Effect of a Dementia Education Intervention on the Confidence and Attitudes of General Practitioners in Australia: a Pretest Post-test Study

Overview

Journal BMJ Open

Specialty General Medicine

Date 2020 Jan 29

PMID 31988229

Citations 5

Authors

Ron Mason

Kathleen Doherty

Claire Eccleston

Margaret Winbolt

Marita Long

Andrew Robinson

Affiliations

Soon will be listed here.

Abstract

Objectives: This study assessed the impact of a Dementia Education Workshop on the confidence and attitudes of general practitioner (GP) registrars (GPR) and GP supervisors (GPS) in relation to the early diagnosis and management of dementia.

Design: Pretest post-test research design.

Setting: Continuing medical education in Australia.

Participants: 332 GPR and 114 GPS.

Interventions: Registrars participated in a 3-hour face-to-face workshop while supervisors participated in a 2-hour-modified version designed to assist with the education and supervision of registrars.

Main Outcome Measures: The General Practitioners Confidence and Attitude Scale for Dementia was used to assess overall confidence, attitude to care and engagement. A t-test for paired samples was used to identify differences from preworkshop (T1) to postworkshop (T2) for each GP group. A t-test for independent samples was undertaken to ascertain differences between each workshop group. A Cohen's d was calculated to measure the effect size of any difference between T1 and T2 scores.

Results: Significant increases in scores were recorded for , and between pretest and post-test periods. GPR exhibited the greatest increase in scores for and .

Conclusions: Targeted educational interventions can improve attitude, increase confidence and reduce negative attitudes towards engagement of participating GPs.

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References

Foley T, Boyle S, Jennings A, Smithson W . "We're certainly not in our comfort zone": a qualitative study of GPs' dementia-care educational needs. BMC Fam Pract. 2017; 18(1):66. PMC: 5441069. DOI: 10.1186/s12875-017-0639-8. View

Mason R, Doherty K, Eccleston C, Annear M, Lo A, Tierney L . General practitioners attitude and confidence scale for dementia (GPACS-D): confirmatory factor analysis and comparative subscale scores among GPs and supervisors. BMC Fam Pract. 2019; 20(1):6. PMC: 6323804. DOI: 10.1186/s12875-018-0896-1. View

Turner S, Iliffe S, Downs M, Wilcock J, Bryans M, Levin E . General practitioners' knowledge, confidence and attitudes in the diagnosis and management of dementia. Age Ageing. 2004; 33(5):461-7. DOI: 10.1093/ageing/afh140. View

Cahill S, Clark M, OConnell H, Lawlor B, Coen R, Walsh C . The attitudes and practices of general practitioners regarding dementia diagnosis in Ireland. Int J Geriatr Psychiatry. 2008; 23(7):663-9. DOI: 10.1002/gps.1956. View

Koch T, Iliffe S . Rapid appraisal of barriers to the diagnosis and management of patients with dementia in primary care: a systematic review. BMC Fam Pract. 2010; 11:52. PMC: 2909966. DOI: 10.1186/1471-2296-11-52. View

Surr C, Gates C, Irving D, Oyebode J, Smith S, Parveen S . Effective Dementia Education and Training for the Health and Social Care Workforce: A Systematic Review of the Literature. Rev Educ Res. 2017; 87(5):966-1002. PMC: 5613811. DOI: 10.3102/0034654317723305. View

Perry M, Draskovic I, van Achterberg T, van Eijken M, Lucassen P, Vernooij-Dassen M . Development and validation of quality indicators for dementia diagnosis and management in a primary care setting. J Am Geriatr Soc. 2010; 58(3):557-63. DOI: 10.1111/j.1532-5415.2010.02726.x. View

Aminzadeh F, Molnar F, Dalziel W, Ayotte D . A review of barriers and enablers to diagnosis and management of persons with dementia in primary care. Can Geriatr J. 2012; 15(3):85-94. PMC: 3521322. DOI: 10.5770/cgj.15.42. View

Phillipson L, Magee C, Jones S, Reis S, Skladzien E . Dementia attitudes and help-seeking intentions: an investigation of responses to two scenarios of an experience of the early signs of dementia. Aging Ment Health. 2015; 19(11):968-77. DOI: 10.1080/13607863.2014.995588. View

10.

van Hout H, Vernooij-Dassen M, Bakker K, Blom M, Grol R . General practitioners on dementia: tasks, practices and obstacles. Patient Educ Couns. 2000; 39(2-3):219-25. DOI: 10.1016/s0738-3991(99)00034-8. View

11.

Ford E, Greenslade N, Paudyal P, Bremner S, Smith H, Banerjee S . Predicting dementia from primary care records: A systematic review and meta-analysis. PLoS One. 2018; 13(3):e0194735. PMC: 5875793. DOI: 10.1371/journal.pone.0194735. View

12.

McIntosh I, Swanson V, Power K, Rae C . General practitioners' and nurses' perceived roles, attitudes and stressors in the management of people with dementia. Health Bull (Edinb). 2003; 57(1):35-43. View

13.

Tierney L, Mason R, Doherty K, Winbolt M, Long M, Robinson A . Workshops on diagnosis and management of dementia for general practitioners: a pre-post intervention study of dementia knowledge. BMJ Open. 2019; 9(4):e027804. PMC: 6500330. DOI: 10.1136/bmjopen-2018-027804. View

14.

Tullo E, Allan L . What should we be teaching medical students about dementia?. Int Psychogeriatr. 2011; 23(7):1044-50. DOI: 10.1017/S1041610211000536. View

15.

Milne A, Hamilton-West K, Hatzidimitriadou E . GP attitudes to early diagnosis of dementia: evidence of improvement. Aging Ment Health. 2005; 9(5):449-55. DOI: 10.1080/13607860500142762. View

16.

Gibbins J, McCoubrie R, Forbes K . Why are newly qualified doctors unprepared to care for patients at the end of life?. Med Educ. 2011; 45(4):389-99. DOI: 10.1111/j.1365-2923.2010.03873.x. View

17.

Jennings A, Foley T, Walsh K, Coffey A, Browne J, Bradley C . General practitioners' knowledge, attitudes, and experiences of managing behavioural and psychological symptoms of dementia: A mixed-methods systematic review. Int J Geriatr Psychiatry. 2018; . PMC: 6099359. DOI: 10.1002/gps.4918. View

18.

Bradford A, Kunik M, Schulz P, Williams S, Singh H . Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factors. Alzheimer Dis Assoc Disord. 2009; 23(4):306-14. PMC: 2787842. DOI: 10.1097/WAD.0b013e3181a6bebc. View

19.

Thyrian J, Hoffmann W . Dementia care and general physicians--a survey on prevalence, means, attitudes and recommendations. Cent Eur J Public Health. 2013; 20(4):270-5. DOI: 10.21101/cejph.a3751. View

20.

Gerritsen D, Oyebode J, Gove D . Ethical implications of the perception and portrayal of dementia. Dementia (London). 2016; 17(5):596-608. DOI: 10.1177/1471301216654036. View