Academic Centre of General Practice, Department of Public Health and Primary Care, University of Leuven, Leuven, Belgium.
Eur J Gen Pract. 2021 Dec;27(1):45-50. doi: 10.1080/13814788.2021.1913116.
In the migrant population, there is a higher risk of dementia. However, dementia is underdiagnosed in this population due to the underuse of appropriate screening tools. The Rowland Universal Dementia Assessment Scale (RUDAS) is designed for culturally and linguistically diverse populations.
To gain insights into the primary care cognitive screening strategy for dementia in migrants and to evaluate the experiences with the RUDAS tool by general practitioners (GPs).
GPs were questioned about barriers in dementia screening in the migrant population and asked to apply the RUDAS. A mixed-methods study was conducted among Flemish GPs. In an online survey, the currently used methods for screening for dementia in migrants and the barriers were investigated. In a qualitative pilot study, the user experience of the RUDAS scale was explored.
A total of 122/322 GPs participated (response rate 38%), 102 (83.6%) of all responding GPs mentioned language problems as the most apparent barrier. Most GPs believed the Mini Mental State Examination was inappropriate for migrants but they were unaware of an alternative. Due to lack of time and target population, only two GPs effectively applied the RUDAS. The tool was found easy to understand and less challenging in case of language problems. The main reason for not using RUDAS was the suspected time consumption.
GPs find screening for dementia in migrant patients a challenging act, mainly due to language barriers. GPs are not confident enough with the appropriate screening strategies and tools adjusted to the needs of migrant patients. GP: general practitioner; RUDAS: Rowland Universal Dementia Assessment Scale; MMSE: Mini Mental State Examination.
在移民群体中，痴呆的风险更高。然而，由于未能充分使用适当的筛查工具，该人群中的痴呆症诊断不足。罗兰通用痴呆评估量表（RUDAS）专为文化和语言多样化的人群设计。
深入了解移民人群中初级保健认知筛查痴呆症的策略，并评估全科医生（GP）使用 RUDAS 工具的经验。
向全科医生询问在移民人群中进行痴呆症筛查的障碍，并要求他们使用 RUDAS。在弗拉芒语区的全科医生中进行了一项混合方法研究。在一项在线调查中，研究了目前用于筛查移民人群中痴呆症的方法和障碍。在一项定性试点研究中，探讨了 RUDAS 量表的用户体验。
共有 122/322 名全科医生（回应率为 38%）参与，所有回应的全科医生中有 102 名（83.6%）提到语言问题是最明显的障碍。大多数全科医生认为 Mini-Mental State Examination 对移民不适用，但他们不知道有替代方法。由于缺乏时间和目标人群，只有两名全科医生有效地应用了 RUDAS。该工具被发现易于理解，且在语言问题方面具有挑战性。不使用 RUDAS 的主要原因是怀疑时间消耗。
全科医生发现筛查移民患者的痴呆症具有挑战性，主要是由于语言障碍。全科医生对适合移民患者需求的适当筛查策略和工具缺乏信心。
