Table 5 Facilitators of Patient-Provider Communication about Cognition by SMD Group
From: Patient-provider communication about cognition and the role of memory concerns: a descriptive study
Facilitator Endorsement | Frequency (%) | OR (95% CI) | |||||
|---|---|---|---|---|---|---|---|
Which of the following would make you more likely to talk to a healthcare provider about your memory, thinking, or concentration? | Overall | Group 1: No SMD | Group 2: SMD without memory concerns | Group 3: SMD with memory concerns | Group 1 vs. 2 | Group 1 vs. 3 | Group 2 vs. 3 |
If memory or thinking problems were interfering with my life | 280 (68.46) | 86 (66.15) | 98 (68.53) | 96 (70.59) | 0.90 (0.54–1.49) | 0.81 (0.49–1.37) | 0.91 (0.55–1.51) |
If my memory or thinking problems were getting worse | 247 (60.39) | 65 (50.00) | 94 (65.73) | 88 (64.71) | 0.52 (0.32–0.85) | 0.55 (0.33–0.89) | 1.05 (0.64–1.71) |
If I started having new memory or thinking problems | 239 (58.44) | 71 (54.62) | 85 (59.44) | 83 (61.03) | 0.82 (0.51–1.33) | 0.77 (0.47–1.25) | 0.94 (0.58–1.51) |
If I felt worried or concerned about memory or thinking problems | 235 (57.46) | 70 (53.85) | 86 (60.14) | 79 (58.09) | 0.77 (0.48–1.25) | 0.84 (0.52–1.37) | 1.09 (0.68–1.76) |
If my friends or family thought I should talk to my healthcare provider | 185 (45.23) | 49 (37.69) | 76 (53.15) | 60 (44.12) | 0.53 (0.33–0.87) | 0.77 (0.47–1.25) | 1.44 (0.90–2.30) |
If my healthcare provider asked me about my memory or thinking abilities | 171 (41.81) | 40 (30.77) | 58 (40.56) | 73 (53.68) | 0.65 (0.40–1.07) | 0.38 (0.23–0.63) | 0.59 (0.37–0.95) |
Trusting my healthcare provider | 116 (28.36) | 32 (24.62) | 40 (27.97) | 44 (32.35) | 0.84 (0.49–1.44) | 0.68 (0.40–1.17) | 0.81 (0.49–1.36) |
If sharing these experiences would help my long-term health (for example, give my healthcare provider more information to guide their recommendations) | 105 (25.67) | 22 (16.92) | 42 (29.37) | 41 (30.15) | 0.49 (0.27–0.88) | 0.47 (0.26–0.85) | 0.96 (0.58–1.61) |
Having good communication with my healthcare provider | 102 (24.94) | 29 (22.31) | 29 (20.28) | 44 (32.25) | 1.13 (0.63–2.02) | 0.60 (0.35–1.04) | 0.53 (0.31–0.92) |
If I knew that others in my family had dementia or Alzheimer’s disease | 89 (21.76) | 22 (16.92) | 30 (20.98) | 37 (27.21) | 0.77 (0.42–1.41) | 0.55 (0.30–0.99) | 0.71 (0.41–1.23) |
If I heard of a new drug or non-drug treatment that might be able to help me | 45 (11.00) | 11 (8.46) | 11 (7.69) | 23 (16.91) | 1.11 (0.46–2.65) | 0.45 (0.21–0.97) | 0.41 (0.19–0.88) |
If my friends or family came with me to my healthcare provider visit/appointment | 28 (6.85) | 9 (6.92) | 10 (6.99) | 9 (6.62) | 0.99 (0.39–2.52) | 1.05 (0.40–2.73) | 1.06 (0.42–2.70) |
Nothing - I would not talk to my health provider about memory or thinking problems | 9 (2.20) | 8 (6.15) | 1 (0.70) | 0 (0.00) | -- | -- | -- |