Older adults’ experience of neuropsychological assessments for dementia screening in South India: a qualitative study
Authors
Du, BharathJones, Steven
Bailey, Jan
Rao, Poornima
Chandra, Mina
Vaitheswaran, Sridhar
Shaji K. S.
Goswami, Satyapal P.
Spector, Amy
Fisher, Emily
Satish, G.
Krishna, Murali
Affiliation
Foundation for Research and Advocacy in Mental Health, India; Royal Melbourne Hospital; University of Chester; Chamarajnagar Institute of Medical Sciences, India; Atal Bihari Vajpayee institute of Medical Sciences, Delhi; SCARF, Chennai; Government Medical College, India; Speech Pathology, AIISH, India; University College LondonPublication Date
2023-09-25
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Background: In community settings, neuropsychological assessment is the most commonly employed method for early recognition of dementia. However, little is known about the experience and perspectives of older adults when they undertake neuro psychological assessments in low-and middle-income countries (LMICs), including India. Methods: We conducted semi-structured interviews for 11 individuals (aged between 64 and 88 years) who had undergone cognitive assessment in the CST International (Cognitive Stimulation Therapy International) study and were free from dementia. The transcripts were analysed manually utilising Interpretative Phenomenological Analysis to develop key themes. Results: When data were analysed three super-ordinate themes (experiences related to the process, content and outcomes) each with a set of subordinate themes emerged. Conclusions: This study highlights the need for a thorough planning of pre-assessment briefing for equipping participants with adequate information related to the neuro psychological assessment: its indication, length of procedure, contents of the test, possible outcomes, medical implications of those outcomes, possible therapeutic options if diagnosed with lower cognitive function.We discuss our findings in relation to extant knowledge and explore issues clinicians should consider when conducting neuro psychological assessments in LMIC settings.Citation
Du, B., Jones, S., Bailey, J., Rao, S. P., Chandra, M., Vaitheswaran, S., Shaji, K. S., Goswami, S. P., Spector, A., Fisher, E., Satish, G., & Krishna, M. (2023). Older adults’ experience of neuropsychological assessments for dementia screening in South India: A qualitative study. Wellcome Open Research, 8, 421. https://doi.org/10.12688/wellcomeopenres.19791.1Publisher
WellcomeJournal
Wellcome Open ResearchAdditional Links
https://wellcomeopenresearch.org/articles/8-421/v1Type
ArticleEISSN
2398-502Xae974a485f413a2113503eed53cd6c53
10.12688/wellcomeopenres.19791.1
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