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    Factors influencing routine cognitive impairment screening in older at-risk drinkers: Findings from a qualitative study in the United Kingdom

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    Authors
    Madoc-Jones, Iolo
    Wadd, Sarah
    Elliott, Lawrie
    Whittaker, Anne
    Adnum, Laura
    Close, Ciara
    Seddon, Jennifer L.
    Dutton, Maureen
    McCann, Michelle
    Wilson, Fiona
    Issue Date
    2020-07-14
    Subjects
    implementation
    barriers
    screening
    cognitive impairment
    Subject Categories::L510 Health & Welfare
    
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    Abstract
    Cognitive Impairment (CI) screening is recommended for those engaged in harmful levels of alcohol use. However, there is a lack of evidence on implementation. This paper explores the barriers and facilitators to CI screening experienced across a service specifically for older drinkers. The findings draw on data gathered as part of an evaluation of a multilevel programme to reduce alcohol-related harm in adults aged 50 and over in five demonstration areas across the United Kingdom. It is based on qualitative interviews and focus groups with 14 service providers and 22 service users. Findings are presented thematically under the section headings: acceptability of screening, interpretation and making sense of screening and treatment options. It is suggested that engagement with CI screening is most likely when its fit with agency culture and its purpose is clear; where service providers have the technical skills to administer and discuss the results of screening with service users; and where those undertaking screening have had the opportunity to reflect on their own experience of being screened. Engagement with CI screening is also most likely where specific intervention pathways and engagement practices can be accessed to respond to assessed need.
    Citation
    Madoc-Jones I, Wadd S, Elliott L, Whittaker A, Adnum L, Close C, Seddon J, Dutton M, McCann M, Wilson F (2020) 'Factors influencing routine cognitive impairment screening in older at-risk drinkers: Findings from a qualitative study in the United Kingdom', Health and Social Care in the Community, (), pp.-.
    Publisher
    Wiley
    Journal
    Health and Social Care in the Community
    URI
    http://hdl.handle.net/10547/624478
    DOI
    10.1111/hsc.13093
    Additional Links
    https://onlinelibrary.wiley.com/doi/full/10.1111/hsc.13093
    Type
    Article
    Language
    en
    ISSN
    0966-0410
    ae974a485f413a2113503eed53cd6c53
    10.1111/hsc.13093
    Scopus Count
    Collections
    Applied social sciences

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