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Agile Implementation of a Digital Cognitive Assessment for Dementia in Primary Care
Diana Summanwar, Nicole R. Fowler, Dustin B. Hammers, Anthony J. Perkins, Jared R. Brosch, Deanna R. Willis. The Annals of Family Medicine, 2025-04-29
Topic: Risk, prevention and care in population studies
The intervention engaged 69 (63.8%) of 108 clinicians across the 7 clinics. DCA screening was completed in 1,808 (10.8%) of 16,708 eligible visits. We selected the Linus Health Core Cognitive Evaluation tool as our DCA tool based on stakeholder evaluations. Screening workflows were tailored to each clinic. The brain health navigator received 447 referrals for further assessment of a positive or borderline screening result. Four clinics fully adopted the intervention, achieving a DCA completion rate of at least 20%, and 5 clinics were still routinely using the DCA tool at 12 months. Agile implementation effectively helped integrate the DCA tool into primary care workflows. Customized workflows, stakeholder engagement, and iterative improvements were crucial for adoption and sustainability. These insights can guide future efforts for early detection and management of cognitive impairment in primary care, ultimately improving patient outcomes and easing the burden on health care professionals.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Summanwar, D., Fowler, N. R., Hammers, D. B., Perkins, A. J., Brosch, J. R., & Willis, D. R. (2025). Agile Implementation of a Digital Cognitive Assessment for Dementia in Primary Care. The Annals of Family Medicine. https://doi.org/10.1370/afm.240294
Vancouver
Summanwar D, Fowler NR, Hammers DB, Perkins AJ, Brosch JR, Willis DR. Agile Implementation of a Digital Cognitive Assessment for Dementia in Primary Care. The Annals of Family Medicine. 2025. doi:10.1370/afm.240294. PMID: 40300819.
BibTeX
@article{summanwar2025-40300819,
author = {Summanwar, Diana and Fowler, Nicole R. and Hammers, Dustin B. and Perkins, Anthony J. and Brosch, Jared R. and Willis, Deanna R.},
title = {{Agile Implementation of a Digital Cognitive Assessment for Dementia in Primary Care}},
journal = {The Annals of Family Medicine},
year = {2025},
doi = {10.1370/afm.240294},
pmid = {40300819},
url = {https://doi.org/10.1370/afm.240294}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- The intervention engaged 69 (63.8%) of 108 clinicians across the 7 clinics.
- DCA screening was completed in 1,808 (10.8%) of 16,708 eligible visits.
- We selected the Linus Health Core Cognitive Evaluation tool as our DCA tool based on stakeholder evaluations.
- Screening workflows were tailored to each clinic.
- The brain health navigator received 447 referrals for further assessment of a positive or borderline screening result.
Why it matters
This study describes implementing a digital cognitive assessment tool in primary care, with screening completed in 10.8% of eligible visits and four of seven clinics fully adopting it. It is about detecting cognitive impairment in primary care, not about treating, curing or preventing Alzheimer's disease.
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Study details
- Effect size63.8%; 10.8%
- Evidence strengthLow
How this study scored 45/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (The Annals of Family Medicine) |
| Journal's citation record | 2 / 4 | The Annals of Family Medicine: journal h-index 161 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 3 / 7 | Cited 15 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 5.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 4 / 6 | Cited 18.2× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 2 other studies in this library |
| Still being cited | 2 / 4 | Cited 15 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Deanna R. Willis: h-index 17 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Indiana University School of Medicine: institution h-index 784 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40300819) |
| Free to read | 2 / 2 | Free to read |
| Total | 45 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1370/afm.240294
- PubMed: 40300819
- Original source →
- Free full text: The Annals of Family Medicine →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Later studies that cite this one
2 studies in the alzhub library list this one in their references.
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