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

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

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社区记忆筛查:促进早期痴呆诊断和护理——初步数据。
背景:本项目评估是为了评估社区记忆筛查倡议在25个老龄化和残疾资源中心的有效性,这些中心覆盖了威斯康星州的39个县和5个部落社区。方法:我们评估了筛查个体的特征和筛查原因、筛查结果和筛查过程中涉及的主题、向初级保健提供者发送阳性筛查的比率、随后痴呆诊断的发生率以及健康行为的改变。结果:项目评估结果显示,791个个人完成了调查,表明该项目的可及性和潜力,覆盖了威斯康辛州城乡各县的人口。评估结果还显示,在记忆筛查期间,大脑健康是最常讨论的话题(在689次筛查中讨论,87.1%),以及其他主题,如痴呆症状的潜在原因(670次筛查,84.5%)、痴呆警告信号(6556次,83%)、早期发现的重要性(605次筛查,76.5%)和护理人员支持(106次筛查,13.4%)。在所有791人中,共有273人(34.5%)将筛查结果发送给初级保健提供者。对一组个体(n = 49)进行的随访调查表明,10人(20%)被诊断为痴呆症,超过一半的人改变了健康行为以改善大脑健康。这些个体将结果发送给初级保健提供者。结论:本文提出的评估结果突出了该计划在解决痴呆症相关服务的关键需求方面的成功。总的来说,我们的评估结果强调了社区倡议在促进早期痴呆检测和干预方面的重要性,这对疾病管理至关重要。
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