Help-seeking for cognitive problems in older adults without dementia: A systematic review

Introduction: Understanding the help-seeking decision-making process in older adults experiencing cognitive problems is needed to improve early identification of cognitive impairment. The purpose of this systematic review was to determine what factors influence whether community-dwelling older adult...

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Autores principales:	Nikki L. Hill, Emily Bratlee-Whitaker, Andrea Sillner, Leslie Brautigam, Jacqueline Mogle
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Cognition Cognitive complaints Help-seeking Patient-provider communication Subjective cognition Nursing RT1-120
Acceso en línea:	https://doaj.org/article/fd6e1f64c5cb4c9a8916f1767da9a145
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spelling	oai:doaj.org-article:fd6e1f64c5cb4c9a8916f1767da9a1452021-11-10T04:41:19ZHelp-seeking for cognitive problems in older adults without dementia: A systematic review2666-142X10.1016/j.ijnsa.2021.100050https://doaj.org/article/fd6e1f64c5cb4c9a8916f1767da9a1452021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666142X21000321https://doaj.org/toc/2666-142XIntroduction: Understanding the help-seeking decision-making process in older adults experiencing cognitive problems is needed to improve early identification of cognitive impairment. The purpose of this systematic review was to determine what factors influence whether community-dwelling older adults without dementia seek help for cognitive problems. Methods: We conducted a mixed-methods systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A literature search was conducted in PubMed, CINAHL, PsycINFO, Web of Science, and ProQuest Dissertations and Theses Global in June 2020. Quality appraisal was conducted using the Mixed Methods Appraisal Tool. A narrative synthesis was used to integrate findings across studies. Results: Eighteen articles met eligibility criteria. All were cross-sectional studies, including nine quantitative, eight qualitative, and one containing quantitative and qualitative components. Factors that facilitated help-seeking were problem intensity, social support, valuing early detection, having a family history of dementia, and positive views of the healthcare system. Factors that detracted from help-seeking were normalizing cognitive problems, attributing problems to psychosocial causes, and not perceiving a benefit to disclosing cognitive problems. Discussion: The decision to seek help for cognitive problems is influenced by a variety of factors. Our review suggests these differ in older adults without dementia compared to previous reviews of help-seeking for a dementia diagnosis. Given the importance of early detection of cognitive impairment to improve long-term outcomes, intervention development based on the factors we identified has important implications for older adults’ cognitive health.Nikki L. HillEmily Bratlee-WhitakerAndrea SillnerLeslie BrautigamJacqueline MogleElsevierarticleCognitionCognitive complaintsHelp-seekingPatient-provider communicationSubjective cognitionNursingRT1-120ENInternational Journal of Nursing Studies Advances, Vol 3, Iss , Pp 100050- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cognition Cognitive complaints Help-seeking Patient-provider communication Subjective cognition Nursing RT1-120
spellingShingle	Cognition Cognitive complaints Help-seeking Patient-provider communication Subjective cognition Nursing RT1-120 Nikki L. Hill Emily Bratlee-Whitaker Andrea Sillner Leslie Brautigam Jacqueline Mogle Help-seeking for cognitive problems in older adults without dementia: A systematic review
description	Introduction: Understanding the help-seeking decision-making process in older adults experiencing cognitive problems is needed to improve early identification of cognitive impairment. The purpose of this systematic review was to determine what factors influence whether community-dwelling older adults without dementia seek help for cognitive problems. Methods: We conducted a mixed-methods systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A literature search was conducted in PubMed, CINAHL, PsycINFO, Web of Science, and ProQuest Dissertations and Theses Global in June 2020. Quality appraisal was conducted using the Mixed Methods Appraisal Tool. A narrative synthesis was used to integrate findings across studies. Results: Eighteen articles met eligibility criteria. All were cross-sectional studies, including nine quantitative, eight qualitative, and one containing quantitative and qualitative components. Factors that facilitated help-seeking were problem intensity, social support, valuing early detection, having a family history of dementia, and positive views of the healthcare system. Factors that detracted from help-seeking were normalizing cognitive problems, attributing problems to psychosocial causes, and not perceiving a benefit to disclosing cognitive problems. Discussion: The decision to seek help for cognitive problems is influenced by a variety of factors. Our review suggests these differ in older adults without dementia compared to previous reviews of help-seeking for a dementia diagnosis. Given the importance of early detection of cognitive impairment to improve long-term outcomes, intervention development based on the factors we identified has important implications for older adults’ cognitive health.
format	article
author	Nikki L. Hill Emily Bratlee-Whitaker Andrea Sillner Leslie Brautigam Jacqueline Mogle
author_facet	Nikki L. Hill Emily Bratlee-Whitaker Andrea Sillner Leslie Brautigam Jacqueline Mogle
author_sort	Nikki L. Hill
title	Help-seeking for cognitive problems in older adults without dementia: A systematic review
title_short	Help-seeking for cognitive problems in older adults without dementia: A systematic review
title_full	Help-seeking for cognitive problems in older adults without dementia: A systematic review
title_fullStr	Help-seeking for cognitive problems in older adults without dementia: A systematic review
title_full_unstemmed	Help-seeking for cognitive problems in older adults without dementia: A systematic review
title_sort	help-seeking for cognitive problems in older adults without dementia: a systematic review
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/fd6e1f64c5cb4c9a8916f1767da9a145
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Help-seeking for cognitive problems in older adults without dementia: A systematic review

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