1. A Mixed-Methods Study of the Impact of Mild Cognitive Impairment Diagnosis on Patient and Care Partner Perception of Health Risks
- Author
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Hannah J. Kimmel, Deborah A. Levine, Rachael T. Whitney, Jane Forman, Brenda L. Plassman, Angela Fagerlin, Kathleen Anne Welsh-Bohmer, Bailey K. Reale, Andrzej T. Galecki, Emilie Blair, Kenneth M. Langa, Bruno Giordani, Colleen Kollman, Jing Wang, and Darin B. Zahuranec
- Subjects
Aged, 80 and over ,Male ,General Neuroscience ,General Medicine ,behavioral disciplines and activities ,Article ,Psychiatry and Mental health ,Clinical Psychology ,Caregivers ,Heart Disease Risk Factors ,Surveys and Questionnaires ,mental disorders ,Humans ,Cognitive Dysfunction ,Female ,Perception ,Geriatrics and Gerontology ,human activities ,Aged - Abstract
Background: Older patients (≥65 years) with mild cognitive impairment (MCI) are undertreated for cardiovascular disease (CVD). One reason for this disparity could be that patients with MCI might underestimate the chances of CVD and overestimate dementia. Objective: To compare conceptions of health risk between older patients with MCI and normal cognition (NC) and their care partners. Methods: We conducted a multi-center mixed-methods study of patient-care partner dyads completing written quantitative surveys (73% response rate; 127 dyads: 66 MCI and 61 NC) or semi-structured interviews (20 dyads: 11 MCI, and 9 NC). Surveys assessed two-year patient risks of dementia, heart attack, stroke, and fall. Interviews assessed similar health risks and reasons for risk perceptions. Results: On surveys, a similarly low proportion of MCI and NC patients felt they were at risk of stroke (5% versus 2%; p = 0.62) and heart attack (2% versus 0%; p = 0.99). More MCI than NC patients perceived dementia risk (26% versus 2%; p
- Published
- 2021