Dale William, Hemmerich Joshua, Hill Emily K, Hougham Gavin W, Sachs Greg A
Section of Geriatrics, University of Chicago, Chicago, IL 60637, USA.
Alzheimer Dis Assoc Disord. 2008 Apr-Jun;22(2):144-52. doi: 10.1097/WAD.0b013e318161103c.
Our purpose was to determine the factors that correlate with healthy older adults' intention to get tested for mild cognitive impairment (MCI) under 3 different hypothetical conditions: (1) if they noticed they were having memory problems; (2) if a family member suggested that they are having memory problems; or (3) as part of a regular medical examination. Older adults were recruited from the waiting rooms of 2 geriatrics outpatient clinics for face-to-face interviews regarding their interest in being screened for MCI. A short description of MCI adapted from The Alzheimer's Association's "Fact Sheet" was presented before asking about MCI testing. Multivariable ordinal regression was used to account for heavily skewed outcome data showing very high levels of interest in screening for MCI. The strongest, most consistent correlate across all of the intention measures was the desire to know as early as possible if one has Alzheimer disease. Another robust correlate was having had normal memory testing in the past. Older adults appear to have psychologically connected MCI to Alzheimer disease, but how well they understand this connection is not known and requires further study.
我们的目的是确定在三种不同假设条件下，与健康老年人进行轻度认知障碍（MCI）检测意愿相关的因素：（1）如果他们注意到自己有记忆问题；（2）如果家庭成员暗示他们有记忆问题；或（3）作为常规体检的一部分。从两家老年病门诊的候诊室招募老年人，就他们对MCI筛查的兴趣进行面对面访谈。在询问MCI检测之前，先给出了一份改编自阿尔茨海默病协会“情况说明书”的MCI简短描述。多变量有序回归用于处理严重偏态的结果数据，这些数据显示出对MCI筛查的极高兴趣。在所有意愿测量指标中，最强、最一致的相关因素是尽早知道自己是否患有阿尔茨海默病的愿望。另一个有力的相关因素是过去记忆测试结果正常。老年人似乎在心理上已将MCI与阿尔茨海默病联系起来，但他们对这种联系的理解程度尚不清楚，需要进一步研究。
