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Dementia knowledge among general practitioners: first results and psychometric properties of a new instrument

  • Michael Pentzek (a1), Heinz-Harald Abholz (a1), Martin Ostapczuk (a2), Attila Altiner (a1), Anja Wollny (a1) and Angela Fuchs (a1)...
Abstract

Background: General practitioners (GPs) play an important role in dementia care. Sufficient knowledge is one of the prerequisites for adequate dementia management, and educational activities do include knowledge transfer. There is no up-to-date measure of GPs' knowledge of dementia, resulting in the use of unreliable ad hoc questionnaires in recent studies, thus increasing the risk of biased results.

Methods: In a cross-sectional, observational questionnaire study, 292 German GPs answered 37 questions regarding factual dementia knowledge. For the purpose of cross-validation, the psychometric properties of the test and its associations with GP characteristics were analyzed in independent samples with item and regression analyses.

Results: Twenty questions constituted a reliable questionnaire (Cohen's α = 0.733) with a normal distribution of test scores. Linear regression analysis revealed significant associations of the knowledge test score with the GPs' age and their attitudes towards dementia.

Conclusions: The newly developed dementia-knowledge test for GPs can be used in observational studies, in which a rough and easy to use instrument is required.

Copyright
Corresponding author
Correspondence should be addressed to: Dr. Michael Pentzek, Department of General Practice, University Medical Center Düsseldorf, Moorenstr. 5, 40225 Düsseldorf, Germany. Phone: +49 211-81-16818; Fax.: +49 211-81-18755. Email: Pentzek@med.uni-duesseldorf.de.
References
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Barrett, J. J., Haley, W. E., Harrell, L. E. and Powers, R. E. (1997). Knowledge about Alzheimer disease among primary care physicians, psychologists, nurses, and social workers. Alzheimer Disease and Associated Disorders, 11, 99106.
Brown, C. J., Mutran, E. J., Sloane, P. D. and Long, K. M. (1998). Primary care physicians' knowledge and behavior related to Alzheimer's disease. Journal of Applied Gerontology, 17, 462479.
Bryans, M., Keady, J., Turner, S., Wilcock, J., Downs, M. and Iliffe, S. (2003). An exploratory survey into primary care nurses and dementia care. British Journal of Nursing, 12, 10291037.
Chodosh, J. et al. (2004). Physician recognition of cognitive impairment: evaluating the need for improvement. Journal of the American Geriatrics Society, 52, 10511059.
Dieckmann, L., Zarit, S. H., Zarit, J. M. and Gatz, M. (1988). The Alzheimer's Disease Knowledge Test. Gerontologist, 28, 402407.
Downs, M. (1996). The role of general practice and the primary care team in dementia diagnosis and management. International Journal of Geriatric Psychiatry, 11, 937942.
Downs, M., Cook, A., Rae, C. and Collins, K. E. (2000). Caring for patients with dementia: the GP perspective. Aging and Mental Health, 4, 301304.
Downs, M. et al. (2006). Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study. BMJ, 332, 692696.
Edwards, P. et al. (2002). Increasing response rates to postal questionnaires: systematic review. BMJ, 324, 11831191.
Ferri, C. P. et al. (2005). Global prevalence of dementia: a Delphi consensus study. Lancet, 366, 21122117.
Gilleard, C. and Groom, F. (1994). A study of two dementia quizzes. British Journal of Clinical Psychology, 33, 529534.
Graham, C., Ballard, C. and Sham, P. (1997). Carers' knowledge of dementia and their expressed concerns. International Journal of Geriatric Psychiatry, 12, 470473.
Hair, J. F., Tatham, R. L., Anderson, R. E. and Black, W. (1998). Multivariate Data Analysis. 5th edn. Prentice-Hall International: London.
Kaduszkiewicz, H., Wiese, B. and van den Bussche, H. (2008). Self-reported competence, attitude and approach of physicians towards patients with dementia in ambulatory care: results of a postal survey. BMC Health Services Research, 8, 54.
Kaner, E. F., Haighton, C. A. and McAvoy, B. R. (1998). “So much post, so busy with practice – so, no time!”: a telephone survey of general practitioners' reasons for not participating in postal questionnaire surveys. British Journal of General Practice, 48, 10671069.
Lee, M., Wilkerson, L., Reuben, D. B. and Ferrell, B. A. (2004). Development and validation of a Geriatric Knowledge Test for medical students. Journal of the American Geriatrics Society, 52, 983988.
Lienert, G. A. and Raatz, U. (1994). Testaufbau und Testanalyse. 5th edn. Beltz-PVU: Weinheim.
Linden, M., Horgas, A. L., Gilberg, R. and Steinhagen-Thiessen, E. (1997). Predicting health care utilization in the very old: the role of physical health, mental health, attitudinal and social factors. Journal of Aging and Health, 9, 327.
Meuser, T. M., Boise, L. and Morris, J. C. (2004). Clinician beliefs and practices in dementia care: implications for health educators. Educational Gerontology, 30, 491516.
Nevo, B. (1980). Item analysis with small samples. Applied Psychological Measurement, 4, 323329.
Palmore, E. (1977). Facts on aging – a short quiz. Gerontologist, 17, 315320.
Pentzek, M., Fuchs, A. and Abholz, H. H. (2005). The attitudes of general practitioners regarding dementia [in German]. Nervenheilkunde, 24, 499506.
Pentzek, M., Wagner, G. and Abholz, H. H. (2006). The development of a dementia knowledge test for general practitioners [in German]. Zeitschrift für ärztliche Fortbildung und Qualität im Gesundheitswesen, 100, 283289.
Perry, M. et al. (2008). Can an EASYcare based dementia training programme improve diagnostic assessment and management of dementia by general practitioners and primary care nurses? The design of a randomised controlled trial. BMC Health Services Research, 8, 71.
Reuben, D. B. et al. (1997). Development and validation of a Geriatrics Knowledge Test for primary care residents. Journal of General Internal Medicine, 12, 450452.
Riedel-Heller, S. G., Schork, A., Fromm, N. and Angermeyer, M. C. (2000). Dementia in primary care: results of a survey [in German]. Zeitschrift für Gerontologie und Geriatrie, 33, 300306.
Ryynänen, O. P., Myllykangas, M., Kinnunen, J., Halonen, P. and Takala, J. (2000). Prioritization attitudes among doctors and nurses examined by a scenario method. International Journal of Technology Assessment in Health Care, 16, 9299.
Schers, H. J., van den Hoogen, H., Bor, H., Grol, R. and van den Bosch, W. (2005). Familiarity with a GP and patients' evaluations of care. A cross-sectional study. Family Practice, 22, 1519.
Stocks, N., Braunack-Mayer, A., Somerset, M. and Gunell, D. (2004). Binners, fillers and filers – a qualitative study of GPs who don't return postal questionnaires. European Journal of General Practice, 10, 146151.
Turner, S. et al. (2004). General practitioners' knowledge, confidence and attitudes in the diagnosis and management of dementia. Age and Ageing, 33, 461467.
Vollmar, H. C., Butzlaff, M. E., Lefering, R. and Rieger, M. A. (2007). Knowledge translation on dementia: a cluster randomized trial to compare a blended learning approach with a “classical” advanced training in GP quality circles. BMC Health Services Research, 7, 92.
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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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