Journal article
A qualitative study with primary care providers: Barriers and facilitators in cognitive care planning
Geriatric nursing (New York), Vol.67, 103726
11/20/2025
DOI: 10.1016/j.gerinurse.2025.103726
PMCID: PMC12814416
PMID: 41270343
Abstract
Cognitive care planning (CCP) is an effective service that supports aging adults with cognitive impairment and dementia and is reimbursable by Medicare; however, CCP remains underutilized by providers. We explored the experiences and perceptions of U.S. primary care providers regarding the implementation of CCP with older adults. Using a qualitative descriptive design, we conducted semi-structured teleconferencing interviews with nine primary care providers (work experience ranged from 8 to 38 years) actively providing care to older adults, including those with cognitive impairment and dementia. Conventional content analysis was used to analyze the data. Three categories of CCP barriers and facilitators emerged: (a) person-level factors, (b) condition factors, and (c) system-level factors. In addition to supporting previous dementia care in primary care studies, our study adds perceived facilitators and additional barriers to CCP implementation, expanding our understanding of ways to improve CCP in the older adult population.
Details
- Title: Subtitle
- A qualitative study with primary care providers: Barriers and facilitators in cognitive care planning
- Creators
- Katherine C Britt - University of Iowa, College of Nursing, 50 Newton Rd, Iowa City, IA 52242, USA. Electronic address: katherine-britt@uiowa.eduXaviera Xiao - BrainCheck, Inc., 3000 E. Cesar Chavez St., Austin, TX 78702, USA. Electronic address: xaviera.xiao@braincheck.comKevin Sun - BrainCheck, Inc., 3000 E. Cesar Chavez St., Austin, TX 78702, USA. Electronic address: kevin@braincheck.comShaoqing Ge - The University of Texas at AustinHarleah Buck - University of Iowa, College of Nursing, 50 Newton Rd, Iowa City, IA 52242, USA. Electronic address: harleah-buck@uiowa.eduBin Huang - BrainCheck, Inc., 3000 E. Cesar Chavez St., Austin, TX 78702, USA. Electronic address: bin@braincheck.com
- Resource Type
- Journal article
- Publication Details
- Geriatric nursing (New York), Vol.67, 103726
- DOI
- 10.1016/j.gerinurse.2025.103726
- PMID
- 41270343
- PMCID
- PMC12814416
- NLM abbreviation
- Geriatr Nurs
- ISSN
- 1528-3984
- eISSN
- 1528-3984
- Publisher
- Elsevier
- Grant note
- National Institute on Aging of the National Institutes of Health: R44AG078006 National Institutes of Health National Institute of Nursing Research under a T32 Award
This study is supported by the National Institute on Aging of the National Institutes of Health under Award Number R44AG078006 to BH. Author KCB is supported by the National Institutes of Health National Institute of Nursing Research under a T32 Award
- Language
- English
- Date published
- 11/20/2025
- Academic Unit
- Nursing; Center for Social Science Innovation
- Record Identifier
- 9985033765602771
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