Clinicians' attitudes towards cognitive and behavioural screening in motor neurone disease

Christopher Crockford, Craig Stockton, Sharon Abrahams

Research output: Contribution to journalArticlepeer-review

Abstract

Amyotrophic Lateral Sclerosis (ALS), the most common variant of Motor Neurone Disease, is a fatal neurodegenerative condition marked by progressive motor disability. Cognitive and behavioural changes occur in approximately 50% of patients, which may impact caregiver burden, adherence to life-prolonging interventions, and care planning. The aim of this study was to explore the attitudes and practices of Health Care Professionals working with ALS patients in Scotland towards cognitive and behavioural screening. Structured interviews with ALS Healthcare Professionals were conducted and subjected to thematic analysis. While 93% of clinicians in this study believed that cognitive and behavioural screening should be routinely applied for all patients, it is not currently common practice, nor are formalised screening tools widely used. Participants noted that barriers to screening include other members of staff, limited resources, and issues concerning patients and their families. Participants suggested that increased education and training, making screening a standardised protocol to all patients and increased psychology input may help overcome these barriers.
Original languageEnglish
Pages (from-to)116-123
JournalBritish Journal of Neuroscience Nursing
Volume13
Issue number3
Early online date14 Jul 2017
DOIs
Publication statusE-pub ahead of print - 14 Jul 2017

Keywords

  • motor neurone disease
  • cognition
  • behaviour
  • screening
  • attitudes
  • barriers

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