Evidence map›Paper›PMID 42196744›Full record

ArticleInternational journal of environmental research and public health2026

Facing Dementia in Primary Care: Applying the COM-B Model to Develop a Complex Intervention to Improve Dementia Diagnosis Rates in General Practice.

Caroline Gibson, Mark Yates, Constance Dimity Pond, Stephanie Daly, Jessica Jebramek, Lyn Phillipson, Kate Laver, Meredith Gresham, Edwin Tan, Henry Brodaty and 3 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Caroline GibsonSchool of Medicine, Faculty of Health, Deakin University, Ballarat, VIC 3350, Australia.ORCID 0000-0002-3774-2601
Mark YatesSchool of Medicine, Faculty of Health, Deakin University, Ballarat, VIC 3350, Australia.ORCID 0000-0001-5845-138X
Constance Dimity PondWicking Dementia Research and Teaching Centre, University of Tasmania, Hobart, TAS 7001, Australia.ORCID 0000-0001-6520-4213
Stephanie DalyAustralian Centre for Evidence Based Aged Care, Latrobe University, Melbourne, VIC 3000, Australia.
Jessica JebramekSchool of Medicine, Faculty of Health, Deakin University, Ballarat, VIC 3350, Australia.
Lyn PhillipsonFaculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW 2500, Australia.ORCID 0000-0003-2173-0291
Kate LaverCollege of Nursing and Health Sciences, Flinders University, Adelaide, SA 5000, Australia.
Meredith GreshamFaculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW 2500, Australia.ORCID 0000-0002-6450-4537
Edwin TanSchool of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2000, Australia.ORCID 0000-0003-2922-8837
Henry BrodatyCentre for Healthy Brain and Aging, University of New South Wales, Sydney, NSW 2000, Australia.ORCID 0000-0001-9487-6617
Jamie SwannSchool of Health and Social Development, Health Services and Digital Innovation, Deakin University, Burwood, VIC 3125, Australia.
Shahana FerdousiCentre for Health Research, Western Sydney University, Sydney, NSW 2000, Australia.
Lee-Fay LowSchool of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2000, Australia.

Funding

Medical Research Future Fund APP 2015770
6 · The paper itself

Abstract

As the population ages and new therapies become available, general practitioners will have a significant role in the early detection, diagnosis, and management of dementia. However, both in Australia and globally, dementia remains under-recognised and under-diagnosed in primary care. The aim of this study is to develop a complex intervention, informed by behaviour change theory, to improve rates of dementia diagnoses in Australian primary care. Co-design participants included GPs, general practice nurses, practice managers and reception staff. A program logic model was used to describe the essential activities and mechanisms of the intervention. Six behaviour changes-education, training, enablement, modelling, persuasion, and environmental restructuring-were identified to address the identified barriers to dementia diagnosis in primary care. The intervention comprises seven activities-peer-led online dementia education and training, geriatrician 'drop-in' online support sessions, quality improvement in dementia care sessions, stand-alone videos, auditing and benchmarking, a dementia risk alert tool and a set of dementia diagnosis and management decision-making resources. Using behaviour change theory can assist in the development of complex interventions aimed at changing clinical practice and may assist in their evaluation.

Indexed as

DementiaGeneral PracticePrimary Health CareAustraliaHumansbehaviour change theoryco-designcomplex interventiondementia diagnosisgeneral practitionerpractice changeprimary care

Identifiers

PMID42196744
PMCPMC13206361

What OpenQuestion holds

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LicenceCC BY
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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.