Measuring Awareness in People With Dementia: Results of a Systematic Scoping Review
dc.contributor.author | Alexander, CM | |
dc.contributor.author | Martyr, A | |
dc.contributor.author | Savage, SA | |
dc.contributor.author | Morris, RG | |
dc.contributor.author | Clare, L | |
dc.date.accessioned | 2020-06-19T15:24:22Z | |
dc.date.issued | 2020-05-13 | |
dc.description.abstract | Background: Awareness of the diagnosis or related changes in functioning varies in people with dementia (PwD), with implications for the well-being of PwD and their carers. Measuring awareness in a clinical setting could facilitate tailored support and optimize involvement in personal health and care decisions. This scoping review aimed to identify validated methods of assessing awareness in dementia and appraise their clinical utility. Method: A systematic search was conducted of English-language publications that measured awareness in PwD, in 6 electronic databases. Search terms included dement*, Alzheimer*, Pick disease, and awareness, unawareness, anosognosia, insight, denial, metacognit*, or discrepanc*. Results: We screened 30,634 articles, finding 345 articles that met our inclusion criteria. We identified 76 measures, most commonly using a discrepancy questionnaire comparing evaluations of function by PwD and an informant. There were 30 awareness measures developed and validated for use in dementia populations but few designed for general clinical use. Conclusions: Although we found a range of clinical indications for measuring awareness, there were few studies investigating clinical applications and few tools designed for clinical purposes. Further investigation and development of a person-centered tool could facilitate health and care choices in mild-to-moderate dementia. | en_GB |
dc.description.sponsorship | Alzheimer’s Society | en_GB |
dc.identifier.citation | Published online 13 May 2020 | en_GB |
dc.identifier.doi | 10.1177/0891988720924717 | |
dc.identifier.grantnumber | AS-CP-17-001 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/121545 | |
dc.language.iso | en | en_GB |
dc.publisher | SAGE Publications | en_GB |
dc.rights | © The Author(s) 2020. Open access. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). | en_GB |
dc.subject | Alzheimer | en_GB |
dc.subject | anosognosia | en_GB |
dc.subject | insight | en_GB |
dc.subject | denial | en_GB |
dc.subject | clinical tool | en_GB |
dc.subject | person-centered care | en_GB |
dc.title | Measuring Awareness in People With Dementia: Results of a Systematic Scoping Review | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2020-06-19T15:24:22Z | |
dc.identifier.issn | 0891-9887 | |
dc.description | This is the final version. Available on open access from SAGE Publications via the DOI in this record | en_GB |
dc.identifier.journal | Journal of Geriatric Psychiatry and Neurology | en_GB |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | en_GB |
dcterms.dateAccepted | 2020-04-06 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2020-04-06 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2020-06-19T15:21:56Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2020-06-19T15:24:26Z | |
refterms.panel | A | en_GB |
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Except where otherwise noted, this item's licence is described as © The Author(s) 2020. Open access. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).