{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T16:27:01Z","timestamp":1794673621134,"version":"4.9.1"},"reference-count":41,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Australian Government National Health and Medical Research Council, Medical Research Future Fund","award":["Dementia Aging and Aged Care Mission Grant 2022"],"award-info":[{"award-number":["Dementia Aging and Aged Care Mission Grant 2022"]}],"id":[{"id":"https:\/\/ror.org\/011kf5r70","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Parkinson\u2019s Disease"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive impairment in Parkinson's disease (PD) is often overlooked, despite increased risk of dementia in PD. \u2018PDCogniCare\u2019 is an innovation aiming to improve access to cognitive assessments, for earlier diagnosis and care. This study explored barriers and enablers to cognitive assessment in PD, to inform implementation of \u2018PDCogniCare\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants included ten people with PD, one caregiver, and nineteen health professionals within two Australian public health services. Semi-structured interviews were informed by the Theoretical Domains Framework (TDF) and the Consolidated Framework for Implementation Research (CFIR). Deductive and inductive analysis was utilised. Barriers were mapped to the CFIR-ERIC (Expert Recommendations for Implementing Change) matching tool to develop implementation strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven themes were identified: 1) lack of discussion about cognitive impairment limits access to cognitive assessments and interventions; 2) clinicians need to \u2018be on board with cognition\u2019; 3) availability of clinic resources impacts delivery of cognitive screens and assessments; 4) variability of clinician decision-making processes to screen or refer patients for neuropsychological assessment; 5) impact of undergoing neuropsychological assessments on people living with PD; 6) uncertainty over benefits of cognitive assessment in changing clinical management; and 7) perceived advantages of \u2018PDCogniCare\u2019 over current practice. Strategies to address identified barriers included: clinician education and training, additional resource allocation, support and feedback, and involving patient\/consumer advocates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Several barriers and enablers to cognitive assessment in PD were identified, relating to health professional knowledge, beliefs, context and resources. Strategies that address these may improve clinical practice for more proactive treatment and care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1877718x261440707","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T13:07:30Z","timestamp":1777295250000},"page":"769-781","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Barriers and enablers to cognitive assessment in Parkinson's disease: A qualitative contextual inquiry"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4902-0654","authenticated-orcid":false,"given":"Deborah","family":"Brooks","sequence":"first","affiliation":[{"name":"UQ Centre for Clinical Research, The University of Queensland, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7805-2447","authenticated-orcid":false,"given":"Kirstine","family":"Shrubsole","sequence":"additional","affiliation":[{"name":"Queensland Aphasia Research Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4390-6796","authenticated-orcid":false,"given":"Deepa","family":"Sriram","sequence":"additional","affiliation":[{"name":"UQ Centre for Clinical Research, The University of Queensland, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihyun","family":"Yang","sequence":"additional","affiliation":[{"name":"UQ Centre for Clinical Research, The University of Queensland, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leander K.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"School of Psychology, The University of Queensland, St Lucia, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Worthy","sequence":"additional","affiliation":[{"name":"School of Electrical Engineering and Computer Science, The University of Queensland, St Lucia, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elton","family":"Lobo","sequence":"additional","affiliation":[{"name":"UQ Centre for Clinical Research, The University of Queensland, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Pourzinal","sequence":"additional","affiliation":[{"name":"UQ Centre for Clinical Research, The University of Queensland, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0164-3337","authenticated-orcid":false,"given":"Nadeeka N.","family":"Dissanayaka","sequence":"additional","affiliation":[{"name":"UQ Centre for Clinical Research, The University of Queensland, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"e_1_3_2_2_2","article-title":"Projections for prevalence of Parkinson\u2019s disease and its driving factors in 195 countries and territories to 2050: modelling study of global burden of disease study 2021","volume":"388","author":"Su D","year":"2025","unstructured":"Su D, Cui Y, He C, et al. 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