The team, which included three senior health care practitioners from the Kent and Medway NHS and Social Care Partnership Trust, conducted a study that included a review of research evidence, a systematic clinically informed evaluation of the most commonly used screening measures, and a survey of measures employed in primary care in Kent.
Although the survey revealed that the Mini Mental State Examination (MMSE) was the most widely used measure in Kent – with as many as 51% of respondents using it as the only screening tool – the review concluded that three other less commonly used instruments are easier to administer, clinically acceptable, more effective, and less affected by patient education, gender, and ethnicity. These are: the General Practitioner Assessment of Cognition (GPCOG), the Memory Impairment Screen (MIS), and the Mini-Cognitive Assessment Instrument (Mini-Cog). That all three have psychometric properties similar to the MMSE is also important.
Of the GPs surveyed, many actually expressed concern about limited availability of measures other than MMSE, little access to training and advice on screening, and a lack of national guidance. One GP summarised the views of many by stating that ‘it would be very helpful if a standard screening tool could be recommended and made widely available . . . now!’
Dr Milne, a researcher in the field of gerontology, said: ‘Although the MMSE is widely used in the UK, this project identifies the GPCOG, MIS and Mini-Cog as clinically and psychometrically robust and more appropriate for routine use in primary care. The study highlights a need for primary care staff to be offered training and advice on dementia screening including the use of instruments. Early diagnosis is one of the key aims of the National Dementia Strategy; improving the quality and consistency of dementia screening is a distinctive and yet pivotal dimension of achieving this important policy goal.’
Dr Milne also moved to reassure patients and family members who may have concerns about the findings. ‘Anyone with concerns about their own, or their relatives, cognitive function or memory should consult their GP,’ she said. ‘Whatever the relative weaknesses of the MMSE are, it remains a safe and valid screening instrument. Further, it is likely to remain the instrument of choice for most GPs until national guidance is provided on dementia screening and early diagnosis taking account of evaluative clinically informed research of the type reported by us.’
‘Screening for dementia in primary care: a review of the use, efficacy and quality of measures’ by A. Milne (Tizard Centre), A. Culverwell (St Martin’s Hospital, Canterbury), R. Guss (Medway Maritime Hospital, Gillingham), J. Tuppen (The Beacon, Ramsgate) and R. Whelton (Tizard Centre) is published in the October issue, Vol. 20 (5), of International Psychogeriatrics, the official journal of the International Psychogeriatric Association.
Gary Hughes | alfa
Gentle sensors for diagnosing brain disorders
29.09.2016 | King Abdullah University of Science and Technology
New imaging technique in Alzheimer’s disease - opens up possibilities for new drug development
28.09.2016 | Lund University
Researchers from the Institute for Quantum Computing (IQC) at the University of Waterloo led the development of a new extensible wiring technique capable of controlling superconducting quantum bits, representing a significant step towards to the realization of a scalable quantum computer.
"The quantum socket is a wiring method that uses three-dimensional wires based on spring-loaded pins to address individual qubits," said Jeremy Béjanin, a PhD...
In a paper in Scientific Reports, a research team at Worcester Polytechnic Institute describes a novel light-activated phenomenon that could become the basis for applications as diverse as microscopic robotic grippers and more efficient solar cells.
A research team at Worcester Polytechnic Institute (WPI) has developed a revolutionary, light-activated semiconductor nanocomposite material that can be used...
By forcefully embedding two silicon atoms in a diamond matrix, Sandia researchers have demonstrated for the first time on a single chip all the components needed to create a quantum bridge to link quantum computers together.
"People have already built small quantum computers," says Sandia researcher Ryan Camacho. "Maybe the first useful one won't be a single giant quantum computer...
COMPAMED has become the leading international marketplace for suppliers of medical manufacturing. The trade fair, which takes place every November and is co-located to MEDICA in Dusseldorf, has been steadily growing over the past years and shows that medical technology remains a rapidly growing market.
In 2016, the joint pavilion by the IVAM Microtechnology Network, the Product Market “High-tech for Medical Devices”, will be located in Hall 8a again and will...
'Ferroelectric' materials can switch between different states of electrical polarization in response to an external electric field. This flexibility means they show promise for many applications, for example in electronic devices and computer memory. Current ferroelectric materials are highly valued for their thermal and chemical stability and rapid electro-mechanical responses, but creating a material that is scalable down to the tiny sizes needed for technologies like silicon-based semiconductors (Si-based CMOS) has proven challenging.
Now, Hiroshi Funakubo and co-workers at the Tokyo Institute of Technology, in collaboration with researchers across Japan, have conducted experiments to...
14.10.2016 | Event News
14.10.2016 | Event News
12.10.2016 | Event News
21.10.2016 | Health and Medicine
21.10.2016 | Information Technology
21.10.2016 | Materials Sciences