Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project

Leonie N.C. Visser, Ingrid S. van Maurik, Femke H. Bouwman, Salka Staekenborg, Ralph Vreeswijk, Liesbeth Hempenius, Marlijn H. de Beer, Gerwin Roks, Leo Boelaarts, Mariska Kleijer, Wiesje M. van der Flier, Ellen M.A. Smets

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background We aimed to explore clinicians’ communication, including the discussion of diagnosis, cause, prognosis and care planning, in routine post-diagnostic testing consultations with patients with Mild Cognitive Impairment (MCI). Methods Thematic content analysis was used to analyze audiotaped consultations in which 10 clinicians (eight neurologists and two geriatricians) from 7 memory clinics, disclosed diagnostic information to 13 MCI patients and their care partners. We assessed clinician-patient communication regarding diagnostic label, cause, prognosis and care planning to identify core findings. Results Core findings were: clinicians 1) differed in how they informed about the MCI label; 2) tentatively addressed cause of symptoms; 3) (implicitly) steered against further biomarker testing; 4) rarely informed about the patient’s risk of developing dementia; 5) often informed about the expected course of symptoms emphasizing potential symptom stabilization and/ or improvement, and; 6) did not engage in a conversation on long-term (care) planning. Discussion Clinicians’ information provision about the underlying cause, prognosis and implications for long-term (care) planning in MCI could be more specific. Since most patients and care partners have a strong need to understand the patient’s symptoms, and for information on the prognosis and implications for the future, clinicians’ current approach may not match with those needs.

Original languageEnglish
Article numbere0227282
JournalPLoS ONE
Volume15
Issue number1
DOIs
Publication statusPublished - 2020

Cite this

Visser, Leonie N.C. ; van Maurik, Ingrid S. ; Bouwman, Femke H. ; Staekenborg, Salka ; Vreeswijk, Ralph ; Hempenius, Liesbeth ; de Beer, Marlijn H. ; Roks, Gerwin ; Boelaarts, Leo ; Kleijer, Mariska ; van der Flier, Wiesje M. ; Smets, Ellen M.A. / Clinicians’ communication with patients receiving a MCI diagnosis : The ABIDE project. In: PLoS ONE. 2020 ; Vol. 15, No. 1.
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title = "Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project",
abstract = "Background We aimed to explore clinicians’ communication, including the discussion of diagnosis, cause, prognosis and care planning, in routine post-diagnostic testing consultations with patients with Mild Cognitive Impairment (MCI). Methods Thematic content analysis was used to analyze audiotaped consultations in which 10 clinicians (eight neurologists and two geriatricians) from 7 memory clinics, disclosed diagnostic information to 13 MCI patients and their care partners. We assessed clinician-patient communication regarding diagnostic label, cause, prognosis and care planning to identify core findings. Results Core findings were: clinicians 1) differed in how they informed about the MCI label; 2) tentatively addressed cause of symptoms; 3) (implicitly) steered against further biomarker testing; 4) rarely informed about the patient’s risk of developing dementia; 5) often informed about the expected course of symptoms emphasizing potential symptom stabilization and/ or improvement, and; 6) did not engage in a conversation on long-term (care) planning. Discussion Clinicians’ information provision about the underlying cause, prognosis and implications for long-term (care) planning in MCI could be more specific. Since most patients and care partners have a strong need to understand the patient’s symptoms, and for information on the prognosis and implications for the future, clinicians’ current approach may not match with those needs.",
author = "Visser, {Leonie N.C.} and {van Maurik}, {Ingrid S.} and Bouwman, {Femke H.} and Salka Staekenborg and Ralph Vreeswijk and Liesbeth Hempenius and {de Beer}, {Marlijn H.} and Gerwin Roks and Leo Boelaarts and Mariska Kleijer and {van der Flier}, {Wiesje M.} and Smets, {Ellen M.A.}",
year = "2020",
doi = "10.1371/journal.pone.0227282",
language = "English",
volume = "15",
journal = "PLoS ONE",
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Visser, LNC, van Maurik, IS, Bouwman, FH, Staekenborg, S, Vreeswijk, R, Hempenius, L, de Beer, MH, Roks, G, Boelaarts, L, Kleijer, M, van der Flier, WM & Smets, EMA 2020, 'Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project' PLoS ONE, vol. 15, no. 1, e0227282. https://doi.org/10.1371/journal.pone.0227282

Clinicians’ communication with patients receiving a MCI diagnosis : The ABIDE project. / Visser, Leonie N.C.; van Maurik, Ingrid S.; Bouwman, Femke H.; Staekenborg, Salka; Vreeswijk, Ralph; Hempenius, Liesbeth; de Beer, Marlijn H.; Roks, Gerwin; Boelaarts, Leo; Kleijer, Mariska; van der Flier, Wiesje M.; Smets, Ellen M.A.

In: PLoS ONE, Vol. 15, No. 1, e0227282, 2020.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Clinicians’ communication with patients receiving a MCI diagnosis

T2 - The ABIDE project

AU - Visser, Leonie N.C.

AU - van Maurik, Ingrid S.

AU - Bouwman, Femke H.

AU - Staekenborg, Salka

AU - Vreeswijk, Ralph

AU - Hempenius, Liesbeth

AU - de Beer, Marlijn H.

AU - Roks, Gerwin

AU - Boelaarts, Leo

AU - Kleijer, Mariska

AU - van der Flier, Wiesje M.

AU - Smets, Ellen M.A.

PY - 2020

Y1 - 2020

N2 - Background We aimed to explore clinicians’ communication, including the discussion of diagnosis, cause, prognosis and care planning, in routine post-diagnostic testing consultations with patients with Mild Cognitive Impairment (MCI). Methods Thematic content analysis was used to analyze audiotaped consultations in which 10 clinicians (eight neurologists and two geriatricians) from 7 memory clinics, disclosed diagnostic information to 13 MCI patients and their care partners. We assessed clinician-patient communication regarding diagnostic label, cause, prognosis and care planning to identify core findings. Results Core findings were: clinicians 1) differed in how they informed about the MCI label; 2) tentatively addressed cause of symptoms; 3) (implicitly) steered against further biomarker testing; 4) rarely informed about the patient’s risk of developing dementia; 5) often informed about the expected course of symptoms emphasizing potential symptom stabilization and/ or improvement, and; 6) did not engage in a conversation on long-term (care) planning. Discussion Clinicians’ information provision about the underlying cause, prognosis and implications for long-term (care) planning in MCI could be more specific. Since most patients and care partners have a strong need to understand the patient’s symptoms, and for information on the prognosis and implications for the future, clinicians’ current approach may not match with those needs.

AB - Background We aimed to explore clinicians’ communication, including the discussion of diagnosis, cause, prognosis and care planning, in routine post-diagnostic testing consultations with patients with Mild Cognitive Impairment (MCI). Methods Thematic content analysis was used to analyze audiotaped consultations in which 10 clinicians (eight neurologists and two geriatricians) from 7 memory clinics, disclosed diagnostic information to 13 MCI patients and their care partners. We assessed clinician-patient communication regarding diagnostic label, cause, prognosis and care planning to identify core findings. Results Core findings were: clinicians 1) differed in how they informed about the MCI label; 2) tentatively addressed cause of symptoms; 3) (implicitly) steered against further biomarker testing; 4) rarely informed about the patient’s risk of developing dementia; 5) often informed about the expected course of symptoms emphasizing potential symptom stabilization and/ or improvement, and; 6) did not engage in a conversation on long-term (care) planning. Discussion Clinicians’ information provision about the underlying cause, prognosis and implications for long-term (care) planning in MCI could be more specific. Since most patients and care partners have a strong need to understand the patient’s symptoms, and for information on the prognosis and implications for the future, clinicians’ current approach may not match with those needs.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/31961882

U2 - 10.1371/journal.pone.0227282

DO - 10.1371/journal.pone.0227282

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JF - PLoS ONE

SN - 1932-6203

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