What explains variations in the clinical use of mild cognitive impairment (MCI) as a diagnostic category?
What explains variations in the clinical use of mild cognitive impairment (MCI) as a diagnostic category?
Background: mild cognitive impairment (MCI) is proposed to describe the transitional stage between normal cognitive aging and dementia. It has had significant impact in the field of dementia research, but it remains controversial whether or not it should be used as a diagnostic category in clinical practice.
Methods: semi-structured interviews were carried out with international experts (N = 37) in the field of dementia research and practice. These interviews explored the advantages and difficulties of using MCI as a clinical diagnosis.
Results: there is wide variation in the clinical use of MCI. This variation depends on institutional factors and two types of cultural factors: (a) clinical culture, and (b) the “evidential culture” – how research and guidelines figure in clinical practice.
Conclusion: the study shows the importance of combining values-based practice with evidence-based practice in the early diagnosis of dementia
mild cognitive impairment, clinical diagnosis, clinical practice, institutional factors, values-based practice
697-709
Moreira, Tiago
974bd87b-c6fa-42b9-955c-42fab332113d
Hughes, Julian C.
eb1e6241-bab7-4b18-af2f-cf5e3077bf3a
Kirkwood, Thomas
7e9fd8da-ed5c-4d5d-a8a7-0bfadd4a9874
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
McKeith, Ian
f9916929-ec7a-4c00-b004-9758d10619e9
Bond, John
330e95f0-b152-4eed-905f-3b0bfcc00417
August 2008
Moreira, Tiago
974bd87b-c6fa-42b9-955c-42fab332113d
Hughes, Julian C.
eb1e6241-bab7-4b18-af2f-cf5e3077bf3a
Kirkwood, Thomas
7e9fd8da-ed5c-4d5d-a8a7-0bfadd4a9874
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
McKeith, Ian
f9916929-ec7a-4c00-b004-9758d10619e9
Bond, John
330e95f0-b152-4eed-905f-3b0bfcc00417
Moreira, Tiago, Hughes, Julian C., Kirkwood, Thomas, May, Carl, McKeith, Ian and Bond, John
(2008)
What explains variations in the clinical use of mild cognitive impairment (MCI) as a diagnostic category?
International Psychogeriatrics, 20 (4), .
(doi:10.1017/S1041610208007126).
Abstract
Background: mild cognitive impairment (MCI) is proposed to describe the transitional stage between normal cognitive aging and dementia. It has had significant impact in the field of dementia research, but it remains controversial whether or not it should be used as a diagnostic category in clinical practice.
Methods: semi-structured interviews were carried out with international experts (N = 37) in the field of dementia research and practice. These interviews explored the advantages and difficulties of using MCI as a clinical diagnosis.
Results: there is wide variation in the clinical use of MCI. This variation depends on institutional factors and two types of cultural factors: (a) clinical culture, and (b) the “evidential culture” – how research and guidelines figure in clinical practice.
Conclusion: the study shows the importance of combining values-based practice with evidence-based practice in the early diagnosis of dementia
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Published date: August 2008
Keywords:
mild cognitive impairment, clinical diagnosis, clinical practice, institutional factors, values-based practice
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Local EPrints ID: 163591
URI: http://eprints.soton.ac.uk/id/eprint/163591
ISSN: 1041-6102
PURE UUID: c8813d97-2660-4e42-adcc-9710f1566fea
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Date deposited: 09 Sep 2010 14:39
Last modified: 14 Mar 2024 02:06
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Contributors
Author:
Tiago Moreira
Author:
Julian C. Hughes
Author:
Thomas Kirkwood
Author:
Carl May
Author:
Ian McKeith
Author:
John Bond
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