Evidence map›Paper›PMID 38746728›Full record

ReviewInternational journal of nursing studies advances2021

Help-seeking for cognitive problems in older adults without dementia: A systematic review.

Nikki L Hill, Emily Bratlee-Whitaker, Andrea Sillner, Leslie Brautigam, Jacqueline Mogle

Abstract readReview
In one paragraph

Review in International journal of nursing studies advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
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  9. Associations Between Cognitive Impairment Severity and Barriers to Healthcare Engagement Among Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  10. Article
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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

5 authors.

Nikki L HillCollege of Nursing, Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.
Emily Bratlee-WhitakerCollege of Nursing, Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.
Andrea SillnerCollege of Nursing, Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.
Leslie BrautigamCollege of Nursing, Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.
Jacqueline MogleEdna Bennett Pierce Prevention Research Center, College of Health and Human Development, Pennsylvania State University, 320D Biobehavioral Health Building, University Park, PA 16802, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Understanding the help-seeking decision-making process in older adults experiencing cognitive problems is needed to improve early identification of cognitive impairment. The purpose of this systematic review was to determine what factors influence whether community-dwelling older adults without dementia seek help for cognitive problems. Methods: We conducted a mixed-methods systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A literature search was conducted in PubMed, CINAHL, PsycINFO, Web of Science, and ProQuest Dissertations and Theses Global in June 2020. Quality appraisal was conducted using the Mixed Methods Appraisal Tool. A narrative synthesis was used to integrate findings across studies. Results: Eighteen articles met eligibility criteria. All were cross-sectional studies, including nine quantitative, eight qualitative, and one containing quantitative and qualitative components. Factors that facilitated help-seeking were problem intensity, social support, valuing early detection, having a family history of dementia, and positive views of the healthcare system. Factors that detracted from help-seeking were normalizing cognitive problems, attributing problems to psychosocial causes, and not perceiving a benefit to disclosing cognitive problems. Discussion: The decision to seek help for cognitive problems is influenced by a variety of factors. Our review suggests these differ in older adults without dementia compared to previous reviews of help-seeking for a dementia diagnosis. Given the importance of early detection of cognitive impairment to improve long-term outcomes, intervention development based on the factors we identified has important implications for older adults' cognitive health.

Indexed as

CognitionCognitive complaintsHelp-seekingPatient-provider communicationSubjective cognition

Identifiers

PMID38746728
PMCPMC11080541

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.