General practitioners' perspectives on lifestyle interventions for cognitive preservation in dementia prevention
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General practitioners' perspectives on lifestyle interventions for cognitive preservation in dementia prevention. / Kappe, Josefine; Wittmann, Felix; Luppa, Melanie; Cardona, Maria Isabel; Weise, Solveign; Fuchs, Stephan; Kosilek, Robert Philipp; Sanftenberg, Linda; Brettschneider, Christian; Döhring, Juliane; Escales, Catharina; Czock, David; Wiese, Birgitt; Thyrian, Jochen René; Hoffmann, Wolfgang; Frese, Thomas; Gensichen, Jochen; König, Hans-Helmut; Kaduszkiewicz, Hanna; Riedel-Heller, Steffi Gerlinde.
in: BMC PRIM CARE, Jahrgang 25, Nr. 1, 14.08.2024, S. 301.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - General practitioners' perspectives on lifestyle interventions for cognitive preservation in dementia prevention
AU - Kappe, Josefine
AU - Wittmann, Felix
AU - Luppa, Melanie
AU - Cardona, Maria Isabel
AU - Weise, Solveign
AU - Fuchs, Stephan
AU - Kosilek, Robert Philipp
AU - Sanftenberg, Linda
AU - Brettschneider, Christian
AU - Döhring, Juliane
AU - Escales, Catharina
AU - Czock, David
AU - Wiese, Birgitt
AU - Thyrian, Jochen René
AU - Hoffmann, Wolfgang
AU - Frese, Thomas
AU - Gensichen, Jochen
AU - König, Hans-Helmut
AU - Kaduszkiewicz, Hanna
AU - Riedel-Heller, Steffi Gerlinde
N1 - © 2024. The Author(s).
PY - 2024/8/14
Y1 - 2024/8/14
N2 - BACKGROUND: General practitioners (GPs) play a crucial role in identifying cognitive impairment and dementia and providing post-diagnostic care. This study investigates (1) how promising GP consider lifestyle changes to maintain cognitive performance in general, (2) GP beliefs about the power of modifiable health and lifestyle factors to maintain cognitive performance, and (3) whether those beliefs vary by GP age.METHODS: As part of the AgeWell.de trial, GPs (n = 72) completed a process evaluation questionnaire assessing their perspectives on lifestyle changes to preserve cognitive performance in elderly patients. In greater detail, their perceived efficacy of established risk and protective factors was investigated using a 5-point Likert scale. Descriptive statistical analyses were performed for research question (1) and (2). Spearman´s rank correlations and ordinal logistic regressions were used to answer research question (3). All results were interpreted exploratively.RESULTS: GPs rated the overall chance of lifestyle changes maintaining cognitive performance quite neutral with a median score of 3.0 (IQR = 2.0). They rated the efficacy of all the modifiable health and lifestyle factors high, with increase in physical and social activity ((Mdn = 5.0, IQR = 1.0) receiving the highest ratings with the narrowest range. Spearman's rank correlation indicated a significant positive relationship between age and the belief in "Optimization of nutrition" for preventing cognitive decline and dementia (ρ = .255, p = .041). However, ordinal logistic regressions showed no significant relationships between age and GP ratings of lifestyle change efficacy.CONCLUSION: These findings highlight the positive perception of GPs on the efficacy of modifiable health and lifestyle factors for preventing cognitive decline and dementia.TRIAL REGISTRATION: The AgeWell.de trial is registered in the German Clinical Trials Register (DRKS; trial identifier: DRKS00013555, Registration Date 07 December 2017).
AB - BACKGROUND: General practitioners (GPs) play a crucial role in identifying cognitive impairment and dementia and providing post-diagnostic care. This study investigates (1) how promising GP consider lifestyle changes to maintain cognitive performance in general, (2) GP beliefs about the power of modifiable health and lifestyle factors to maintain cognitive performance, and (3) whether those beliefs vary by GP age.METHODS: As part of the AgeWell.de trial, GPs (n = 72) completed a process evaluation questionnaire assessing their perspectives on lifestyle changes to preserve cognitive performance in elderly patients. In greater detail, their perceived efficacy of established risk and protective factors was investigated using a 5-point Likert scale. Descriptive statistical analyses were performed for research question (1) and (2). Spearman´s rank correlations and ordinal logistic regressions were used to answer research question (3). All results were interpreted exploratively.RESULTS: GPs rated the overall chance of lifestyle changes maintaining cognitive performance quite neutral with a median score of 3.0 (IQR = 2.0). They rated the efficacy of all the modifiable health and lifestyle factors high, with increase in physical and social activity ((Mdn = 5.0, IQR = 1.0) receiving the highest ratings with the narrowest range. Spearman's rank correlation indicated a significant positive relationship between age and the belief in "Optimization of nutrition" for preventing cognitive decline and dementia (ρ = .255, p = .041). However, ordinal logistic regressions showed no significant relationships between age and GP ratings of lifestyle change efficacy.CONCLUSION: These findings highlight the positive perception of GPs on the efficacy of modifiable health and lifestyle factors for preventing cognitive decline and dementia.TRIAL REGISTRATION: The AgeWell.de trial is registered in the German Clinical Trials Register (DRKS; trial identifier: DRKS00013555, Registration Date 07 December 2017).
KW - Humans
KW - Dementia/prevention & control
KW - Male
KW - Female
KW - General Practitioners/psychology
KW - Middle Aged
KW - Life Style
KW - Attitude of Health Personnel
KW - Surveys and Questionnaires
KW - Adult
KW - Aged
KW - Cognition
KW - Exercise/psychology
U2 - 10.1186/s12875-024-02566-3
DO - 10.1186/s12875-024-02566-3
M3 - SCORING: Journal article
C2 - 39143540
VL - 25
SP - 301
JO - BMC PRIM CARE
JF - BMC PRIM CARE
SN - 1471-2296
IS - 1
ER -
