Evidence map›Paper›PMID 34974838›Full record

ArticleBMC health services research2022

What do health professionals need to know about young onset dementia? An international Delphi consensus study.

Leah Couzner, Sally Day, Brian Draper, Adrienne Withall, Kate E Laver, Claire Eccleston, Kate-Ellen Elliott, Fran McInerney, Monica Cations

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
7.5field-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

7 citing papers in PubMed, 19 citations in OpenAlex.

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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 3 institutions in 1 country.

Leah CouznerCollege of Education, Social Work and Psychology, Flinders University, Adelaide, South Australia, Australia.
Sally DayCollege of Education, Social Work and Psychology, Flinders University, Adelaide, South Australia, Australia.
Brian DraperSchool of Psychiatry, UNSW Sydney, Sydney, New South Wales, Australia.
Adrienne WithallSchool of Public Health and Community Medicine, UNSW Sydney, Sydney, New South Wales, Australia.
Kate E LaverCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Claire EcclestonUniversity of Tasmania, Hobart, Tasmania, Australia.
Kate-Ellen ElliottUniversity of Tasmania, Hobart, Tasmania, Australia.
Fran McInerneyUniversity of Tasmania, Hobart, Tasmania, Australia.
Monica CationsCollege of Education, Social Work and Psychology, Flinders University, Adelaide, South Australia, Australia. monica.cations@flinders.edu.au.
Flinders University · AUUniversity of Tasmania · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with young onset dementia (YOD) have unique needs and experiences, requiring care and support that is timely, appropriate and accessible. This relies on health professionals possessing sufficient knowledge about YOD. This study aims to establish a consensus among YOD experts about the information that is essential for health professionals to know about YOD.

methodsAn international Delphi study was conducted using an online survey platform with a panel of experts (n = 19) on YOD. In round 1 the panel individually responded to open-ended questions about key facts that are essential for health professionals to understand about YOD. In rounds 2 and 3, the panel individually rated the collated responses in terms of their importance in addition to selected items from the Dementia Knowledge Assessment Scale. The consensus level reached for each statement was calculated using the median, interquartile range and percentage of panel members who rated the statement at the highest level of importance.

resultsThe panel of experts were mostly current or retired clinicians (57%, n = 16). Their roles included neurologist, psychiatrist and neuropsychiatrist, psychologist, neuropsychologist and geropsychologist, physician, social worker and nurse practitioner. The remaining respondents had backgrounds in academia, advocacy, or other areas such as law, administration, homecare or were unemployed. The panel reached a high to very high consensus on 42 (72%) statements that they considered to be important for health professionals to know when providing care and services to people with YOD and their support persons. Importantly the panel agreed that health professionals should be aware that people with YOD require age-appropriate care programs and accommodation options that take a whole-family approach. In terms of identifying YOD, the panel agreed that it was important for health professionals to know that YOD is aetiologically diverse, distinct from a mental illness, and has a combination of genetic and non-genetic contributing factors. The panel highlighted the importance of health professionals understanding the need for specialised, multidisciplinary services both in terms of diagnosing YOD and in providing ongoing support. The panel also agreed that health professionals be aware of the importance of psychosocial support and non-pharmacological interventions to manage neuropsychiatric symptoms.

conclusionsThe expert panel identified information that they deem essential for health professionals to know about YOD. There was agreement across all thematic categories, indicating the importance of broad professional knowledge related to YOD identification, diagnosis, treatment, and ongoing care. The findings of this study are not only applicable to the delivery of support and care services for people with YOD and their support persons, but also to inform the design of educational resources for health professionals who are not experts in YOD.

Indexed as

DementiaDelphi TechniqueHealth PersonnelHumansSurveys and QuestionnairesConsensusDelphi studyHealth professionalsKnowledgeYoung onset dementia

Identifiers

PMID34974838
PMCPMC8722147
OpenAlexW4205613689

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.