Rural general practitioner confidence in diagnosing and managing dementia: A two‐stage, mixed methods study of dementia‐specific training.
Introduction: Dementias a prevalent chronic healthcare condition affecting 46 million people worldwide and projected to grow in the coming years. Australians living in rural and regional areas often lack access to specialist dementia care, despite greater prevalence relative to metropolitan areas. O...
| Publicado en: | Australian Journal of Rural Health Vol. 32; no. 2; pp. 263 - 275 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176763949&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176763949 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Apr2024 vid: 32 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 176763949 174992214 176763949 176763949 10.1111/ajr.13082 176763949 ppf: 263 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Rural general practitioner confidence in diagnosing and managing dementia: A two‐stage, mixed methods study of dementia‐specific training. aug: au: Crombie, Angela Lingam, Shivanjali Pascoe, Amy Disler, Peter Asaid, Adel Disler, Rebecca affil: School of Rural Health, Monash University, Clayton Victoria,, Australia sug: subj: Dementia Diagnosis Dementia Therapy Physicians, Family Confidence Rural Areas Australia Primary Health Care Program Development Dementia Education Physician Attitudes Evaluation Human Australia Male Female Multimethod Studies Semi-Structured Interview Pretest-Posttest Design Thematic Analysis Descriptive Statistics Rural Health Professional Knowledge Evaluation Funding Source Male Female ab: Introduction: Dementias a prevalent chronic healthcare condition affecting 46 million people worldwide and projected to grow in the coming years. Australians living in rural and regional areas often lack access to specialist dementia care, despite greater prevalence relative to metropolitan areas. Objective: This study aimed to explore general practitioners (GP) understanding, confidence and attitudes towards dementia management in the rural context, and design and pilot a dementia‐specific training program. Design: A two‐stage, mixed methods design, using qualitative and quantitative methods. Sixteen regional GPs from across Victoria participated in scoping semi‐structured interviews. Fourteen separate GPs in the St Anthony Family Medical Practice group in the regional Loddon–Mallee area of Victoria completed the pilot training intervention. Pre‐ and post‐training surveys (n = 10), as well as post‐training interviews (n = 10), assessed attitude and knowledge changes. Findings: Analysis of semi‐structured scoping interviews indicated three themes regarding experience of dementia management, including: (1) attitudes to and experiences of dementia; (2) supporting people living with dementia; and (3) knowledge, education and training of dementia. The pilot dementia‐specific training was found to improve attitudes (agreement across 24 best‐practice indicators improved from 30% to 79%), knowledge (median increase of 2.5/10) and confidence in managing dementia and disclosing dementia diagnoses (median increase 3/10 and 2.75/10, respectively). Discussion: General practitioners in this study lacked initial confidence in detecting and managing dementia in a rural primary care setting. A targeted training program showed improvements in these areas. Conclusion: Accessible, locally delivered, dementia education has the potential to improve confidence in early detection and management of people with dementia and thereby may address gaps in access to care for people living with dementia in rural settings. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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