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社区中的记忆筛查:促进痴呆症的早期诊断与护理——初步数据

Memory screening in the community: Facilitating earlier dementia diagnosis and care-Preliminary data.

作者信息

Yang Kao Lee, Kelble Laura, Felten Kristen, Carlsson Cynthia M, Clark Lindsay R

机构信息

Department of Medicine, Division of Geriatrics, University of Wisconsin-Madison School of Medicine & Public Health, Madison, Wisconsin, USA.

Neuroscience & Public Policy Program, University of Wisconsin-Madison School of Medicine & Public Health, Madison, Wisconsin, USA.

出版信息

J Am Geriatr Soc. 2025 Apr;73(4):1227-1236. doi: 10.1111/jgs.19302. Epub 2024 Dec 6.

Abstract

BACKGROUND

This program evaluation was conducted to assess the effectiveness of a community memory screening initiative across 25 Aging and Disability Resource Centers, spanning 39 counties and 5 tribal communities in the state of Wisconsin.

METHODS

We evaluated the screened individuals' characteristics and reasons for screening, the screen results and topics addressed during screening, the rate of sending positive screens to primary care providers, and the incidence of subsequent dementia diagnosis as well as health behavior changes.

RESULTS

Program evaluation results showed 791 completed surveys from individuals, indicating the program's accessibility and potential to reach populations in both urban and rural counties across Wisconsin. Evaluation results also showed that brain health was the most frequently discussed topic during memory screens (discussed during 689 screens, 87.1%), along with other topics such as potential causes of dementia symptoms (670 screens, 84.5%), dementia warning signs (656, 83%), the importance of early detection (605 screens, 76.5%), and caregiver support (106 screens, 13.4%). Of all 791, a total of 273 (34.5%) individuals had screen results sent to a primary care provider. Follow-up surveys completed with a subset of individuals (n = 49) who had their results sent to a primary care provider indicated that 10 (20%) received a diagnosis of dementia and over half made a health behavior change to improve brain health.

CONCLUSIONS

The evaluation results presented herein highlight the program's success in addressing the critical need for accessible dementia-related services. Overall, our evaluation results underscore the importance of community-based initiatives in promoting early dementia detection and intervention, which are crucial for disease management.

摘要

背景

本次项目评估旨在评估一项社区记忆筛查倡议在威斯康星州25个老龄化与残疾资源中心的有效性,该倡议覆盖了该州39个县和5个部落社区。

方法

我们评估了接受筛查个体的特征及筛查原因、筛查结果和筛查过程中涉及的主题、将阳性筛查结果发送给初级保健提供者的比例、后续痴呆症诊断的发生率以及健康行为的变化。

结果

项目评估结果显示,共收到791份个人完成的调查问卷,表明该项目具有可及性,有潜力覆盖威斯康星州城乡各县的人群。评估结果还显示,大脑健康是记忆筛查中讨论最频繁的主题(在689次筛查中被讨论,占87.1%),其他主题包括痴呆症状的潜在原因(670次筛查,占84.5%)、痴呆症警示信号(656次,占83%)、早期检测的重要性(605次筛查,占76.5%)以及照顾者支持(106次筛查,占13.4%)。在所有791人中,共有273人(34.5%)的筛查结果被发送给了初级保健提供者。对一部分筛查结果被发送给初级保健提供者的个体(n = 49)进行的后续调查表明,10人(20%)被诊断为痴呆症,超过半数的人改变了健康行为以改善大脑健康。

结论

本文呈现的评估结果凸显了该项目在满足对可及的痴呆症相关服务的迫切需求方面的成功。总体而言,我们的评估结果强调了基于社区的倡议在促进痴呆症早期检测和干预方面的重要性,这对疾病管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afeb/11970222/fbee613b1459/JGS-73-1227-g001.jpg

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