Assessment of the Need to Use Short Cognitive Tests for French General Practitioners/Family Doctors

Centre Hospitalier Universitaire de Saint Etienne481 enrolled

Overview

The prevalence of cognitive disorders is constantly increasing, with 1.2 million patients affected in France in 2016. Dementia is currently the seventh leading cause of death. In the absence of available treatment, systematic screening is not recommended. However, cognitive evaluation is recommended to maintain a level of autonomy for the patient at home. Targeted screening is the responsibility of the general practitioner. The latest recommendations from the HAS (2011) highlight the use of the MMSE as a first-line approach, there are no recommendations regarding short tests. Early cognitive assessment is limited by the time required to perform the tests and the knowledge about the available tools. The Codex is a short test, its sensitivity (92%) and specificity (85%) place it among the most discriminatory scores. It is underutilized in France. The objective of this thesis is to assess the training needs of general practitioners in short tests.

Study Type

OBSERVATIONAL

Enrollment

481

Conditions

Cognitive Disorder

Interventions

QuestionnaireOTHER

Questionnaire assessing the use of cognitive tests.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * General practitioners of the AURA Region, in activity, university supervisor or not, trained or not trained in geriatrics. Exclusion Criteria: * General practitioners with exclusive practices in pediatrics, gynecology, aesthetics, rehabilitation, and homeopathy.

Outcomes

Primary Outcomes

Quantitative questionnaire 1

Assessment of the need to use short cognitive tests

Time frame: Month : 1, 3, 6

Secondary Outcomes

Quantitative questionnaire 2

Assessment of the expectation regarding a project of training general practitioners to use the Codex tool (Sum = 4 or 5: = CODEX normal ; Sum = 0, 1, 2 or 3 = CODEX abnormal)