ArticleThe European journal of general practice2021
Barriers in screening for dementia in elderly migrants in primary care and the use of the Rowland Universal Dementia Assessment Scale. A mixed cross-sectional and qualitative study.
Article in The European journal of general practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Attitudes and Preferences Towards Screening for Dementia From the Perspectives of Healthcare Professionals: An Updated Systematic Review.International journal of geriatric psychiatry · 2025Pooled it
- Article
- Urban health inequities and healthy longevity: traditional and emerging risk factors across the cities and policy implications.Aging clinical and experimental research · 2025Review
- Dementia in Turkey-Physician's Perspectives on Facilitating and Challenging Aspects in the Diagnostic Process.International journal of geriatric psychiatry · 2025Article
- Migration and mental health problems of older adults: Challenges and proposed solutions.Industrial psychiatry journal · 2024Article
- Diagnostic Accuracy of the Swedish Version of the Multicultural Cognitive Examination for Cognitive Assessment in Swedish Memory Clinics.Journal of Alzheimer's disease : JAD · 2024Article
- Normalization of Rowland Universal Dementia Assessment Scale (RUDAS) in Chilean older people.Dementia & neuropsychologia · 2023Article
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2 authors.
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Abstract
backgroundIn the migrant population, there is a higher risk of dementia. However, dementia is underdiagnosed in this population due to the underuse of appropriate screening tools. The Rowland Universal Dementia Assessment Scale (RUDAS) is designed for culturally and linguistically diverse populations.
objectivesTo gain insights into the primary care cognitive screening strategy for dementia in migrants and to evaluate the experiences with the RUDAS tool by general practitioners (GPs).
methodsGPs were questioned about barriers in dementia screening in the migrant population and asked to apply the RUDAS. A mixed-methods study was conducted among Flemish GPs. In an online survey, the currently used methods for screening for dementia in migrants and the barriers were investigated. In a qualitative pilot study, the user experience of the RUDAS scale was explored.
resultsA total of 122/322 GPs participated (response rate 38%), 102 (83.6%) of all responding GPs mentioned language problems as the most apparent barrier. Most GPs believed the Mini Mental State Examination was inappropriate for migrants but they were unaware of an alternative. Due to lack of time and target population, only two GPs effectively applied the RUDAS. The tool was found easy to understand and less challenging in case of language problems. The main reason for not using RUDAS was the suspected time consumption.
conclusionGPs find screening for dementia in migrant patients a challenging act, mainly due to language barriers. GPs are not confident enough with the appropriate screening strategies and tools adjusted to the needs of migrant patients.
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