Conversational assessment in memory clinic encounters: interactional profiling for the differential diagnosis of dementia and functional memory disorder

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dc.cclicenceCC-BY-NCen
dc.contributor.authorJones, Danielleen
dc.contributor.authorDrew, Paulen
dc.contributor.authorElsey, Christopheren
dc.contributor.authorBlackburn, Danielen
dc.contributor.authorWakefield, Sarahen
dc.contributor.authorHarkness, Kirstyen
dc.contributor.authorReuber, Markusen
dc.date.acceptance2015-02-17en
dc.date.accessioned2017-08-30T14:23:32Z
dc.date.available2017-08-30T14:23:32Z
dc.date.issued2015-03-24
dc.descriptionThe file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.en
dc.description.abstractOBJECTIVES: In the UK dementia is under-diagnosed, there is limited access to specialist memory clinics, and many of the patients referred to such clinics are ultimately found to have functional (non-progressive) memory disorders (FMD), rather than a neurodegenerative disorder. Government initiatives on 'timely diagnosis' aim to improve the rate and quality of diagnosis for those with dementia. This study seeks to improve the screening and diagnostic process by analysing communication between clinicians and patients during initial specialist clinic visits. Establishing differential conversational profiles could help the timely differential diagnosis of memory complaints. METHOD: This study is based on video- and audio recordings of 25 initial consultations between neurologists and patients referred to a UK memory clinic. Conversation analysis was used to explore recurrent communicative practices associated with each diagnostic group. RESULTS: Two discrete conversational profiles began to emerge, to help differentiate between patients with dementia and functional memory complaints, based on (1) whether the patient is able to answer questions about personal information; (2) whether they can display working memory in interaction; (3) whether they are able to respond to compound questions; (4) the time taken to respond to questions; and (5) the level of detail they offer when providing an account of their memory failure experiences. CONCLUSION: The distinctive conversational profiles observed in patients with functional memory complaints on the one hand and neurodegenerative memory conditions on the other suggest that conversational profiling can support the differential diagnosis of functional and neurodegenerative memory disorders.en
dc.explorer.multimediaNoen
dc.funderNIHRen
dc.identifier.citationJones, D. et al. (2016) Conversational assessment in memory clinic encounters: interactional profiling for differentiating dementia from functional memory disorders. Aging & Mental Health, 20 (5), pp. 500-509en
dc.identifier.doihttps://doi.org/10.1080/13607863.2015.1021753
dc.identifier.urihttp://hdl.handle.net/2086/14444
dc.language.isoenen
dc.peerreviewedYesen
dc.projectidSTH16088en
dc.publisherTaylor & Francisen
dc.researchinstituteInstitute for Allied Health Sciences Researchen
dc.subjectconversation analysisen
dc.subjectdementiaen
dc.subjectdifferential diagnosisen
dc.subjectfunctional memory disorderen
dc.subjectinteractionen
dc.titleConversational assessment in memory clinic encounters: interactional profiling for the differential diagnosis of dementia and functional memory disorderen
dc.typeArticleen

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