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Factors influencing routine cognitive impairment screening in older at-risk drinkers: findings from a qualitative study in the United Kingdom

  • Iolo Madoc-Jones
    ,
  • Sarah Wadd
    ,
  • Lawrie Elliott
    ,
  • Anne Whittaker
    ,
  • Laura Adnum
    ,
  • Ciara Close
Research Output: Contribution to journal Article Peer-review

Open access

Sustainable Development Goals

  • SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well

Abstract

Cognitive Impairment (CI) screening is recommended for those engaged in harmful levels of alcohol use. However, there is a lack of evidence on implementation. This paper explores the barriers and facilitators to CI screening experienced across a service specifically for older drinkers. The findings draw on data gathered as part of an evaluation of a multilevel programme to reduce alcohol-related harm in adults aged 50 and over in five demonstration areas across the United Kingdom. It is based on qualitative interviews and focus groups with 14 service providers and 22 service users. Findings are presented thematically under the section headings: acceptability of screening, interpretation and making sense of screening and treatment options. It is suggested that engagement with CI screening is most likely when its fit with agency culture and its purpose is clear; where service providers have the technical skills to administer and discuss the results of screening with service users; and where those undertaking screening have had the opportunity to reflect on their own experience of being screened. Engagement with CI screening is also most likely where specific intervention pathways and engagement practices can be accessed to respond to assessed need.

Publication Information

Output type

Research Output: Contribution to journal Article Peer-review

Original language

English

Pages from-to (Number of pages)

Pages 344-352

Journal (Volume, Issue Number)

Health and Social Care in the Community (Volume 29, Issue 2)

Publication milestones

  • Published - 14/07/2020

Publication status

Published - 14/07/2020

ISSN

0966-0410

External Publication IDs

  • handle.net: 10547/624478
  • Scopus: 85087796387

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