Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project

English version

Autoři: Leonie N. C. Visser ^aff001; Ingrid S. van Maurik ^aff002; Femke H. Bouwman ^aff002; Salka Staekenborg ^aff004; Ralph Vreeswijk ^aff005; Liesbeth Hempenius ^aff006; Marlijn H. de Beer ^aff007; Gerwin Roks ^aff008; Leo Boelaarts ^aff009; Mariska Kleijer ^aff010; Wiesje M. van der Flier ^aff002; Ellen M. A. Smets ^aff001
Působiště autorů: Department of Medical Psychology, Amsterdam Public Health research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands ^aff001; Alzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands ^aff002; Department of Epidemiology and Biostatistics, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands ^aff003; Department of Neurology, Tergooi Ziekenhuis, Blaricum, The Netherlands ^aff004; Department of Clinical Geriatrics, Spaarne Gasthuis, Haarlem, The Netherlands ^aff005; Geriatric Center, Medical Center Leeuwarden, Leeuwarden, The Netherlands ^aff006; Department of Neurology, Reinier de Graaf Gasthuis, Delft, The Netherlands ^aff007; Department of Neurology, Elisabeth-TweeSteden Ziekenhuis, Tilburg, The Netherlands ^aff008; Geriatric Department, NoordWest Ziekenhuis Groep, Alkmaar, The Netherlands ^aff009; Department of Neurology, LangeLand Ziekenhuis, Zoetermeer, The Netherlands ^aff010
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0227282

Souhrn

Background

We aimed to explore clinicians’ communication, including the discussion of diagnosis, cause, prognosis and care planning, in routine post-diagnostic testing consultations with patients with Mild Cognitive Impairment (MCI).

Methods

Thematic content analysis was used to analyze audiotaped consultations in which 10 clinicians (eight neurologists and two geriatricians) from 7 memory clinics, disclosed diagnostic information to 13 MCI patients and their care partners. We assessed clinician-patient communication regarding diagnostic label, cause, prognosis and care planning to identify core findings.

Results

Core findings were: clinicians 1) differed in how they informed about the MCI label; 2) tentatively addressed cause of symptoms; 3) (implicitly) steered against further biomarker testing; 4) rarely informed about the patient’s risk of developing dementia; 5) often informed about the expected course of symptoms emphasizing potential symptom stabilization and/or improvement, and; 6) did not engage in a conversation on long-term (care) planning.

Discussion

Clinicians’ information provision about the underlying cause, prognosis and implications for long-term (care) planning in MCI could be more specific. Since most patients and care partners have a strong need to understand the patient’s symptoms, and for information on the prognosis and implications for the future, clinicians’ current approach may not match with those needs.

Klíčová slova:

Alzheimer's disease – Biomarkers – Cognitive impairment – Dementia – Diagnostic medicine – Long-term care – Memory – Prognosis

Zdroje

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Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project

Souhrn

Background

Methods

Results

Discussion

Klíčová slova:

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