Lessons from Detecting Cognitive Impairment Including Dementia (DetectCID) in Primary Care

Alissa Bernstein Sideman, Rachel Chalmer, Emmeline Ayers, Richard Gershon, Joe Verghese, Michael Wolf, Asif Ansari, Marina Arvanitis, Nhat Bui, Pei Chen, Anna Chodos, Roderick Corriveau, Laura Curtis, Amy R. Ehrlich, Sarah E. Tomaszewski Farias, Collette Goode, Laura Hill-Sakurai, Cindy J. Nowinski, Mukund Premkumar, Katherine P. RankinChristine S. Ritchie, Elena Tsoy, Erica Weiss, Katherine L. Possin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Cognitive impairment, including dementia, is frequently under-detected in primary care. The Consortium for Detecting Cognitive Impairment, including Dementia (DetectCID) convenes three multidisciplinary teams that are testing novel paradigms to improve the frequency and quality of patient evaluations for detecting cognitive impairment in primary care and appropriate follow-up. Objective: Our objective was to characterize the three paradigms, including similarities and differences, and to identify common key lessons from implementation. Methods: A qualitative evaluation study with dementia specialists who were implementing the detection paradigms. Data was analyzed using content analysis. Results: We identified core components of each paradigm. Key lessons emphasized the importance of engaging primary care teams, enabling primary care providers to diagnose cognitive disorders and provide ongoing care support, integrating with the electronic health record, and ensuring that paradigms address the needs of diverse populations. Conclusion: Approaches are needed that address the arc of care from identifying a concern to post-diagnostic management, are efficient and adaptable to primary care workflows, and address a diverse aging population. Our work highlights approaches to partnering with primary care that could be useful across specialties and paves the way for developing future paradigms that improve differential diagnosis of symptomatic cognitive impairment, identifying not only its presence but also its specific syndrome or etiology.

Original languageEnglish (US)
Pages (from-to)655-665
Number of pages11
JournalJournal of Alzheimer's Disease
Volume86
Issue number2
DOIs
StatePublished - 2022

Keywords

  • Cognitive assessment
  • dementia
  • detection
  • diagnosis
  • implementation evaluation
  • mild cognitive impairment
  • primary care

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Psychology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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