Wiese Lisa Kirk, Williams Ishan C, Schoenberg Nancy E, Galvin James E, Lingler Jennifer
C. E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA.
University of Virginia School of Nursing, Charlottesville, VA, USA.
Gerontol Geriatr Med. 2021 Nov 20;7:23337214211058919. doi: 10.1177/23337214211058919. eCollection 2021 Jan-Dec.
Access to cognitive screening in rural underserved communities is limited and was further diminished during the COVID-19 pandemic. We examined whether a telephone-based cognitive screening intervention would be effective in increasing ADRD knowledge, detecting the need for further cognitive evaluation, and making and tracking the results of referrals.
Using a dependent t-test design, older, largely African American and Afro-Caribbean participants completed a brief educational intervention, pre/post AD knowledge measure, and cognitive screening.
Sixty of 85 eligible individuals consented. Seventy-percent of the sample self-reported as African American, Haitian Creole, or Hispanic, and 75% were female, with an average age of 70. AD knowledge pre-post scores improved significantly ( (49) = -3.4, < .001). Of the 11 referred after positive cognitive screening, 72% completed follow-up with their provider. Five were newly diagnosed with dementia. Three reported no change in diagnosis or treatment. Ninety-percent consented to enrolling in a registry for future research.
Remote engagement is feasible for recruiting, educating, and conducting cognitive screening with rural older adults during a pandemic.
在农村医疗服务不足的社区，认知筛查的机会有限，并且在新冠疫情期间进一步减少。我们研究了基于电话的认知筛查干预措施是否能有效增加对阿尔茨海默病相关痴呆症（ADRD）的了解、检测出进一步认知评估的需求以及做出并跟踪转诊结果。
采用配对t检验设计，年龄较大、主要为非裔美国人和非裔加勒比人的参与者完成了一项简短的教育干预、AD知识前后测以及认知筛查。
85名符合条件的个体中有60人同意参与。样本中70%的人自我报告为非裔美国人、海地克里奥尔人或西班牙裔，75%为女性，平均年龄70岁。AD知识前后测得分显著提高（t(49)= -3.4，p <.001）。在认知筛查呈阳性后被转诊的11人中，72%的人完成了与医疗服务提供者的后续跟进。5人被新诊断为痴呆症。3人报告诊断或治疗无变化。90%的人同意加入一个登记册以便未来进行研究。
在疫情期间，远程参与对农村老年人进行招募、教育和开展认知筛查是可行的。
