Characteristics of Persons With Suspected Dementia Who Refuse a Diagnostic Assessment (Alzheimer’s and Dementia)


A study investigated the traits and characteristics of patients who screened positive for dementia (in a USA primary care context) but who refused a formal a diagnostic assessment. The Perceptions Regarding Investigational Screening for Memory in Primary Care (PRISM-PC) questionnaire was used to measure the characteristics of these patients. Out of 554 individuals who completed the PRISM-PC questionnaire, 63 screened positive for dementia; of whom 21 (33%) accepted and 42 (67%) refused a diagnostic assessment.

This relatively small-scale USA-based research indicates that a large proportion of patients may be inclined to refuse a diagnostic assessment. Factors including living alone and the perceived stigma of dementia appear to be associated with refusing a diagnostic assessment for dementia. It is unclear to what extent these findings may be generalisable internationally and across different cultures; for example research may be required to assess the applicability (rightly or wrongly) of similar attitudes and traits in a UK context.

Full Text Link


Fowler, NR. Frame, A. [and] Perkins, AJ. [et al] (2015). Traits of patients who screen positive for dementia and refuse diagnostic assessment. Alzheimer’s and Dementia: Diagnosis, Assessment and Disease Monitoring, 2015, Vol.1(2), pp.236-241. (Click here to view the PubMed abstract).

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Mental Health, Models of Dementia Care, Quick Insights, Statistics, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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