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

Perla Werner,1 Jeremia Heinik,2 Shmuel Giveon,3 Dikla Segel-Karpas,1 Eliezer Kitai41Center for the Research and Study of Aging, University of Haifa, Haifa, Israel; 2Margoletz Psychogeriatric Center, Ichilov Hospital, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; 3Clalit Health S...

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Autores principales:	Werner P, Heinik J, Giveon S, Segel-Karpas D, Kitai E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Mild Cognitive Impairment help-seeking family physicians lay public Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/c13e1c84f2f945d18950ff5422364e3e
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spelling	oai:doaj.org-article:c13e1c84f2f945d18950ff5422364e3e2021-12-02T02:12:25ZHelp-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public1178-1998https://doaj.org/article/c13e1c84f2f945d18950ff5422364e3e2014-04-01T00:00:00Zhttps://www.dovepress.com/help-seeking-preferences-in-the-area-of-mild-cognitive-impairment-comp-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Perla Werner,1 Jeremia Heinik,2 Shmuel Giveon,3 Dikla Segel-Karpas,1 Eliezer Kitai41Center for the Research and Study of Aging, University of Haifa, Haifa, Israel; 2Margoletz Psychogeriatric Center, Ichilov Hospital, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; 3Clalit Health Services, Tel Aviv, Israel; 4Department of Family Medicine, Leumit Health Services, Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelBackground: 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: lay persons, barriers, doctors, patientsWerner PHeinik JGiveon SSegel-Karpas DKitai EDove Medical PressarticleMild Cognitive Impairmenthelp-seekingfamily physicianslay publicGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 613-619 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mild Cognitive Impairment help-seeking family physicians lay public Geriatrics RC952-954.6
spellingShingle	Mild Cognitive Impairment help-seeking family physicians lay public Geriatrics RC952-954.6 Werner P Heinik J Giveon S Segel-Karpas D Kitai E Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public
description	Perla Werner,1 Jeremia Heinik,2 Shmuel Giveon,3 Dikla Segel-Karpas,1 Eliezer Kitai41Center for the Research and Study of Aging, University of Haifa, Haifa, Israel; 2Margoletz Psychogeriatric Center, Ichilov Hospital, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; 3Clalit Health Services, Tel Aviv, Israel; 4Department of Family Medicine, Leumit Health Services, Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelBackground: 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: lay persons, barriers, doctors, patients
format	article
author	Werner P Heinik J Giveon S Segel-Karpas D Kitai E
author_facet	Werner P Heinik J Giveon S Segel-Karpas D Kitai E
author_sort	Werner P
title	Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public
title_short	Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public
title_full	Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public
title_fullStr	Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public
title_full_unstemmed	Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public
title_sort	help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/c13e1c84f2f945d18950ff5422364e3e
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Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public

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