Evidence map›Paper›PMID 33331529›Full record

Trial reportRevista de saude publica2020

Older adults with dementia: knowledge and attitudes of physicians in health units.

Ana Beatriz Quintes Steiner, Alessandro Ferrari Jacinto, Vanessa de Albuquerque Citero

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

3 authors.

Ana Beatriz Quintes SteinerUniversidade Federal de São Paulo. Escola Paulista de Medicina. Programa de Pós-Graduação em Psiquiatria e Psicologia Médica. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-5552-558X
Alessandro Ferrari JacintoUniversidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Medicina. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-1977-5880
Vanessa de Albuquerque CiteroUniversidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Psiquiatria. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-7974-2944

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the knowledge and attitudes of general practitioners of the basic health network of the city of São Paulo in relation to patients with dementia and identify patterns of attitudes.

methodsA total of 10% of the basic health units in the city of São Paulo (n = 45) were randomly distributed into six regional health coordination centers. Up to two general practitioners were interviewed in each unit, with a total of 81 physicians interviewed. They answered the translated and cross-culturally adapted version for Brazil of two British questionnaires, the knowledge quiz (knowledge about dementias) and the attitude quiz (attitude towards the patient afflicted with dementia), as well as a sociodemographic and occupational questionnaire to understand the profile of general practitioners working in primary care. Descriptive data analysis, factor analysis of the main components of the attitude quiz and study of association between attitudes and knowledge were performed, in addition to the multiple linear regression test to determine the relationship between occupational profile and knowledge about attitude patterns in dementia.

resultsThe physicians interviewed had a median of five-year graduation time; 35.8% worked exclusively with primary care, and less than 40% had completed, or were attending, medical residency or specialization. Physicians showed a lower knowledge about the diagnosis of dementia than about the epidemiology of the disease and its therapeutic management. Their attitudes towards patients afflicted with dementia resulted in four factors: proactive optimism, delegated optimism, implicit dismay, and explicit dismay. The regression study showed that the attitude of explicit dismay decreases the longer the weekly working hours of the physician in the units, and that the delegated optimistic attitude of the physician decreases in the same situation.

conclusionInvestment in training is essential to improve physicians' performance in the field of dementia in primary care.

Indexed as

Attitude of Health PersonnelDementiaHealth Knowledge, Attitudes, PracticeAgedAged, 80 and overBrazilCross-Sectional StudiesFemaleGeneral PractitionersHumansInterviews as TopicMaleMiddle AgedPhysician-Patient RelationsSurveys and Questionnaires

Identifiers

PMID33331529
PMCPMC7703527

What OpenQuestion holds

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Registered trials

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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.