Evidence map›Paper›PMID 32164544›Full record

ArticleBMC geriatrics2020

Experiences of dementia and attitude towards prevention: a qualitative study among older adults participating in a prevention trial.

Anna Rosenberg, Nicola Coley, Alexandra Soulier, Jenni Kulmala, Hilkka Soininen, Sandrine Andrieu, Miia Kivipelto, Mariagnese Barbera, MIND-AD and HATICE groups

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  3. Exploring the views of key stakeholders on dementia risk prediction in primary care in areas of socioeconomic deprivation: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Anna RosenbergDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland. anna.rosenberg@uef.fi.ORCID 0000-0003-1456-7991
Nicola ColeyLEASP, UMR 1027, INSERM/Université Toulouse III Paul Sabatier, University of Toulouse, Toulouse, France.
Alexandra SoulierLEASP, UMR 1027, INSERM/Université Toulouse III Paul Sabatier, University of Toulouse, Toulouse, France.
Jenni KulmalaPublic Health Promotion Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
Hilkka SoininenDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Sandrine AndrieuLEASP, UMR 1027, INSERM/Université Toulouse III Paul Sabatier, University of Toulouse, Toulouse, France.
Miia KivipeltoDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Mariagnese BarberaDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
MIND-AD and HATICE groups
University of Eastern Finland · FIUniversité Toulouse III - Paul Sabatier · FRSanté Publique France · FRSeinäjoki University of Applied Sciences · FI

Funding

Academy of Finland 291803Agence Nationale de la Recherche ANR-14-JPPS-0001-02Bundesministerium für Bildung und Forschung FKZ01ED1509Medical Research Council G0601022Medical Research Council G9901400Seventh Framework Programme 305374Vetenskapsrådet 529-2014-7503VTR Kuopion Yliopistollinen Sairaala (FI) 5772815ZonMw 733051041
6 · The paper itself

Abstract

backgroundA better insight into older adults' understanding of and attitude towards cognitive disorders and their prevention, as well as expectations and reasons for participation in prevention trials, would help design, conduct, and implement effective preventive interventions. This qualitative study aimed at exploring the knowledge and perceptions of cognitive disorders and their prevention among participants in a prevention trial.

methodsSemi-structured interviews were conducted among the participants of a multinational randomised controlled trial testing the efficacy of a lifestyle-based eHealth intervention in preventing cardiovascular disease or cognitive decline in community dwellers aged 65+. Participants were probed on their reasons for participation in the trial and their views on general health, cardiovascular disease, ageing, and prevention. The subset of data focusing on cognitive disorders (15 interviewees; all in Finland) was considered for this study. Data were analysed using content analysis.

resultsParticipants' knowledge of the cause and risk factors of cognitive disorders and prevention was limited and superficial, and a need for up-to-date, reliable, and practical information and advice was expressed. Cognitive disorders evoked fear and concern, and feelings of hopelessness and misery were frequently expressed, indicating a stigma. Strong heredity of cognitive disorders was a commonly held belief, and opinions on the possibility of prevention were doubtful, particularly in relation to primary prevention. Family history and/or indirect experiences of cognitive disorders was a recurrent theme and it showed to be linked to both the knowledge of and feelings associated with cognitive disorders, as well as attitude towards prevention. Indirect experiences were linked to increased awareness and knowledge, but also uncertainty about risk factors and possibility of prevention. Distinct fear and concerns, particularly over one's own cognition/risk, and high motivation towards engaging in prevention and participating in a prevention trial were also identified in connection to this theme.

conclusionsFamily history and/or indirect experiences of cognitive disorders were linked to sensitivity and receptiveness to brain health and prevention potential. Our findings may be helpful in addressing older adults' expectations in future prevention trials to improve recruitment, maximise adherence, and facilitate the successful implementation of interventions.

Indexed as

Health Knowledge, Attitudes, PracticeMotivationAgedAged, 80 and overCognitive DysfunctionDementiaFemaleFinlandHumansInterviews as TopicMaleQualitative ResearchAlzheimer’s diseaseCognitive impairmentDementiaFamily historyHealthy ageingOlder adultsPreventionQualitative researchRandomised controlled trialRisk reduction

Identifiers

PMID32164544
PMCPMC7068959
OpenAlexW3010924069

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.