Table 1 Indicators of dementia sensitivity, rotated component matrix. Question: Please indicate how strongly you agree with the respective statement. (0 = “Totally disagree” to 10 = “Totally agree”)
Rotated component matrix | |||||||
|---|---|---|---|---|---|---|---|
Average (median) | Comp. 1 (explained variation: 25.5%) | Comp. 2 (explained variation: 14.7%) | Comp. 3 (explained variation: 10.9%) | Comp. 4 (explained variation: 8.1%) | Urban vs. rural doctors | Doctors with geriatric training vs. doctors with no geriatric training | |
“It is often not easy to distinguish the symptoms of dementia from typical signs of ageing (e.g. such as depression).” | X̄: 7.3 (˜x: 8.0) | ,223 | -,193 | ,012 | ,671 | X̄: 7.5 (˜x: 8.0) / X̄: 7.1 (˜x: 8.0) | X̄: 7.3 (˜x: 7.0) / X̄: 7.3 (˜x: 7.0) |
“As a GP it is important to me to assess suspected dementia with a diagnosis of my own.” | X̄: 6.3 (˜x: 7.0) | -,216 | ,216 | -,193 | ,036 | X̄: 6.3 (˜x: 6.0) / X̄: 6.3 (˜x: 7.0) | X̄: 6.9 (˜x: 7.0) / X̄: 5.9 (˜x: 6.0) * |
“Patients with dementia should be treated largely by specialists such as neurologists or psychiatrists, not by their GP.” | X̄: 3.6 (˜x: 3.0) | ,037 | ,019 | ,302 | ,678 | X̄: 3.7 (˜x: 5.0) / X̄: 3.5 (˜x: 3.0) | X̄: 2.3 (˜x: 3.0) / X̄: 4.4 (˜x: 3.0) * |
“A dementia diagnosis does not change much, as the consequence for treatment is inadequate.” | X̄: 2.0 (˜x: 2.0) | -,218 | ,055 | ,843 | ,133 | X̄: 1.8 (˜x: 1.0) / X̄: 2.0 (˜x: 2.0) | X̄: 1.7 (˜x: 2.0) / X̄: 2.2 (˜x: 1.0) |
“I usually perform dementia tests only if patients or caregivers ask for them.” | X̄: 2.6 (˜x: 3.0) | -,092 | ,081 | ,789 | ,045 | X̄: 3.0 (˜x: 3.0) / X̄: 2.3 (˜x: 1.0) | X̄: 2.6 (˜x: 3.0) / X̄: 2.6 (˜x: 3.0) |
“Suspected dementia or a dementia diagnosis often results in a high level of defensiveness or tensions with the patient.” | X̄: 5.7 (˜x: 6.0) | ,253 | -,557 | ,392 | ,094 | X̄: 6.1 (˜x: 6.0) / X̄: 5.6 (˜x: 6.0) | X̄: 5.7 (˜x: 5.0) / X̄: 5.6 (˜x: 5.0) |
“A dementia diagnosis in line with the guidelines is essential for further patient care.” | X̄: 7.6 (˜x: 8.0) | ,741 | ,131 | -,070 | ,039 | X̄: 7.7 (˜x: 8.0) / X̄: 7.4 (˜x: 7.5) | X̄: 7.3 (˜x: 8.0) / X̄: 7.7 (˜x: 9.0) |
“Early detection of a dementia-related disease is advantageous for the patient.” | X̄: 8.2 (˜x: 9.0) | ,831 | ,095 | -,068 | ,108 | X̄: 8.5 (˜x: 8.0) / X̄: 8.1 (˜x: 9.0) | X̄: 8.2 (˜x: 8.0) / X̄: 8.3 (˜x: 8.0) |
“If I suspect dementia, I perform a dementia test as a matter of principle.” | X̄: 6.5 (˜x: 7.5) | ,319 | ,559 | -,008 | -,062 | X̄: 7.0 (˜x: 8.0) / X̄: 6.1 (˜x: 7.0) | X̄: 6.5 (˜x: 7.0) / X̄: 6.5 (˜x: 7.0) |
“It is challenging to phrase suspected dementia in such a way as to ensure compliance and further patient care.” | X̄: 7.5 (˜x: 8.0) | ,858 | -,083 | ,117 | -,193 | X̄: 7.7 (˜x: 8.5) / X̄: 7.4 (˜x: 8.0) | X̄: 7.4 (˜x: 7.5) / X̄: 7.6 (˜x: 8.0) |
“The effect of informing a patient of suspected dementia or a dementia diagnosis is often more adverse than helpful.” | X̄: 2.2 (˜x: 2.0) | -,653 | -,197 | ,315 | -,173 | X̄: 2.4 (˜x: 2.5) / X̄: 2.3 (˜x: 2.0) | X̄: 2.5 (˜x: 3.0) / X̄: 2.0 (˜x: 2.0) |
“It is important to me to support dementia patients and their disease progression in the longer term.” | X̄: 8.4 (˜x: 9.0) | ,927 | ,093 | -,035 | -,065 | X̄: 8.5 (˜x: 8.5) / X̄: 8.3 (˜x: 8.0) | X̄: 8.4 (˜x: 8.0) / X̄: 8.4 (˜x: 8.0) |
“I often find it difficult to assess the care needs of dementia patients correctly.” | X̄: 7.5 (˜x: 8.0) | -,101 | -,116 | -,122 | ,747 | X̄: 7.5 (˜x: 7.0) / X̄: 7.5 (˜x: 7.0) | X̄: 6.2 (˜x: 7.0) / X̄: 8.3 (˜x: 8.0) * |
“As a GP there is little that I can do to improve the quality of life of dementia patients.” | X̄: 2.2 (˜x: 2.5) | ,038 | -,140 | ,678 | -,068 | X̄: 2.5 (˜x: 2.5) / X̄: 2.0 (˜x: 2.0) | X̄: 1.5 (˜x: 2.0) / X̄: 2.6 (˜x: 2.0) |
“I am very familiar with help and support services for dementia patients and their caregivers.” | X̄: 5.2 (˜x: 5.5) | ,094 | ,796 | ,118 | -,089 | X̄: 6.5 (˜x: 6.5) / X̄: 4.7 (˜x: 6.0) * | X̄: 6.2 (˜x: 6.0) / X̄: 4.7 (˜x: 5.0) * |
“It is the GP’s job to contribute to better quality of life for caregivers.” | X̄: 7.7 (˜x: 8.0) | ,617 | ,402 | ,116 | ,331 | X̄: 7.7 (˜x: 8.0) / X̄: 7.7 (˜x: 8.0) | X̄: 7.4 (˜x: 8.0) / X̄: 7.8 (˜x: 8.0) |
“If relatives who provide care for dementia patients come to me with questions about organising care, I am easily able to help them.” | X̄: 6.2 (˜x: 7.0) | ,291 | ,870 | ,055 | -,108 | X̄: 7.1 (˜x: 7.0) / X̄: 5.6 (˜x: 6.0) * | X̄: 7.0 (˜x: 7.5) / X̄: 5.7 (˜x: 5.0) * |
“I make patients and their caregivers aware of specific support and advice services (e.g. dementia networks, care support centres).” | X̄: 6.4 (˜x: 5.0) | ,232 | ,856 | ,090 | -,106 | X̄: 7.2 (˜x: 8.0) / X̄: 5.6 (˜x: 6.0) * | X̄: 6.4 (˜x: 7.0) / X̄: 6.4 (˜x: 7.0) |
“I find it easy to assess which treatments are appropriate for dementia patients.” | X̄: 3.7 (˜x: 3.0) | -,106 | ,757 | -,160 | ,054 | X̄: 4.3 (˜x: 5.0) / X̄: 3.4 (˜x: 3.0) | X̄: 4.7 (˜x: 5.0) / X̄: 3.0 (˜x: 3.0) * |
“I find the existing guidelines for dementia diagnosis and treatment helpful.” | X̄: 6.0 (˜x: 5.0) | ,416 | ,490 | -,153 | ,049 | X̄: 7.0 (˜x: 8.0) / X̄: 5.5 (˜x: 5.0) * | X̄: 6.2 (˜x: 6.0) / X̄: 5.8 (˜x: 5.0) |
“Dementia can be delayed effectively with the use of medications.” | X̄: 5.2 (˜x: 5.0) | -,040 | ,283 | -,058 | ,280 | X̄: 4.8 (˜x: 5.0) / X̄: 5.4 (˜x: 5.0) | X̄: 5.4 (˜x: 6.0) / X̄: 5.0 (˜x: 5.0) |
Extraction meth.: Principal component analysis Rotation meth.: Varimax, Kaiser normalisation Rotation converged in 6 iterations Explained total variance: 59.2% Sample adequacy according to Kaiser-Meyer-Olkin: 0.59 Significance according to Bartlett: p < 0.001 | Significant difference: * p < 0.001; T-test | ||||||