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Analysis of Barriers to Cognitive Screening in Rural Populations in the United States

Wiese, Lisa Kirk PhD, RN; Williams, Christine L. RN, DNSc, PMHCHS-BC; Tappen, Ruth M. RN, EdD, FAAN

doi: 10.1097/ANS.0000000000000049
Post-Hospital Nursing

There is scant research regarding barriers to cognitive screening in rural US populations. This is surprising when there is evidence of the importance of preventative health behaviors such as memory screening that can lead to earlier diagnosis and treatment of Alzheimer's disease and decrease in associated costs. A systematic review of published research revealed modifiable barriers to screening such as lack of knowledge and lack of knowledgeable providers to screen. Recommendations for diminishing barriers include the use of storytellers to provide culturally relevant education and informing practitioners of new Medicare coverage for cognitive screening.

Faculty, Florida Atlantic University, Christine E. Lynn College of Nursing, Boca Raton (Drs Wiese, Williams, and Tappen).

Correspondence: Lisa Kirk Wiese, PhD, RN, Florida Atlantic University, Christine E. Lynn College of Nursing, 777 Glades Rd, Boca Raton, FL 33431 (

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2014Wolters Kluwer Health | Lippincott Williams & Wilkins