10: 469–78.

    Article  PubMed  Google Scholar 

  15. Sheik I, Ogden J. The role of knowledge and beliefs in help seeking behaviour for cancer: a quantitative and qualitative approach. Patient Educ Counsel 1998; 35: 33–42.

    Google Scholar 

  16. Werner P. Knowledge about symptoms of Alzheimer’s disease: correlates and relationship to help-seeking behavior. Int J Geriatr Psychiatry 2003; 18: 1029–36.

    Article  PubMed  Google Scholar 

  17. Werner P. Beliefs about memory problems and help seeking in elderly persons: A qualitative analysis. Clin Gerontol 2004; 27: 19–30.

    Article  Google Scholar 

  18. Alzheimer’s Association: Ten warning signs of Alzheimer’s disease. http://www.alz.org/AboutAD/10Sings.htm. Accessed February 19, 2003.

  19. Jorm AF, Korten AE, Jacomb PA, Rodgers B, Pollitt P. Beliefs about the helpfulness of interventions for mental disorders: a comparison of general practitioners, psychiatrists, and clinical psychologists. Aus N Z J Psychiatry 1997; 31: 844–51.

    Article  CAS  Google Scholar 

  20. Kaiser H. An index of factor simplicity. Psychometrika 1974; 3: 31–6.

    Article  Google Scholar 

  21. Bartlett MS. A note on the multiplying factors for various chisquare approximations. J Royal Statist Soc 1954; 16: 296–8.

    Google Scholar 

  22. Cody M, Beck C, Shue VM, Pope S. Reported practices of primary care physicians in the diagnosis and management of dementia. Aging Ment Health 2002; 6: 72–6.

    Article  PubMed  CAS  Google Scholar 

  23. Williams I. What help do GPs want from specialist services in managing patients with dementia? Int J Geriatr Psychiatry 2000; 15: 758–61.

    Google Scholar 

  24. Ilife S, de Lepeleire J, van Hout H, Kenny G, Lewis A, Vernoouj-Dassen M; the Diadem group. Understanding obstacles to the recognition of and response to dementia in different European countries: a modified focus group approach using multinational, multi-disciplinary expert groups. Aging Mental Health 2005; 9: 1–6.

    Article  Google Scholar 

  25. Ganguli M, Du Y, Dodge HH, Ratcliff GG, Chang CC. Depressive symptoms and cognitive decline in late life: a prospective epidemiological study. Arch Gen Psychiatry 2006; 63: 153–60.

    Article  PubMed  Google Scholar 

  26. Omelan C. Approach to managing behavioural disturbances in dementia. Can Fam Physician 2006; 52: 191–9.

    PubMed  CAS  Google Scholar 

  27. Cahill S, Clark M, Walsh C, O’Connell H, Lawlor B. Dementia in primary care: the first survey of Irish general practitioners. Int J Geriatr Psychiatry 2006; 21: 319–24.

    Article  PubMed  Google Scholar 

  28. Wrigley S, Jackson H, Judd F, Komiti A. Role of stigma and attitudes toward help-seeking from a general practitioner for mental health problems in a rural town. Aust N Z J Psychiatry 2005; 39: 514–21.

    Article  PubMed  Google Scholar 

  29. Kuhn D. Part VIII. Psychosocial issues and approaches in patient and family care. Disease-a-Month 2000; 46: 768–80.

    CAS  Google Scholar 

  30. Field TS, Cadoret CA, Brown ML, et al. Surveying physicians: do components of the “total design approach” to optimizing survey response rates apply to physicians? Med Care 2002; 40: 596–605.

    Google Scholar 

  31. Caldwell TM, Jorm AF. Mental health nurses’ beliefs about interventions for schizophrenia and depression: a comparison with psychiatrists and the public. Aust N Z J Psychiatry 2000; 34: 602–11.

    Article  PubMed  CAS  Google Scholar 

  32. Lauber C, Nordt C, Rossler W. Recommendations of mental health professionals and the general population on how to treat mental disorders. Soc Psychiatry Psychiatr Epidemiol 2005; 40: 835–43.

    Article  PubMed  Google Scholar 

  33. van Hout HP, Vernooij-Dassen MJ, Jansen DA, Stalman WA. Do general practitioners disclose correct information to their patients suspected of dementia and their caregivers? A prospective observational study. Aging Mental Health 2006; 10: 151–5.

    Article  PubMed  Google Scholar 

  34. Vernooij-Dassen MJFJ, Moniz-Cook ED, Woods RT, et al. Factors affecting timely recognition and diagnosis of dementia across Europe: from awareness to stigma. Int J Geriatr Psychiatry 2005; 20: 377–86.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Gerontology, Faculty of Social Welfare and Health Sciences, University of Haifa, Mt. Carmel, Haifa, 31905, Israel

    Perla Werner PhD

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  1. Perla Werner PhD
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Correspondence to Perla Werner PhD.

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Werner, P. Family physicians’ recommendations for help-seeking for a person with Alzheimer’s disease. Aging Clin Exp Res 19, 356–363 (2007). https://doi.org/10.1007/BF03324715

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  • DOI: https://doi.org/10.1007/BF03324715

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