Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public

Clin Interv Aging. 2014 Apr 9:9:613-9. doi: 10.2147/CIA.S60248. eCollection 2014.

Abstract

Background: Mild cognitive impairment (MCI) or mild neurocognitive disorder is a well-established clinical entity included in current diagnostic guidelines for Alzheimer's disease and in major psychiatric classifications. In all, a loosely defined concern obtained from conceptually different sources (the individual, a knowledgeable informant, or a clinician) regarding a decline in cognition and change in functioning constitutes a sine qua non for initiating diagnostics and providing therapy and support. This concern in practice may translate into complex proactive help-seeking behavior. A better understanding of help-seeking preferences is required in order to promote early detection and management.

Objectives: To compare help-seeking preferences of family physicians and the lay public in the area of MCI.

Methods: A structured questionnaire was used to collect data from 197 family physicians (self-administered) and 517 persons aged 45 and over from the lay public (face to face). Information regarding familiarity with MCI and help-seeking preferences was assessed.

Results: The vast majority in both samples reported that family physician, spouse, and children are the most highly recommended sources of help-seeking. In regard to professional sources of help-seeking, a higher percentage of the physicians than the lay public sample consistently recommended seeking help from nurses and social workers and psychiatrists, but a higher percentage of the lay public recommended turning to a neurologist for help.

Discussion: There were both similarities and differences between family physicians and the lay public in their preferences regarding help-seeking for a person with MCI. Most prominent is the physicians' greater tendency to recommend professional sources of help-seeking.

Conclusion: Understanding of help-seeking preferences of both physicians and lay persons might help overcome barriers for establishing diagnosis, receiving care, and improving communication between doctors and patients.

Keywords: barriers; doctors; lay persons; patients.

Publication types

  • Comparative Study

MeSH terms

  • Cognitive Dysfunction / psychology
  • Cognitive Dysfunction / therapy*
  • Family / psychology
  • Female
  • Humans
  • Israel / epidemiology
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Patient Preference / psychology
  • Patient Preference / statistics & numerical data
  • Physician Impairment / psychology
  • Physician Impairment / statistics & numerical data
  • Physicians, Family / psychology
  • Physicians, Family / statistics & numerical data*
  • Surveys and Questionnaires