Living Arrangements and Education Duration Associated With Memory Clinic Attendance in Alzheimer's Disease

J Appl Gerontol. 2023 Jul;42(7):1397-1403. doi: 10.1177/07334648231155442. Epub 2023 Feb 4.

Abstract

Some new outpatients with mild cognitive impairment (MCI) or Alzheimer's disease (AD) do not regularly attend treatment appointments at memory clinics. To explore factors related to non-regular attendance, we divided new outpatients according to regular or non-regular attendance during the first 6 months of treatment and analyzed the relationship between individual patient factors and attendance. Approximately half of patients living alone did not regularly attend appointments. Living with family and longer duration of school education were significantly associated with regular attendance. Patients with mild or moderate AD attended appointments more regularly than patients with MCI or moderate-to-severe AD. Patients in Kyoto City had significantly better cognitive function than patients in satellite cities, and there were a significantly higher proportion of patients with MCI or AD at first visit in Kyoto City. Living arrangements and duration of education are important patient factors to consider to promote regular attendance at treatment appointments.

Keywords: Alzheimer’s disease; cognitive function; dementia; household size; mild cognitive impairment.

MeSH terms

  • Alzheimer Disease* / psychology
  • Alzheimer Disease* / therapy
  • Cognition
  • Cognitive Dysfunction* / complications
  • Cognitive Dysfunction* / therapy
  • Humans
  • Neuropsychological Tests