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A Mixed-Methods Study of the Impact of Mild Cognitive Impairment Diagnosis on Patient and Care Partner Perception of Health Risks.

Publication ,  Journal Article
Kimmel, HJ; Levine, DA; Whitney, RT; Forman, J; Plassman, BL; Fagerlin, A; Welsh-Bohmer, KA; Reale, BK; Galecki, AT; Blair, E; Langa, KM ...
Published in: J Alzheimers Dis
2022

BACKGROUND: Older patients (≥65 years) with mild cognitive impairment (MCI) are undertreated for cardiovascular disease (CVD). One reason for this disparity could be that patients with MCI might underestimate the chances of CVD and overestimate dementia. OBJECTIVE: To compare conceptions of health risk between older patients with MCI and normal cognition (NC) and their care partners. METHODS: We conducted a multi-center mixed-methods study of patient-care partner dyads completing written quantitative surveys (73% response rate; 127 dyads: 66 MCI and 61 NC) or semi-structured interviews (20 dyads: 11 MCI, and 9 NC). Surveys assessed two-year patient risks of dementia, heart attack, stroke, and fall. Interviews assessed similar health risks and reasons for risk perceptions. RESULTS: On surveys, a similarly low proportion of MCI and NC patients felt they were at risk of stroke (5% versus 2%; p = 0.62) and heart attack (2% versus 0%; p = 0.99). More MCI than NC patients perceived dementia risk (26% versus 2%; p < 0.001). Care partners' survey findings were similar. Interviews generally confirmed these patterns and also identified reasons for future health concerns. For both MCI and NC dyads, personal experience with cognitive decline or CVD (personal or family history) increased concerns about each disease. Additionally, perceptions of irreversibility and lack of treatment for cognitive decline increased concern about dementia. CONCLUSION: Less use of CVD treatments in MCI seems unlikely to be driven by differential perceptions of CVD risk. Future work to improve awareness of CVD risks in older patients and dementia risk in patients with MCI are warranted.

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Published In

J Alzheimers Dis

DOI

EISSN

1875-8908

Publication Date

2022

Volume

85

Issue

3

Start / End Page

1175 / 1187

Location

Netherlands

Related Subject Headings

  • Surveys and Questionnaires
  • Perception
  • Neurology & Neurosurgery
  • Male
  • Humans
  • Heart Disease Risk Factors
  • Female
  • Cognitive Dysfunction
  • Caregivers
  • Aged, 80 and over
 

Citation

APA
Chicago
ICMJE
MLA
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Kimmel, H. J., Levine, D. A., Whitney, R. T., Forman, J., Plassman, B. L., Fagerlin, A., … Zahuranec, D. B. (2022). A Mixed-Methods Study of the Impact of Mild Cognitive Impairment Diagnosis on Patient and Care Partner Perception of Health Risks. J Alzheimers Dis, 85(3), 1175–1187. https://doi.org/10.3233/JAD-215155
Kimmel, Hannah J., Deborah A. Levine, Rachael T. Whitney, Jane Forman, Brenda L. Plassman, Angela Fagerlin, Kathleen Anne Welsh-Bohmer, et al. “A Mixed-Methods Study of the Impact of Mild Cognitive Impairment Diagnosis on Patient and Care Partner Perception of Health Risks.J Alzheimers Dis 85, no. 3 (2022): 1175–87. https://doi.org/10.3233/JAD-215155.
Kimmel HJ, Levine DA, Whitney RT, Forman J, Plassman BL, Fagerlin A, et al. A Mixed-Methods Study of the Impact of Mild Cognitive Impairment Diagnosis on Patient and Care Partner Perception of Health Risks. J Alzheimers Dis. 2022;85(3):1175–87.
Kimmel, Hannah J., et al. “A Mixed-Methods Study of the Impact of Mild Cognitive Impairment Diagnosis on Patient and Care Partner Perception of Health Risks.J Alzheimers Dis, vol. 85, no. 3, 2022, pp. 1175–87. Pubmed, doi:10.3233/JAD-215155.
Kimmel HJ, Levine DA, Whitney RT, Forman J, Plassman BL, Fagerlin A, Welsh-Bohmer KA, Reale BK, Galecki AT, Blair E, Langa KM, Giordani B, Kollman C, Wang J, Zahuranec DB. A Mixed-Methods Study of the Impact of Mild Cognitive Impairment Diagnosis on Patient and Care Partner Perception of Health Risks. J Alzheimers Dis. 2022;85(3):1175–1187.

Published In

J Alzheimers Dis

DOI

EISSN

1875-8908

Publication Date

2022

Volume

85

Issue

3

Start / End Page

1175 / 1187

Location

Netherlands

Related Subject Headings

  • Surveys and Questionnaires
  • Perception
  • Neurology & Neurosurgery
  • Male
  • Humans
  • Heart Disease Risk Factors
  • Female
  • Cognitive Dysfunction
  • Caregivers
  • Aged, 80 and over