ArticleInternational journal of geriatric psychiatry2018
"Let him speak:" a descriptive qualitative study of the roles and behaviors of family companions in primary care visits among older adults with cognitive impairment.
Article in International journal of geriatric psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Attributes of family physician encounters valued by older adults: a systematic review.BMC primary care · 2025Pooled it
- Video-Enhanced Care Management for Medically Complex Older Adults with Cognitive Impairment.Journal of the American Geriatrics Society · 2021Trial
- How Clinicians Discuss Medications During Primary Care Encounters Among Older Adults with Cognitive Impairment.Journal of general internal medicine · 2020Trial
- Patient-Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial.Journal of general internal medicine · 2018Trial
- Qualitative exploration of how clinicians navigate divergence in older adult and family caregiver priorities.BMC geriatrics · 2025Article
- Evaluating the role of visit audio recordings in triadic dementia care: study protocol.BMC geriatrics · 2025Article
- Triadic Primary Care Encounters Managing Medications Among Individuals With Mild Cognitive Impairment and Dementia: Patient, Caregiver, and Clinician Perspectives.The Gerontologist · 2025Article
- Embedding Authorship Identity into a Portal-Based Agenda Setting Intervention to Support Older Adults and Care Partners.Journal of general internal medicine · 2024Article
- Persons living with dementia and caregivers' communication preferences for receiving a dementia diagnosis.PEC innovation · 2024Article
- Patient and Care Partner Perspective on Potential Undertreatment of Patients With Mild Cognitive Impairment for Cardiovascular Disease.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Care partners and consumer health information technology: A framework to guide systems-level initiatives in support of digital health equity.Learning health systems · 2024Article
- Family Involvement in the Care of Hospitalized Older Adults: Protocol for a Qualitative Evidence Synthesis.JMIR research protocols · 2024Article
- Assessing Equitable Inclusion of Underrepresented Older Adults in Alzheimer's Disease, Related Cognitive Disorders, and Aging-Related Research: A Scoping Review.The Gerontologist · 2023Article
- Influence of mild cognitive impairment on patient and care partner decision-making for acute ischemic stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023Article
- Catalyzing dementia care through the learning health system and consumer health information technology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Fielding the quality of communication questionnaire to persons with cognitive impairment and their family in primary care: A pilot study.Journal of the American Geriatrics Society · 2023Article
- Advancing the Research-to-Policy and Practice Pipeline in Aging and Dementia Care.The Public policy and aging report · 2023Article
- SHARING Choices: Design and rationale for a pragmatic trial of an advance care planning intervention for older adults with and without dementia in primary care.Contemporary clinical trials · 2022Article
- The Association Between Mild Cognitive Impairment Diagnosis and Patient Treatment Preferences: a Survey of Older Adults.Journal of general internal medicine · 2022Article
- Utilization of EHR to Improve Support Person Engagement in Health Care for Patients With Chronic Conditions.Journal of patient experience · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveCognitive impairment poses communication challenges in primary care. Although family "companions" commonly attend primary care visits of older adults with cognitive impairment, little is known about how their involvement affects communication. Therefore, we sought to understand how companion involvement affects the quality of primary care visit communication for older adults with cognitive impairment.
methodsCross-sectional, descriptive qualitative study participants were as follows: (1) English-speaking adults age 65 or older with mild, moderate, or severe cognitive impairment; (2) family members or other unpaid companions who accompany older adults to primary care visits; and (3) primary care clinicians. Twenty semi-structured and in-depth qualitative interviews of older adults and their companions (N = 20 dyads) and two focus groups (N = 10 primary care clinicians) were conducted. Interviews and focus groups were transcribed and analyzed thematically.
resultsFamily companions commonly facilitate communication by advocating for patients, ensuring the accuracy of information exchange and understanding, and preserving rapport. Significant communication challenges were also identified, including patient and companion role ambiguity, competing visit agendas, and primary care clinician confusion regarding the most accurate source of information. Patients, companions, and clinicians each identified strategies to improve communication, chief among them being to identify, differentiate, and respect both patient and companion priorities and perspectives.
conclusionsFamily companions actively participate in primary care visits of older adults with cognitive impairment in ways that promote and inhibit effective communication. Findings suggest the need for strategies that more effectively and purposefully involve family in the care of primary care patients with cognitive impairment. Copyright © 2017 John Wiley & Sons, Ltd.
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