Preventing Chronic Disease | Beliefs and Communication Practices Regarding Cognitive Functioning Among Consumers and Primary Care Providers in the United States, 2009 - CDC

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Preventing Chronic Disease | Beliefs and Communication Practices Regarding Cognitive Functioning Among Consumers and Primary Care Providers in the United States, 2009 - CDC

Multiple Chronic Conditions Collection

This week Preventing Chronic Disease (PCD) released 8 articles focusing on multiple chronic conditions. The articles within this collection address the current trends in population growth, age distribution, and disease dynamics that forecast rises in the prevalence of chronic diseases, other chronic conditions, and combinations of chronic conditions.

Beliefs and Communication Practices Regarding Cognitive Functioning Among Consumers and Primary Care Providers in the United States, 2009

Daniela B. Friedman, PhD; India D. Rose, PhD; Lynda A. Anderson, PhD; Rebecca Hunter, MEd; Lucinda L. Bryant, PhD; Bei Wu, PhD; Angela J. Deokar, MPH, CHES, CPH; Winston Tseng, PhD

Suggested citation for this article: Friedman DB, Rose ID, Anderson LA, Hunter R, Bryant LL, Wu B, et al. Beliefs and Communication Practices Regarding Cognitive Functioning Among Consumers and Primary Care Providers in the United States, 2009. Prev Chronic Dis 2013;10:120249. DOI: http://dx.doi.org/10.5888/pcd10.120249.

MEDSCAPE CME Medscape, LLC is pleased to provide online continuing medical education (CME) for this journal article, allowing clinicians the opportunity to earn CME credit. This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Medscape, LLC and Preventing Chronic Disease. Medscape, LLC is accredited by the ACCME to provide continuing medical education for physicians. Medscape, LLC designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. All other clinicians completing this activity will be issued a certificate of participation. To participate in this journal CME activity: (1) review the learning objectives and author disclosures; (2) study the education content; (3) take the post-test with a 70% minimum passing score and complete the evaluation at www.medscape.org/journal/pcd; (4) view/print certificate. Release date: April 17, 2013; Expiration date: April 17, 2014

Learning Objectives Upon completion of this activity, participants will be able to: Describe the perceptions of consumers related to beliefs and communication practices about lifestyle behaviors beneficial for overall health and for maintaining cognitive functioning Describe the perceptions of primary care providers related to beliefs and communication practices about lifestyle behaviors beneficial for overall health and for maintaining cognitive functioning Describe potential discrepancies in communications between patients and their providers about cognitive impairment and strategies to promote more effective communications EDITORS Rosemarie Perrin, Editor, Camille Martin, Editor; Preventing Chronic Disease. Disclosure: Rosemarie Perrin and Camille Martin have disclosed no relevant financial relationships. CME AUTHOR Laurie Barclay, MD, freelance writer and reviewer, Medscape, LLDisclosure: Laurie Barclay, MD, has disclosed no relevant financial relationships. AUTHORS AND CREDENTIALS Disclosures: Daniela Friedman, PhD; India Rose, PhD; Lynda Anderson, PhD; Rebecca Hunter, MEd; Lucinda L. Bryant, PhD; Bei Wu, PhD; Angela J. Deokar, MPH, CHES, CPH; and Winston Tseng, PhD have disclosed no relevant financial relationships. Affiliations: Daniela Friedman, University of South Carolina, Columbia, South Carolina; Lynda Anderson, Centers for Disease Control and Prevention and Emory University, Atlanta, Georgia; Rebecca Hunter, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Lucinda L. Bryant, University of Colorado, Denver, Colorado; Bei Wu, Duke University, Durham, North Carolina; Angela J. Deokar, Centers for Disease Control and Prevention, Atlanta, Georgia; Winston Tseng, University of California, Berkeley, California.

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PEER REVIEWED

Abstract

Introduction
Limited research has examined primary care providers’ communication with patients about maintaining cognitive functioning. Our study’s objective was to compare the perceptions of consumers and primary care providers related to beliefs and communication practices about lifestyle behaviors beneficial for overall health and for maintaining cognitive functioning.
Methods
In 2009, we submitted 10 questions to Porter Novelli’s HealthStyles survey and 6 questions to their DocStyles survey. We compared consumers’ (n = 4,728) and providers’ (n = 1,250) beliefs, practices, and information sources related to maintaining health and cognitive functioning. We made comparisons using nonparametric statistics.
Results
Approximately 76% of consumers considered their health to be good or very good; 73.4% were concerned or very concerned about the possibility that their memory may worsen with age. Women were significantly more concerned than men, and white consumers were more concerned than black and Hispanic consumers. Consumers reported they believed that intellectual stimulation (86.6%), physical activity (82.6%), and healthful diet (82.5%) prevented or delayed cognitive impairment. Providers reported advising patients to reduce cognitive impairment risk through physical activity (85.9%), intellectual stimulation (80.3%), and social involvement (67.4%). Few consumers (7.8%) reported receiving this information from providers but reported learning about strategies to maintain memory, primarily from television (50.1%), magazines (44.1%), and newspapers (33.7%).
Conclusion
Providers reported advising patients about how to reduce risks of cognitive impairment. Consumers reported receiving this information from other sources. Findings suggest a need to examine and assess media messages and to better understand patient–provider communication about cognitive functioning.

Creencias y prácticas de comunicación relativa a la función cognitiva entre consumidores y proveedores de atención primaria en los Estados Unidos, 2009

Daniela B. Friedman, PhD; India D. Rose, PhD; Lynda A. Anderson, PhD; Rebecca Hunter, MEd; Lucinda L. Bryant, PhD; Bei Wu, PhD; Angela J. Deokar, MPH, CHES, CPH; Winston Tseng, PhD

Suggested citation for this article: Friedman DB, Rose ID, Anderson LA, Hunter R, Bryant LL, Wu B, et al. Beliefs and Communication Practices Regarding Cognitive Functioning Among Consumers and Primary Care Providers in the United States, 2009. Prev Chronic Dis 2013;10:120249. DOI: http://dx.doi.org/10.5888/pcd10.120249.

REVISADO POR EXPERTOS

Resumen

Introducción
Limitadas investigaciones han estudiado la comunicación entre los proveedores de atención primaria y sus pacientes sobre el mantenimiento de la función cognitiva. El objeto de nuestro estudio fue comparar las percepciones de los consumidores y los proveedores de atención primaria sobre las creencias y las prácticas de comunicación respecto de los comportamientos relacionados con el estilo de vida que benefician la salud general y el mantenimiento de la función cognitiva.
Métodos
En el 2009, enviamos 10 preguntas a la encuesta HealthStyles de Porter Novelli y 6 a su encuesta DocStyles. Comparamos las creencias, las prácticas y las fuentes de información de los consumidores (n = 4,728) y de los proveedores (n = 1,250) sobre el mantenimiento de la salud y la función cognitiva. Hicimos las comparaciones mediante estadísticas no paramétricas.
Resultados
Aproximadamente el 76 % de los consumidores consideró que su salud era buena o muy buena; el 73.4 % estaba preocupado o muy preocupado sobre la posibilidad de que su memoria se deteriorara con la edad. Las mujeres estaban significativamente más preocupadas que los hombres, y los consumidores de raza blanca estaban más preocupados que los de raza negra o los hispanos. Los consumidores informaron que creían que la estimulación intelectual (86.6 %), la actividad física (82.6 %) y la nutrición saludable (82.5 %) prevenían o ralentizaban el deterioro cognitivo. Los proveedores informaron haber indicado a sus pacientes reducir el riesgo de deterioro cognitivo mediante actividad física (85.9 %), estimulación intelectual (80.3 %) y participación social (67.4 %). Pocos consumidores (7.8 %), informaron recibir esta información de proveedores, pero reportaron haber aprendido sobre estrategias para mantener la memoria, principalmente de la televisión (50.1 %), las revistas (44.1 %) y los periódicos (33.7 %).
Conclusión
Los proveedores notificaron haber informado a sus pacientes sobre cómo reducir el riesgo de deterioro cognitivo. Los consumidores informaron haber recibido esta información de otras fuentes. Los hallazgos sugieren la necesidad de examinar y evaluar los mensajes de los medios de difusión y de entender mejor la comunicación entre los proveedores y pacientes con respecto a la función cognitiva.