Factors influencing routine cognitive impairment screening in older at-risk drinkers: Findings from a qualitative study in the United Kingdom.
barriers
cognitive impairment
implementation
screening
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
14
11
2019
revised:
22
05
2020
accepted:
17
06
2020
pubmed:
15
7
2020
medline:
2
10
2021
entrez:
15
7
2020
Statut:
ppublish
Résumé
Cognitive Impairment (CI) screening is recommended for those engaged in harmful levels of alcohol use. However, there is a lack of evidence on implementation. This paper explores the barriers and facilitators to CI screening experienced across a service specifically for older drinkers. The findings draw on data gathered as part of an evaluation of a multilevel programme to reduce alcohol-related harm in adults aged 50 and over in five demonstration areas across the United Kingdom. It is based on qualitative interviews and focus groups with 14 service providers and 22 service users. Findings are presented thematically under the section headings: acceptability of screening, interpretation and making sense of screening and treatment options. It is suggested that engagement with CI screening is most likely when its fit with agency culture and its purpose is clear; where service providers have the technical skills to administer and discuss the results of screening with service users; and where those undertaking screening have had the opportunity to reflect on their own experience of being screened. Engagement with CI screening is also most likely where specific intervention pathways and engagement practices can be accessed to respond to assessed need.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
344-352Subventions
Organisme : Big Lottery Fund
Informations de copyright
© 2020 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.
Références
Allan, J., Kemp, M., & Golden, A. (2012). The prevalence of cognitive impairment in a rural in-patient substance misuse treatment programme. Mental Health and Substance Use, 5(4), 303-313. https://doi.org/10.1080/17523281.2012.711767
Apostolo, J., Holland, C., O'Connell, M. D., Feeney, J., Tabares-Seisdedos, R., Tadros, G., … Varela-Nieto, I. (2016). Mild cognitive decline. A position statement of the Cognitive Decline Group of the European Innovation Partnership for Active and Healthy Ageing (EIPAHA). Maturitas, 83, 83-93.
Bates, M. E., Bowden, S. C., & Barry, D. (2002). Neurocognitive impairment associated with alcohol use disorders: Implications for treatment. Experimental and Clinical Psychopharmacology, 10, 193-212. https://doi.org/10.1037//1064-1297.10.3.193
Borson, S., Scanlan, J., Hummel, J., Gibbs, K., Lessig, M., & Zuhr, E. (2007). Implementing routine cognitive screening of older adults in primary care: Process and impact on physician behavior. Journal of General Internal Medicine, 22(6), 811-817. https://doi.org/10.1007/s11606-007-0202-8
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Brotons, C., Björkelund, C., Bulc, M., Ciurana, R., Godycki-Cwirko, M., Jurgova, E., … Vuchak, J. (2005). Prevention and health promotion in clinical practice: The views of general practitioners in Europe. Preventive Medicine, 40(5), 595-601. https://doi.org/10.1016/j.ypmed.2004.07.020
Copersino, M. L., Schretlen, D. J., Fitzmaurice, G. M., Lukas, S. E., Faberman, J., Sokoloff, J., & Weiss, R. D. (2012). Effects of cognitive impairment on substance abuse treatment attendance: Predictive validation of a brief cognitive screening measure. The American Journal of Drug and Alcohol Abuse, 38, 246-250. https://doi.org/10.3109/00952990.2012.670866
Cullen, B., O’Neil, B., Evans, J. J., Coen, R. F., & Lawlor, B. A. (2007). A Review of Screening Tests for Cognitive Impairment. Journal of Neurology, Neurosurgery and Psychiatry, 78(8), 790-799. https://doi.org/10.1136/jnnp.2006.095414
Doukas, N., & Cullen, J. (2011). Addiction counselors in recovery: Perceived barriers in the workplace. Addiction, Research & Therapy, 2(1), 1-7. https://doi.org/10.4172/2155-6105.1000112
Ferguson, H. (2018). How social workers reflect in action and when and why they don’t: The possibilities and limits to reflective practice in social work. Social Work Education, 37(4), 415-427. https://doi.org/10.1080/02615479.2017.1413083
Giersson, M. (2011).Alcohol prevention in Swedish primary health care: Staff knowledge about risk drinking and attitudes towards working with brief alcohol intervention. Where do we go from here? Unpublihed Phd thesis. Retrieved from https://gupea.ub.gu.se/bitstream/2077/26274/1/gupea_2077_26274_1.pdf
Gillen, R. W., Kranzler, H. R., Kadden, R. M., & Weidenman, M. A. (1991). Utility of a brief cognitive screening instrument in substance abuse patients: Initial investigation. Journal of Substance Abuse Treatment, 8(4), 247-251. https://doi.org/10.1016/0740-5472(91)90046-D
Greenwood, D. J., and Levin, M. (2003). Restructuring the relationships between universities and society through action research™, in N.K. Denzin and S. Lincoln (eds) The Landscape of Qualitative Research (pp.131-166). Sage: Thousand Oaks, CA.
Grohman, K., & Fals-Stewart, W. (2003). Computer-assisted cognitive rehabilitation with substance-abusing patients: Effects on treatment response. Journal of Cognitive Rehabilitation, 21(4), 10-17.
Guba, E. G., & Lincoln, Y. S. (1994). Competing paradigms in qualitative research. Handbook of Qualitative Research, 2(163-194), 105.
Hsieh, S., Schubert, S., Hoon, C., Mioshi, E., & Hodges, J. R. (2013). Validation of the Addenbrooke’s cognitive examination III in frontotemporal dementia and Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders, 36(3-4), 242-250. https://doi.org/10.1159/000351671
Huckans, M., Hutson, L., Twamley, E., Jak, A., Kaye, J., & Storzbach, D. (2013). Efficacy of cognitive rehabilitation therapies for mild cognitive impairment (MCI) in older adults: Working toward a theoretical model and evidence-based interventions. Neuropsychology Review, 23(1), 63-80. https://doi.org/10.1007/s11065-013-9230-9
Justiss, M. D., Boustani, M., Fox, C., Katona, C., Perkins, A. J., Healey, P. J., … Scott, E. (2009). Patients' attitudes of dementia screening across the Atlantic. International Journal of Geriatric Psychiatry, 24(6), 632-637. https://doi.org/10.1002/gps.2173
Marceau, E. M., Lunn, J., Berry, J. E., Kelly, P. J., & Solowij, N. (2016). The Montreal Cognitive Assessment (MoCA) is sensitive to head injury and cognitive impairment in a residential alcohol and other drug therapeutic community. Journal of Substance Abuse Treatment, 66, 30-36. https://doi.org/10.1016/j.jsat.2016.03.002
McCormick, K. A., Cochran, N. E., Back, A. L., Merrill, J. O., Williams, E. C., & Bradley, K. A. (2006). How primary care providers talk to patients about alcohol: A qualitative study. Journal of General Internal Medicine, 21(9), 966-972. https://doi.org/10.1007/BF02743146
Meshefedjian, G. A., Gervais, A., Tremblay, M., Villeneuve, D., & O'Loughlin, J. (2010). Physician smoking status may influence cessation counseling practices. Canadian Journal of Public Health/Revue Canadienne De Sante'e Publique, 101(4), 290-293. https://doi.org/10.1007/BF03405288
Monds, L. A., Ridley, N. J., Rivas, C., Withall, A., Draper, B., & Lintzeris, N. (2017). Cognition and adaptive functioning in older people attending drug and alcohol services. International Psychogeriatrics, 29(5), 815-823. https://doi.org/10.1017/S1041610216002428
Moyer, V. A. (2014). Screening for cognitive impairment in older adults: US Preventive Services Task Force recommendation statement. Annals of Internal Medicine, 160(11), 791-797. https://doi.org/10.7326/M14-0496
NICE. (2011). Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence. Retrieved from https://www.nice.org.uk/guidance/cg115/chapter/1-guidance
Panza, F., Frisardi, V., Seripa, D., Logroscino, G., Santamato, A., Imbimbo, B. P., … Solfrizzi, V. (2012). Alcohol consumption in mild cognitive impairment and dementia: Harmful or neuroprotective? International Journal of Geriatric Psychiatry, 27(12), 1218-1238. https://doi.org/10.1002/gps.3772
Parkes, G., Greenhalgh, T., Griffin, M., & Dent, R. (2008). Effect on smoking quit rate of telling patients their lung age: The Step2quit randomised controlled trial. BMJ, 336(7644), 598-600. https://doi.org/10.1136/bmj.39503.582396.25
Peracino, A., & Pecorelli, S. (2016). The epidemiology of cognitive impairment in the aging population: Implications for hearing loss. Audiology and Neurotology, 21(1), 3-9. https://doi.org/10.1159/000448346
Pipe, A., Sorensen, M., & Reid, R. (2009). Physician smoking status, attitudes toward smoking, and cessation advice to patients: An international survey. Patient Education and Counseling, 74(1), 118-123. https://doi.org/10.1016/j.pec.2008.07.042
Ptacek, J. T., & Eberhardt, T. L. (1996). Breaking bad news: a review of the literature. Jama, 276(6), 496-502. https://doi.org/10.1001/jama.276.22.1801b.
Rahul, T. R., & Draper, B. (2018). Addressing alcohol related dementia should involve better detection not watchful waiting. The British Journal of Psychiatry, 212(2), 67-68. https://doi.org/10.1192/bjp.2017.14
Ray, S., & Davidson, S. (2014) Dementia and Cognitive Decline: a review of the evidence. Age Uk Research. Retrieved from https://www.ageuk.org.uk/documents/en-GB/For-professionals/Research/Cognitive_decline_and_dementia_evidence_review_Age_UK.pdf?dtrk=true
Ridley, N., Batchelor, J., Draper, B., Demirkol, A., Lintzeris, N., & Withall, A. (2018). Cognitive screening in substance users: Diagnostic accuracies of the Mini-Mental State Examination, Addenbrooke’s Cognitive Examination-Revised, and Montreal Cognitive Assessment. Journal of Clinical and Experimental Neuropsychology, 40(2), 107-122. https://doi.org/10.1080/13803395.2017.1316970
Royal College of Psychiatrists. (2011). Our Invisible Addicts: First report of the older persons' substance misuse working group of the Royal College of Psychiatrists. Retrieved from https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/college-report-cr211.pdf?sfvrsn=820fe4bc_2
Sabia, S., Fayosse, A., Dumurgier, J., Dugravot, A., Akbaraly, T., Britton, A., … Singh-Manoux, A. (2018). Alcohol consumption and risk of dementia: 23 year follow-up of Whitehall II cohort study. BMJ, 362, https://doi.org/10.1136/bmj.k2927
Sachdev, P. S., Lipnicki, D. M., Kochan, N. A., Crawford, J. D., Thalamuthu, A., Andrews, G., … Santabárbara, J. (2015). The prevalence of mild cognitive impairment in diverse geographical and ethnocultural regions: The COSMIC collaboration. PLoS One, 10(11), e0142388. https://doi.org/10.1371/journal.pone.0142388
Savage, L. (2014). Alcohol-related brain damage and neuropathology. In J. Sandberg, A. Withall, & B. Draper (Eds.), Alcohol and the adult brain (pp. 108-125). East Sussex, UK: Psychological Press.
Seddon, J. L., Wadd, S., Wells, E., Elliott, L., Madoc-Jones, I., & Breslin, J. (2019). Drink wise, age well; reducing alcohol related harm among people over 50: A study protocol. BMC Public Health, 19(1), 240. https://doi.org/10.1186/s12889-019-6525-7
Steenland, N. K., Auman, C. M., Patel, P. M., Bartell, S. M., Goldstein, F. C., Levey, A. I., & Lah, J. J. (2008). Development of a rapid screening instrument for mild cognitive impairment and undiagnosed dementia. Journal of Alzheimer's Disease, 15(3), 419-427. https://doi.org/10.3233/JAD-2008-15308
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
Topiwala, A., Allan, C. L., Valkanova, V., Zsoldos, E., Filippini, N., Sexton, C., … Ebmeier, K. P. (2017). Moderate alcohol consumption as risk factor for adverse brain outcomes and cognitive decline: Longitudinal cohort study. BMJ, 357, https://doi.org/10.1136/bmj.j2353
USPSTF. (2014). Final recommendation statement: Cognitive impairment in older adults: Screening. Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/cognitive-impairment-in-older-adults-screening#copyright-and-source-information
Van der Aalst, C. M., Van den Bergh, K. A. M., Willemsen, M. C., de Koning, H. J., & Van Klaveren, R. J. (2010). Lung cancer screening and smoking abstinence: 2 year follow-up data from the Dutch-Belgian randomised controlled lung cancer screening trial. Thorax, 65(7), 600-605. https://doi.org/10.1136/thx.2009.133751
Volicer, L. (2016). Fear of Dementia. JAMDA: The Journal of Post-Acute and Long Term Medicine., 17(10), 875-878. https://doi.org/10.1016/j.jamda.2016.06.022
Wadd, S., Randall, J., Thake, A., Edwards, K., Galvani, S., McCabe, L., & Coleman, A. (2013). Alcohol misuse and cognitive impairment in older people. Tilda Goldberg Centre for Social Work and Social Care, 1-62.