Caregiver and noncaregiver attitudes toward dementia screening

Malaz A. Boustani, Michael D. Justiss, Amie Frame, Mary G. Austrom, Anthony J. Perkins, Xueya Cai, Greg A. Sachs, Alexia M. Torke, Patrick Monahan, Hugh C. Hendrie

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

OBJECTIVES: To compare attitudes toward dementia screening of older adults with and without an experience of dementia caregiving. DESIGN: A cross-sectional study. SETTING: Primary care clinics in Indianapolis, Indiana. PARTICIPANTS: Eighty-one participants with dementia caregiving experience (CG) and a random sample of 125 participants without dementia caregiving experience (NCG). MEASUREMENTS: Attitudes of dementia screening, including acceptance of dementia screening and its perceived harms and benefits, as determined according to the Perceptions Regarding Investigational Screening for Memory in Primary Care questionnaire. RESULTS: After adjusting for age, race, sex, and education, CGs had a lower dementia screening acceptance mean score (53.9 vs 60.6; P=.03) and a higher perceived suffering score (61.6 vs 55.9, P=.04) than NCGs, but there were no differences in perceived benefits of dementia screening (72.8 vs 69.0; P=.50), perceived stigma (32.9 vs 37.5; P=.12), and perceived negative effect on independence (47.6 vs 54.0; P=.20). The top three barriers to screening identified by both groups were emotional suffering by the family (86% of CGs and 75% of NCGs), loss of driving privileges (75% of CGs and 78% of NCGs), and becoming depressed (64% of CGs and 43% of NCGs). CONCLUSION: The experience of being a dementia caregiver may influence one's own attitude about accepting dementia screening for oneself.

Original languageEnglish (US)
Pages (from-to)681-686
Number of pages6
JournalJournal of the American Geriatrics Society
Volume59
Issue number4
DOIs
StatePublished - Apr 1 2011

Keywords

  • caregivers
  • dementia
  • perceived harms and benefits
  • primary care
  • screening acceptance

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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