{"doi":"10.31234/osf.io/57pzm","title":"A Qualitative Study with Primary Care Providers: Barriers and Facilitators in Cognitive Care Planning","abstract":"With a growing aging cognitive impairment and dementia population and with no present cure, there is an increased focus on improving quality of life and health while decreasing disease burden and hospitalization. An effective way to support this focus is through cognitive care planning: routinely and systematically assessing patient needs while documenting personalized recommendations to address neuropsychiatric and neurocognitive symptoms, functional limitations, and care resources. While beneficial and reimbursable, cognitive care planning remains underutilized.By adopting a descriptive qualitative approach, we conducted semi-structured telephone interviews with nine primary care providers (seven identified as male; two identified as Asian American; work experience ranged from 8 to 38 years) who were actively providing care to older adults, including those with cognitive impairment and dementia in the Pacific Northwest area. Data were analyzed through content analysis. Seven categories of barriers and facilitators informed by the Consolidated Framework for Implementation Research (CFIR) were constructed from the interviews: (a) caregiver characteristics, (b) organization characteristics, (c) patient characteristics, (d) provider characteristics, (e) condition characteristics, (f) workflow, and (g) outer setting. Primary care providers described the barriers and facilitators experienced in cognitive care planning with patients. Primary care demands, time limitations, patient willingness, caregiver and family presence, lack of care planning structure, and uncertainty influence the implementation of cognitive care planning. These findings can help providers and clinical care teams support older adults with cognitive impairment and dementia and their caregivers facing a progressive illness.","journal":"PsyArXiv (OSF Preprints)","year":2024,"id":500849,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9508,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1350330,"name":"Xaviera Xiao","orcid":"0000-0003-1081-3729","position":1,"is_corresponding":false},{"id":404503,"name":"Kevin Sun","orcid":"0000-0003-3230-4319","position":2,"is_corresponding":false},{"id":1350331,"name":"Shaoqing Ge","orcid":"0000-0003-2436-5760","position":3,"is_corresponding":false},{"id":468075,"name":"Bin Huang","orcid":"0000-0002-0056-1794","position":4,"is_corresponding":false},{"id":797017,"name":"Katherine Britt","orcid":"0000-0002-5119-1260","position":0,"is_corresponding":true}],"reference_count":21,"raw_metadata":null,"created_at":"2026-07-19T02:10:12.068207Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}