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Title: Towards diagnostic conversational profiles of patients presenting with dementia or functional memory disorders to memory clinics
Authors: Elsey, Christopher
Drew, Paul
Jones, Danielle
Blackburn, Daniel
Wakefield, Sarah
Harkness, Kirsty
Venneri, Annalena
Reuber, Markus
Keywords: Dementia
Differential diagnosis
Functional memory disorders
Conversational analysis
Issue Date: 2015
Publisher: © Elsevier
Citation: ELSEY, C. ... et al, 2015. Towards diagnostic conversational profiles of patients presenting with dementia or functional memory disorders to memory clinics. Patient Education and Counseling, 98(9), pp.1071-77.
Abstract: Objective: This study explores whether the profile of patients' interactional behaviour in memory clinic conversations with a doctor can contribute to the clinical differentiation between functional memory disorders (FMD) and memory problems related to neurodegenerative diseases. Methods: Conversation Analysis of video recordings of neurologists' interactions with patients attending a specialist memory clinic. "Gold standard" diagnoses were made independently of CA findings by a multi-disciplinary team based on clinical assessment, neuropsychological testing and brain imaging. Results: Two discrete conversational profiles for patients with memory complaints emerged, including (i) who attends the clinic (i.e., whether or not patients are accompanied), and (ii) patients' responses to neurologists' questions about memory problems, such as difficulties with compound questions and providing specific and elaborated examples and frequent "I don't know" responses. Conclusion: Specific communicative difficulties are characteristic of the interaction patterns of patients with a neurodegenerative pathology. Those difficulties are manifest in memory clinic interactions with neurologists, thereby helping to differentiate patients with dementia from those with FMD. Practical implications: Our findings demonstrate that conversational profiles based on patients' contributions to memory clinic encounters have diagnostic potential to assist the screening and referral process from primary care, and the diagnostic service in secondary care.
Description: This paper was accepted for publication in the journal Patient Education and Counseling and the definitive published version is available at http://dx.doi.org/10.1016/j.pec.2015.05.021
Sponsor: This article presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme [grant reference number PB-PG-0211-24079].
Version: Accepted for publication
DOI: 10.1016/j.pec.2015.05.021
URI: https://dspace.lboro.ac.uk/2134/18366
Publisher Link: http://dx.doi.org/10.1016/j.pec.2015.05.021
ISSN: 0738-3991
Appears in Collections:Published Articles (Social Sciences)

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