Center for Aging Research

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Browsing Center for Aging Research by Author "Boustani, Malaz A."

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    Older primary care patients' attitudes and willingness to screen for dementia
    (Hindawi, 2015-04-20) Fowler, Nicole R.; Perkins, Anthony J.; Turchan, Hilary A.; Frame, Amie; Monahan, Patrick; Gao, Sujuan; Boustani, Malaz A.; Biostatistics, School of Public Health
    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.
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    Redesigning Systems of Care for Older Adults with Alzheimer' Disease
    (The People-to-People Health Foundation, 2014-04) Callahan, Christopher M.; Sachs, Greg A.; LaMantia, Michael A.; Unroe, Kathleen T.; Arling, Greg A.; Boustani, Malaz A.; Department of Medicine, IU School of Medicine
    Best-practice models of dementia care have evolved from strategies focused on family caregivers to guidelines predicated on supporting the patient-caregiver dyad along the care continuum. These models have grown in complexity to encompass medical and team-based care that is designed to coordinate dementia care across settings and providers for a defined population of patients. Although there is evidence that the models can improve outcomes, they have not been widely adopted. Barriers to the models' increased adoption include workforce limitations, the cost of necessary practice redesign, and limited evidence of their potential cost-effectiveness. We summarize the origins, evidence base, and common components of best-practice models of dementia care, and we discuss barriers to their implementation. We conclude by describing two current efforts to implement such models on a broad scale, supported by the Center for Medicare and Medicaid Innovation. Taken together, these models seek to demonstrate improved dementia care quality and outcomes, accompanied by cost savings, in both community-based and institutional care settings.