Exploring Neurologists’ Perspectives: Barriers and Facilitators in Implementing Cognitive Care Planning

Shaoqing Ge; Xaviera Xiao; Kevin H Sun; Bin Huang; Katherine Carroll Britt

doi:10.1002/alz70858_103335

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Exploring Neurologists’ Perspectives: Barriers and Facilitators in Implementing Cognitive Care Planning

Abstract

Open access

Peer reviewed

Exploring Neurologists’ Perspectives: Barriers and Facilitators in Implementing Cognitive Care Planning

Shaoqing Ge, Xaviera Xiao, Kevin H Sun, Bin Huang and Katherine Carroll Britt

Alzheimer's & dementia, Vol.21(Suppl 4), e103335

12/2025

DOI: 10.1002/alz70858_103335

PMID: 41449880

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Abstract

The aging global population is experiencing a rise in cognitive disorders like dementia, impacting individuals' independence and quality of life, and burdening families and healthcare systems. Addressing cognitive health in aging populations is a global health priority, yet few studies have examined the formal process of cognitive care planning (CCP) among neurologists. This qualitative study used semi-structured interviews to examine neurologists' experiences, attitudes, and perceptions of implementing Cognitive Care Planning (CCP) in their practice. Participants were recruited from one medical center in Seattle, WA, using a purposive sampling approach. The interview guide was informed by the updated Consolidated Framework for Implementation Research (CFIR). From June to December 2023, we conducted audio-recorded Zoom video conferencing interviews with seven neurologists. Deductive content analysis was employed to code interview data, deriving codes and subcodes from the pre-existing CFIR framework. The study identified several barriers to CCP integration, including limited treatment options, fear and shame associated with cognitive decline, complex health problems of patients, and patient willingness. Additional challenges included lacking technology integration, appointment structure, specialty-specific demands on providers, organizational constraints like staffing and appointment time limitations, and a shortage of referral resources. Despite these barriers, neurologists also noted facilitators such as sufficient caregiver support, integrating a health champion, and making CCP appointments flexible and adaptable to patient needs. The study highlights challenges and opportunities in CCP implementation, aiming to inform strategies to improve cognitive health outcomes and quality of life for patients with cognitive impairments and their families.

Quality of Life

Attitude of Health Personnel

Dementia - psychology

Dementia - therapy

Female

Humans

Interviews as Topic

Male

Middle Aged

Neurologists - psychology

Qualitative Research

Details

Title: Subtitle: Exploring Neurologists’ Perspectives: Barriers and Facilitators in Implementing Cognitive Care Planning
Creators: Shaoqing Ge - The University of Texas at Austin
Xaviera Xiao - Computer Aids for Chemical Engineering
Kevin H Sun
Bin Huang - Computer Aids for Chemical Engineering
Katherine Carroll Britt - University of Iowa
Resource Type: Abstract
Publication Details: Alzheimer's & dementia, Vol.21(Suppl 4), e103335
DOI: 10.1002/alz70858_103335
PMID: 41449880
NLM abbreviation: Alzheimers Dement
ISSN: 1552-5279
eISSN: 1552-5279
Publisher: Wiley
Language: English
Date published: 12/2025
Academic Unit: Nursing; Center for Social Science Innovation
Record Identifier: 9985093887202771

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