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Title: An exploration of the factors influencing patient and family initial attendance at memory screening clinics : an interpretative phenomenological analysis
Author: Young, Melanie Louise
ISNI:       0000 0004 5920 2002
Awarding Body: University of Glasgow
Current Institution: University of Glasgow
Date of Award: 2016
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Background: There is a national drive to provide early dementia diagnoses. Patient and family attributions at symptom onset contribute to significant help-seeking delays. Most qualitative studies have interpreted retrospective accounts of the pre-diagnostic period. However, experiential attributions are demonstrated to change over time. Few studies have sought patient and family dyad perspectives prior to diagnosis. Aim: This qualitative study sought to explore patient and family experiences of early cognitive decline and help-seeking during the pre-diagnostic stage. Method: Five patient and familial dyads were interviewed separately to explore their experiences of early stage cognitive decline and help-seeking decisions. Interpretative Phenomenological Analysis was employed to identify emerging themes. Results: Five super-ordinate themes were identified: The inevitability of ageing; problem awareness; living with forgetting; disclosure to others; and how am I going to be today? Conclusions: Patient and family dyads have early insight into symptom onset. Before diagnosis, attributions towards ageing, co-morbid illness and contextual factors limit concern. Help-seeking was precipitated by functional decline exposing the individual to potential risks. Health services were a source of reassurance, particularly when there was a lack of social supports available. Improvements in public awareness of symptoms, assessment and available care for dementia may encourage earlier help seeking.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: BF Psychology