The power of knowledge about dementia in Latin America across health professionals working on aging

被引：17

作者：

Ibanez, Agustin ^{[1
,2
,3
,4
,5
,6
]}

Flichtentrei, Daniel ^{[7
]}

Hesse, Eugenia ^{[3
,4
]}

Dottori, Martin ^{[3
,4
]}

Tomio, Ailin ^{[3
]}

Slachevsky, Andrea ^{[8
,9
,10
,11
,12
]}

Serrano, Cecilia M. ^{[13
]}

Gonzalez-Billaut, Christian ^{[10
]}

Custodio, Nilton ^{[14
]}

Miranda, Claudia ^{[15
,16
]}

Bustin, Julian ^{[17
]}

Cetckovitch, Marcelo ^{[17
]}

Torrente, Fernando ^{[17
]}

Olavarria, Loreto ^{[8
,9
]}

Leon, Tomas ^{[8
,9
]}

Beber, Barbara Costa ^{[18
]}

Bruki, Sonia ^{[19
]}

Suemoto, Claudia K. ^{[19
]}

Nitrini, Ricardo ^{[19
]}

Miller, Bruce L. ^{[1
,2
]}

Yokoyama, Jennifer S. ^{[1
,2
]}

机构：

[1] Univ Calif San Francisco UCSF, Global Brain Hlth Inst, San Francisco, CA 94143 USA

[2] Univ Calif San Francisco UCSF, Memory & Aging Ctr, Weill Inst Neurosci, Dept Neurol, San Francisco, CA 94143 USA

[3] Univ San Andres, Buenos Aires, DF, Argentina

[4] Natl Sci & Tech Res Council CONICET, Buenos Aires, DF, Argentina

[5] Univ Adolfo Ibanez, Ctr Social & Cognit Neurosci CSCN, Sch Psychol, Santiago, Chile

[6] Univ Autonoma Caribe, Barranquilla, Colombia

[7] Intramed, Buenos Aires, DF, Argentina

[8] Salvador Hosp, Memory & Neuropsychiat Clin CMYN, Neurol Dept, Santiago, Chile

[9] Univ Chile, Fac Med, Santiago, Chile

[10] Univ Chile, Gerosci Ctr Brain Hlth & Metab GERO, Fac Med, Santiago, Chile

[11] Univ Chile, Physiopathol Dept ICBM, Neurosci & East Neurosci Dept, Neuropsychol & Clin Neurosci Lab LANNEC,Fac Med, Santiago, Chile

[12] Univ Desarrollo, Dept Neurol & Psychiat, Clin Alemana, Santiago, Chile

[13] Dr Cesar Milstein Hosp, Cognit Neurol, Neurol Dept, Buenos Aires, DF, Argentina

[14] Peruvian Inst Neurosci, Unit Cognit Impairment & Dementia Prevent, Cognit Neurol Ctr, Lima, Peru

[15] Univ Andres Bello, Fac Nursing, Santiago, Chile

[16] Millennium Inst Res Depress & Personal, Santiago, Chile

[17] Favaloro Univ, INECO Fdn, Inst Translat & Cognit Neurosci INCYT, Natl Sci & Tech Res Council CONICET, Buenos Aires, DF, Argentina

[18] Fed Univ Hlth Sci Porto Alegre UFCSPA, Dept Speech & Language Pathol, Equ Brain Hlth, Porto Alegre, RS, Brazil

[19] Univ Sao Paulo, Fac Med, Sao Paulo, Brazil

来源：

ALZHEIMER'S & DEMENTIA: DIAGNOSIS, ASSESSMENT & DISEASE MONITORING | 2020年 / 12卷 / 01期

基金：

美国国家卫生研究院;

关键词：

behavioral insights; data-sharing platforms; diagnosis manuals; expert knowledge; Latin American and Caribbean countries; public policy; stigma; ALZHEIMERS-DISEASE; PUBLIC STIGMA; PEOPLE; ATTITUDES; CARE;

D O I：

10.1002/dad2.12117

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction: Expert knowledge is critical to fight dementia in inequitable regions like Latin American and Caribbean countries (LACs). However, the opinions of aging experts on public policies' accessibility and transmission, stigma, diagnostic manuals, data-sharing platforms, and use of behavioral insights (BIs) are not well known. Methods: We investigated opinions among health professionals working on aging in LACs (N = 3365) with regression models including expertise-related information (public policies, BI), individual differences (work, age, academic degree), and location. Results: Experts specified low public policy knowledge (X-2 = 41.27, P < .001), high levels of stigma (X-2 = 2636.37, P < .001), almost absent BI knowledge (X-2 = 56.58, P < .001), and needs for regional diagnostic manuals (X-2 = 2893.63, df = 3, P < .001) and data-sharing platforms (X-2 = 1267.5, df = 3, P < .001). Lack of dementia knowledge was modulated by different factors. An implemented BI-based treatment for a proposed prevention program improved perception across experts. Discussion: Our findings help to prioritize future potential actions of governmental agencies and non-governmental organizations (NGOs) to improve LACs' dementia knowledge.

引用

页数：12

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