Enhancing Dementia Education and Cognitive Screening in A Haitian Population: A Faith-based Approach.
Sandra Daccarett, Lisa Kirk Wiese, María Los Ángeles Ordóñez
PMID 33949259WHAT IT FOUND
Knowledge scores in a Haitian church dementia program were 18.5 before and 23.1 after on a 32-item test.
Only six participants sought memory screening, but all six completed referral evaluations.
Key findings
01Average Alzheimer's knowledge score was 18.5 before and 23.1 after on the 32-item BKAD test, and 48 participants scored higher.
02Only six participants asked to take the COST memory screening, but all six agreed to follow-up and completed in-depth neuropsychological evaluations at the memory center.
03Knowledge gains were uneven: the item stating Alzheimer's disease is a normal part of aging was answered correctly by 58% before education and 68% after education.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The design was quasi-experimental and self-enrolled, with no control group or random assignment, so the authors note that age, education, and socioeconomic factors could confound the results. The sample was a convenience group from one Haitian church, so the authors state generalizability is limited. Only six participants sought memory screening, so the 100% agreement to follow-up and completion of evaluation applies to a very small, self-selected group. The authors note that voluntary brief memory screening should have been offered during data collection, so some participants at risk may not have been identified. The BKAD mainly focuses on Alzheimer's disease, not other dementias, so knowledge gains may not cover all relevant conditions. The program combined education, prayer, church setting, nutrition discussion, and referral support, so the contribution of any single component cannot be separated.
Declared interests
Funded by a grant from the Administration for Community Living, U.S. Department of Health and Human Services, with partial matching assets from the Louis and Anne Green Memory and Wellness Center at the Christine E. Lynn College of Nursing, Florida Atlantic University. The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that dementia education will increase community screening uptake. Only six participants asked for memory screening, and the study had no control group, so the education's effect on screening is uncertain.