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Objectives: To determine the prevalence of cognitive impairment no dementia (CIND) among a diverse, community-based population, and establish associations between CIND and health literacy, chronic disease self-management and functional health status.

Methods: 863 primary care adults without dementia aged 55-74. Adjusted logistic and linear regressions were used to assess associations between CIND (None, Mild, Moderate/Severe) and outcomes.

Results: 36 % participants exhibited CIND. It was strongly associated with limited health literacy (Newest Vital Signs: Mild [OR 3.25; 95 % CI 1.93, 5.49], Moderate/Severe [OR 6.45; 95 % CI 3.16, 13.2]; Test of Functional Health Literacy in Adults: Mild [OR 3.46; 95 % CI 2.08, 5.75], Moderate/Severe [OR 8.82; 95 % CI 4.87, 16.0]; all p's < 0.001) and poor chronic disease self-management (Mild [B = -11.2; 95 % CI -13.5, -8.90], Moderate/Severe CI [B = -21.0; 95 % CI -23.6, -18.4]; both p's < 0.001). Associations between CIND and functional health status were non-significant.

Conclusions: CIND was prevalent in this cohort, and strongly associated with requisite skills for managing everyday health needs.

Practice Implications: Attention to subtle declines in chronic disease self-care may assist with CIND identification and care management within this population. When CIND is observed, clinicians should also expect and address difficulties with self-management.

Competing Interests: Declaration of Competing Interest SDP receives research support from Omron Healthcare and previously received grant support from Pfizer, Inc. MSW receives research funding from Amgen and Merck, Sharpe & Dohme. He also has served as a paid consultant to Luto U.K., Pfizer and AB Imbev Foundation. RML, LMC, JWG, DC and AF have no conflicts of interest to disclose.

Titel:	Cognitive impairment no dementia and associations with health literacy, self-management skills, and functional health status.
Autor/in / Beteiligte Person:	Lovett, RM ; Curtis, LM ; Persell, SD ; Griffith, JW ; Cobia, D ; Federman, A ; Wolf, MS
Zeitschrift:	Patient education and counseling, Jg. 103 (2020-09-01), Heft 9, S. 1805-1811
Veröffentlichung:	Limerick : Elsevier ; <i>Original Publication</i>: Princeton, N.J. : Excerpta Medica, c1983-, 2020
Medientyp:	academicJournal
ISSN:	1873-5134 (electronic)
DOI:	10.1016/j.pec.2020.03.013
Schlagwort:	Aged Chronic Disease Cross-Sectional Studies Female Health Status Humans Male Middle Aged Prevalence United States epidemiology Activities of Daily Living Cognitive Dysfunction epidemiology Health Literacy Self-Management
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, N.I.H., Extramural Language: English [Patient Educ Couns] 2020 Sep; Vol. 103 (9), pp. 1805-1811. <i>Date of Electronic Publication: </i>2020 Mar 12. MeSH Terms: Activities of Daily Living* ; Health Literacy* ; Self-Management* ; Cognitive Dysfunction / *epidemiology ; Aged ; Chronic Disease ; Cross-Sectional Studies ; Female ; Health Status ; Humans ; Male ; Middle Aged ; Prevalence ; United States / epidemiology References: Clin Geriatr Med. 2013 Nov;29(4):753-72. (PMID: 24094295) ; J Intern Med. 2004 Sep;256(3):183-94. (PMID: 15324362) ; Dementia. 1994 Sep-Oct;5(5):266-81. (PMID: 7951684) ; J Diabetes Complications. 2015 Nov-Dec;29(8):1217-22. (PMID: 26281970) ; Am J Epidemiol. 2000 Apr 1;151(7):676-88. (PMID: 10752795) ; J Alzheimers Dis. 2016 Dec 6;55(3):1183-1193. (PMID: 27792011) ; Psychol Aging. 2013 Sep;28(3):614-24. (PMID: 23957225) ; J Aging Health. 2015 Sep;27(6):1105-17. (PMID: 25903976) ; J Gerontol B Psychol Sci Soc Sci. 2006 Mar;61(2):P102-7. (PMID: 16497953) ; J Alzheimers Dis. 2014;42(1):275-89. (PMID: 24844687) ; J Gen Intern Med. 1995 Oct;10(10):537-41. (PMID: 8576769) ; Alzheimers Dement. 2017 Feb;13(2):130-139. (PMID: 27520773) ; Am J Med. 2013 Feb;126(2):120-6. (PMID: 23331439) ; Front Med (Lausanne). 2017 Dec 18;4:230. (PMID: 29326936) ; J Alzheimers Dis. 2014;40(3):531-40. (PMID: 24473188) ; J Am Geriatr Soc. 2013 Mar;61(3):396-402. (PMID: 23414481) ; Psychol Aging. 1993 Dec;8(4):517-26. (PMID: 8292280) ; J Geriatr Psychiatry Neurol. 1999 Winter;12(4):168-79. (PMID: 10616864) ; J Int Neuropsychol Soc. 2014 Sep;20(8):836-47. (PMID: 25156329) ; Int J Geriatr Psychiatry. 2017 Apr;32(4):357-371. (PMID: 28146334) ; Alzheimers Res Ther. 2011 Nov 11;3(6):32. (PMID: 22078663) ; Gerontologist. 1989 Jun;29(3):345-54. (PMID: 2759457) ; J Gen Intern Med. 2012 Oct;27(10):1300-7. (PMID: 22566171) ; Am J Geriatr Psychiatry. 2008 May;16(5):416-24. (PMID: 18448852) ; J Am Med Inform Assoc. 2007 Nov-Dec;14(6):713-21. (PMID: 17712082) ; Dement Geriatr Cogn Disord. 2009;28(2):95-109. (PMID: 19684399) ; J Clin Exp Neuropsychol. 1991 Nov;13(6):933-49. (PMID: 1779032) ; J Gerontol. 1992 May;47(3):P121-8. (PMID: 1573192) ; J Clin Epidemiol. 2010 Nov;63(11):1179-94. (PMID: 20685078) ; JAMA Psychiatry. 2013 Aug;70(8):803-11. (PMID: 23760442) ; Neurology. 2001 Nov 13;57(9):1655-62. (PMID: 11706107) ; Ann Fam Med. 2005 Nov-Dec;3(6):514-22. (PMID: 16338915) ; J Gen Intern Med. 2014 Apr;29(4):615-20. (PMID: 24327311) ; J Am Geriatr Soc. 2010 Feb;58(2):330-7. (PMID: 20374406) ; J Am Geriatr Soc. 2001 Jul;49(7):934-40. (PMID: 11527485) ; Am J Geriatr Pharmacother. 2012 Jun;10(3):165-77. (PMID: 22657941) ; J Am Geriatr Soc. 2015 Sep;63(9):1783-90. (PMID: 26311270) ; Ann Intern Med. 2008 Mar 18;148(6):427-34. (PMID: 18347351) ; Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S19-26. (PMID: 17931132) ; Med Care. 2002 Sep;40(9):771-81. (PMID: 12218768) ; J Intern Med. 2004 Sep;256(3):240-6. (PMID: 15324367) ; J Health Commun. 2015;20(2):157-64. (PMID: 25375025) ; Depress Anxiety. 2012 Mar;29(3):234-42. (PMID: 22065571) ; Ann Am Thorac Soc. 2014 Nov;11(9):1362-70. (PMID: 25285360) Grant Information: P30 AG059988 United States AG NIA NIH HHS; R01 AG030611 United States AG NIA NIH HHS Contributed Indexing: Keywords: Chronic disease self-management; Cognitive impairment; Functional health status; Health literacy; Older adults Entry Date(s): Date Created: 20200322 Date Completed: 20201209 Latest Revision: 20220420 Update Code: 20240513 PubMed Central ID: PMC7864102

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Cognitive impairment no dementia and associations with health literacy, self-management skills, and functional health status.