Fowler Nicole R, Perkins Anthony J, Turchan Hilary A, Frame Amie, Monahan Patrick, Gao Sujuan, Boustani Malaz A
Indiana University Center for Aging Research, Indianapolis, IN 46202, USA ; Regenstrief Institute, Inc., Indianapolis, IN 46202, USA ; Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Indiana University Center for Aging Research, Indianapolis, IN 46202, USA ; Regenstrief Institute, Inc., Indianapolis, IN 46202, USA.
J Aging Res. 2015;2015:423265. doi: 10.1155/2015/423265. Epub 2015 Apr 20.
Objective. To understand older primary care patients' perceptions of the risks and benefits of dementia screening and to measure the association between attitudes and screening behaviors. Methods. Eligible patients completed the Perceptions Regarding Investigational Screening for Memory in Primary Care (PRISM-PC) questionnaire and then were asked to undergo dementia screening by a telephone screening instrument. Results. Higher scores on the PRISM-PC questionnaire items that measure attitudes about benefits of screening were associated with decreased odds of refusing screening. Participants who refused screening had significantly lower PRISM-PC questionnaire scores on the items that measure perceived benefits compared to those who agreed to screening. Participants who refused screening were less likely to agree on screening for other conditions, such as depression and cancer. Participants who know someone with Alzheimer's disease (AD) were less likely to refuse screening. Discussion. Patients' attitudes about the benefits of dementia screening are associated with their acceptance of dementia screening.
目的。了解老年初级保健患者对痴呆筛查风险和益处的认知，并衡量态度与筛查行为之间的关联。方法。符合条件的患者完成了《初级保健中关于记忆调查性筛查的认知》（PRISM-PC）问卷，然后被要求通过电话筛查工具进行痴呆筛查。结果。PRISM-PC问卷中衡量对筛查益处态度的项目得分较高，与拒绝筛查的几率降低相关。与同意筛查的参与者相比，拒绝筛查的参与者在衡量感知益处的项目上PRISM-PC问卷得分显著更低。拒绝筛查的参与者不太可能同意对其他疾病进行筛查，如抑郁症和癌症。认识患有阿尔茨海默病（AD）患者的参与者拒绝筛查的可能性较小。讨论。患者对痴呆筛查益处的态度与他们对痴呆筛查的接受程度相关。
