Cognitive testing in older primary care patients: A cluster-randomized trial
dc.contributor.author | Fowler, Nicole R. | |
dc.contributor.author | Morrow, Lisa | |
dc.contributor.author | Chiappetta, Laurel | |
dc.contributor.author | Snitz, Beth | |
dc.contributor.author | Huber, Kimberly | |
dc.contributor.author | Rodriguez, Eric | |
dc.contributor.author | Saxton, Judith | |
dc.contributor.department | Department of Medicine, IU School of Medicine | en_US |
dc.date.accessioned | 2017-07-10T19:17:04Z | |
dc.date.available | 2017-07-10T19:17:04Z | |
dc.date.issued | 2015-09 | |
dc.description.abstract | INTRODUCTION: This study investigated whether neuropsychological testing in primary care (PC) offices altered physician-initiated interventions related to cognitive impairment (CI) or slowed the rate of CI progression. METHODS: This 24-month, cluster-randomized study included 11 community-based PC practices randomized to either treatment as usual (5 practices) or cognitive report (CR; 6 practices) arms. From 2005 to 2008, 533 patients aged ≥65 years and without a diagnosis of CI were recruited; 423 were retested 24 months after baseline. RESULTS: CR physicians were significantly more likely to order cognitive-related interventions (P = .02), document discussions about cognition (P = .003), and order blood tests to rule out reversible CI (P = .002). At follow-up, significantly more CR patients had a medication for cognition listed in their chart (P = .02). There was no difference in the rate of cognitive decline between the groups. DISCUSSION: Providing cognitive information to physicians resulted in higher rates of physician-initiated interventions for patients with CI. | en_US |
dc.identifier.citation | Fowler, N. R., Morrow, L., Chiappetta, L., Snitz, B., Huber, K., Rodriguez, E., & Saxton, J. (2015). Cognitive testing in older primary care patients: A cluster-randomized trial. Alzheimer’s & Dementia : Diagnosis, Assessment & Disease Monitoring, 1(3), 349–357. http://doi.org/10.1016/j.dadm.2015.06.009 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/13376 | |
dc.language.iso | en_US | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.isversionof | 10.1016/j.dadm.2015.06.009 | en_US |
dc.relation.journal | Alzheimer’s & Dementia : Diagnosis, Assessment & Disease Monitoring | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | |
dc.source | PMC | en_US |
dc.subject | Age | en_US |
dc.subject | Alzheimer’s disease | en_US |
dc.subject | Community-based | en_US |
dc.subject | Cognitive impairment | en_US |
dc.subject | Dementia | en_US |
dc.subject | Mild cognitive impairment primary care | en_US |
dc.subject | Primary care physicians | en_US |
dc.title | Cognitive testing in older primary care patients: A cluster-randomized trial | en_US |
dc.type | Article | en_US |
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