Acceptance of and attitudes towards Alzheimer's disease screening in elderly German adults

Sarah R. Braun, Katinka Reiner, Christina Tegeler, Nina Bucholtz, Malaz A. Boustani, Elisabeth Steinhagen-Thiessen

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

ABSTRACT Background: Considering the discussion on implementing routine dementia screening in Germany, the objective of the current study was to validate the German version of the Perceptions Regarding Investigational Screening for Memory in Primary Care (PRISM-PC) questionnaire and to determine the acceptance of Alzheimer's disease screening in elderly German adults. Methods: The German version of the PRISM-PC was administered to a subsample of participants who attended the Berlin Aging Study II (n = 506). The questionnaire was validated by exploratory as well as confirmatory factor analysis. Results: Regarding acceptance of Alzheimer's disease screening (Section B) a single factor structure fitted best. In terms of attitudes regarding Alzheimer's disease (Section D), a hierarchical factor structure was modeled with the higher-order factor Harms covering the domains Family Burden, Dependence, Emotional Suffering, Stigma, and Medical Care on the one hand and the domain Future Planning on the other hand. Internal consistency of the different scales reached from α = 0.67 to α = 0.94. Overall, 71.2% of the participants indicated that they wanted to be screened for Alzheimer's disease on a regular basis. Conclusions: This study suggests that acceptance can reliably be assessed with the section Acceptance of Alzheimer's disease screenings of the German PRISM-PC questionnaire. Furthermore, the majority of elderly German adults would like to be screened for Alzheimer's disease regularly, which might be an effective starting point in order to implement routine dementia screenings. As the sample is a convenience sample of (relatively) healthy older adults, generalizability of these results is limited.

Original languageEnglish (US)
Pages (from-to)425-434
Number of pages10
JournalInternational Psychogeriatrics
Volume26
Issue number3
DOIs
StatePublished - Mar 1 2014

Keywords

  • Acceptance
  • Alzheimer's disease
  • Attitudes
  • Screening

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Gerontology
  • Clinical Psychology

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