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Park C, Kang WS, Kim JW, et al. Factors Related to Noncompliance in Screening and Tracking Mild Cognitive Impairment Patients in a Single Community. Psychiatry Investig. 2017;14(2):111-117doi: 10.4306/pi.2017.14.2.111.
Park, C., Kang, W. S., Kim, J. W., Paik, J. W., Kim, Y. J., Jeon, J. H., Lee, M. A., Kim, J. G., & Song, J. Y. (2017). Factors Related to Noncompliance in Screening and Tracking Mild Cognitive Impairment Patients in a Single Community. Psychiatry investigation, 14(2), 111-117. https://doi.org/10.4306/pi.2017.14.2.111
Park, Chanmin, et al. "Factors Related to Noncompliance in Screening and Tracking Mild Cognitive Impairment Patients in a Single Community." Psychiatry investigation vol. 14,2 (2017): 111-117. doi: https://doi.org/10.4306/pi.2017.14.2.111
Park C, Kang WS, Kim JW, Paik JW, Kim YJ, Jeon JH, Lee MA, Kim JG, Song JY. Factors Related to Noncompliance in Screening and Tracking Mild Cognitive Impairment Patients in a Single Community. Psychiatry Investig. 2017 Mar;14(2):111-117. doi: 10.4306/pi.2017.14.2.111. Epub 2017 Mar 06. PMID: 28326107; PMCID: PMC5355007.
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Psychiatry Investig. 2017 Mar;14(2):111-117. doi: 10.4306/pi.2017.14.2.111. Epub 2017 Mar 06.

Factors Related to Noncompliance in Screening and Tracking Mild Cognitive Impairment Patients in a Single Community.

Psychiatry investigation

Chanmin Park, Won Sub Kang, Jong Woo Kim, Jong-Woo Paik, Young Jong Kim, Jun Hee Jeon, Mee Ae Lee, Jae Gwang Kim, Ji Young Song

Affiliations

  1. Department of Psychiatry, Kyung Hee University Hospital, Seoul, Republic of Korea.
  2. Dongdaemun Health Center, Seoul, Republic of Korea.
  3. Dongdaemun-gu Center for Dementia, Seoul, Republic of Korea.
  4. Department of Psychiatry, Kyung Hee University Hospital, Seoul, Republic of Korea.; Dongdaemun-gu Center for Dementia, Seoul, Republic of Korea.

PMID: 28326107 PMCID: PMC5355007 DOI: 10.4306/pi.2017.14.2.111

Abstract

OBJECTIVE: We assessed the cumulative conversion rates (CCR) from minor cognitive impairment (MCI) to dementia among individuals who failed to participate in annual screening for dementia. Additionally, we analyzed the reasons for failing to receive follow-up screening in order to develop better strategies for improving follow-up screening rates.

METHODS: We contacted MCI patients who had not visited the Dongdaemun-gu Center for Dementia for annual screening during the year following their registration. We compared the CCR from MCI to dementia in the following two groups: subjects registered as having MCI in the Dongdaemun-gu Center for Dementia database and subjects who failed to revisit the center, but who participated in a screening test for dementia after being contacted. The latter participants completed a questionnaire asking reasons for not previously visiting for follow-up screening.

RESULTS: The final diagnoses of the 188 subjects who revisited the center only after contact were 19.1% normal, 64.9% MCI and 16.0% dementia. The final diagnoses of the 449 subjects in the Dongdaemun-gu Center for Dementia database were 25.6% normal, 46.1% MCI and 28.3% dementia. The CCR of the revisit-after-contact group was much lower than anticipated. The leading cause for noncompliance was "no need for tests" at 28.2%, followed by "other reasons" at 23.9%, and "I forgot the appointment date" at 19.7%.

CONCLUSION: Considering the low dementia detection rate of the group who revisited only after contact and the reasons they gave for noncompliance, there appears to be a need for ongoing outreach and education regarding the course and prognosis of MCI.

Keywords: Cumulative conversion rates; Mild cognitive impairment; Noncompliance; Screening tests

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