Intentions of first-degree relatives of patients with Alzheimer's disease to seek a cognitive status examination

Aims. The aim of the present study was to examine the factors influencing intentions to seek a cognitive status evaluation among first-degree relatives of persons with Alzheimer's disease. Methods. Phone interviews were conducted with 93 first-degree relatives of persons with Alzheimer's disease, recruited from a large memory clinic. Measures. Intentions to seek a cognitive status examination were examined by asking participants to rate their willingness to seek a cognitive status examination during the next year and during the next five years. Independent variables included participants' and patients' characteristics, caregiving characteristics, knowledge about AD, worries about memory problems, and perceptions of the benefits and barriers of seeking a cognitive status examination. Results. Overall, first-degree relatives reported only moderate intentions to seek a cognitive status examination. Their willingness to seek an examination was related to the characteristics of the first-degree relative (income and subjective memory), the characteristics of the patients (behavioral problems), the caregiving characteristics (primary caregiver), and to the perceptions of barriers associated with the examination. Conclusions. These findings stress the complexity of the decision-making process confronting first-degree relatives regarding their intentions to seek a cognitive status examination, and suggest the need to provide information to reach an informed decision.