ReviewDementia & neuropsychologia2020
SPIKES-D: a proposal to adapt the SPIKES protocol to deliver the diagnosis of dementia.
Review in Dementia & neuropsychologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Toward compassionate communication: a rapid review on facilitating the dementia disclosure process.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Pooled it
- A Qualitative Study to Characterize the Experiences of Patients and Caregivers With Dementia Diagnostic Disclosure Communication and Care Planning.Journal of geriatric psychiatry and neurology · 2026Article
- Reflecting on 25 years of SPIKES: bad news communication in our modern era.The oncologist · 2026Article
- Medical professionals' perspectives and experiences in disclosing a dementia diagnosis: a grounded theory study.BMC geriatrics · 2026Article
- Culturally sensitive CLEAR guidelines on disclosing and communicating a diagnosis of dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Improving clinicians' self-efficacy in delivering a diagnosis of dementia: A before-after study.Australasian journal on ageing · 2025Article
- Dementia Care Specialists' Perspectives of Diagnosis and Early Psychosocial Care: A Qualitative Analysis of Focus Groups in Two Large Academic Medical Centers.Journal of aging research · 2025Article
- Persons living with dementia and caregivers' communication preferences for receiving a dementia diagnosis.PEC innovation · 2024Article
- Consensus-Based Guidelines for Communicating a Misdiagnosis of Multiple Sclerosis to Reduce Psychological Distress.Brain and behavior · 2024Article
- Best Practices for Communicating a Diagnosis of Dementia: Results of a Multi-Stakeholder Modified Delphi Consensus Process.Neurology. Clinical practice · 2024Article
- A neuropsychological feedback model for memory clinic trainees.BMC medical education · 2024Review
- Philosophy leading the way: An interdisciplinary approach to study communication of severe diagnoses.PloS one · 2024Article
- Article
- Functional vision disorders in adults: a paradigm and nomenclature shift for ophthalmology.Survey of ophthalmologyReview
- How can physicians empathetically deliver a diagnosis that reflects the evolving landscape of Alzheimer's disease care: A scoping review.Journal of Alzheimer's disease reportsReview
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Dementia is a life-threatening and stigmatizing condition, with devastating impacts on the patient's personal identity and caregivers. There are many barriers to an effective diagnosis disclosure of dementia, including fear of causing distress, uncertainty of diagnosis, caregivers' objection and lack of training in communication skills in undergraduate medical schools. Although some studies have been published on how to help physicians deliver an Alzheimer's disease diagnosis, no specific protocol has been published yet. The SPIKES protocol is a didactic approach designed to deliver bad news related to cancer, but it has been used globally and in a variety of clinical settings, including the teaching of communication skills to medical students and residents. It is known, however, that the cognitive impairment of Alzheimer's disease and other dementias may limit the understanding of the diagnosis' complexity; hence, a few adaptations of this model were made after reviewing the current literature on dementia diagnosis disclosure. The suggested SPIKES-D protocol seems to encompass current guidelines about the communication of the diagnosis of dementia, keeping its didactic approach on breaking bad news and helping fulfill the gaps in this topic.
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Registered trials
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