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Centre for Policy on Ageing | |
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Diagnosis of cognitive decline and dementia in rural areas
— a scoping review | | Author(s) | Janina Barth, Franziska Nickel, Peter L Kolominsky-Rabas |
| Journal title | International Journal of Geriatric Psychiatry, vol 33, no 3, March 2018 |
| Publisher | Wiley, March 2018 |
| Pages | pp 459-474 |
| Source | http://www.orangejournal.org |
| Keywords | Dementia ; Cognitive impairment ; Diagnosis ; Screening ; Rural areas ; Literature reviews. |
| Annotation | Due to demographic change the global prevalence of dementia will continue to rise, however timely diagnosis is associated with valuable benefits and can promote timely and optimal management. Receiving an early diagnosis is a particular problem in rural areas due to limited access to assessments. The aim of this scoping review was to investigate different interventions targeted at older people living in rural areas in order to screen and diagnose cognitive decline and dementia. The review was conducted in line with the framework of Arksey and O'Malley and a range of databases were systematically searched. Interventions were categorised in four main categories: interventions for general practitioners/institutions; online/mobile offers; telehealth applications; and telephone-based screenings. In all, 30 studies were included. The four categories showed different scopes of application. Telehealth applications showed that it is feasible and valid to diagnose dementia via videoconference. Assessments described in the three other categories showed that remotely used tools are appropriate to screen for mild cognitive impairment or cognitive decline, but are not valid to establish a dementia diagnosis. Telehealth applications can appropriately be used to diagnose dementia. However most of the studies included only small sample sizes and did not test the applications explicitly in rural or remote populations. Therefore studies taking these limitations into account are needed. In addition, only two randomised controlled trials (RCTs) were included in this review indicating that more high quality studies in the field are needed. (JL). |
| Accession Number | CPA-180323229 A |
| Classmark | EA: E4: LK7: 3V: RL: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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