{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:41:30Z","timestamp":1777858890324,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Objectives: Objectives of this study were to (1) assess the needs and preferred resources of Iowa physicians to inform the development of educational resources for best practice dementia care and (2) compare the responses of nursing home medical directors with nonmedical directors. Methods: Of 498 physicians, 101 (20%) completed and returned the survey. Family physicians were obtained from a list of family physicians from the Iowa Board of Medical Examiners. Respondent answers were summarized and presented as total numbers and percentages in tables. Significant differences between medical directors and nonmedical directors were evaluated using chi-square tests, Fisher exact tests, and Wilcoxon rank-sum tests. Results: Medical directors and nonmedical directors had similar preferences for resources used and information needs. Online resources, pocket guides, a handbook, consulting pharmacists, and facility in-services were the most commonly preferred sources of new information. Medical directors were significantly more aware of the Food and Drug Administration warning on antipsychotic use in dementia and treated more nursing home patients. No differences were observed between groups related to confidence in and use of nondrug strategies instead of antipsychotics to manage behavioral symptoms of dementia. Conclusion: The results of this survey illustrate physician preferences for information and resources on the management of behavioral and psychological symptoms in dementia. Information was used to inform the development of resources to aid physicians and other health care providers in making decisions about managing these symptoms.<\/jats:p>","DOI":"10.1177\/2150132719840113","type":"journal-article","created":{"date-parts":[[2019,4,22]],"date-time":"2019-04-22T04:30:05Z","timestamp":1555907405000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A Needs Assessment of Family Physicians to Inform Development of Educational Resources on Antipsychotic Use in Dementia"],"prefix":"10.1177","volume":"10","author":[{"given":"Ryan M.","family":"Carnahan","sequence":"first","affiliation":[{"name":"The University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanette M.","family":"Daly","sequence":"additional","affiliation":[{"name":"The University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Minion","sequence":"additional","affiliation":[{"name":"The University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Gryzlak","sequence":"additional","affiliation":[{"name":"The University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3172-3733","authenticated-orcid":false,"given":"Michelle T.","family":"Weckmann","sequence":"additional","affiliation":[{"name":"The University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barcey T.","family":"Levy","sequence":"additional","affiliation":[{"name":"The University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camden P.","family":"Bay","sequence":"additional","affiliation":[{"name":"The University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,22]]},"reference":[{"key":"bibr1-2150132719840113","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.211266"},{"key":"bibr2-2150132719840113","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1001\/jama.2012.7948","volume":"308","author":"Mitka M.","year":"2012","journal-title":"JAMA"},{"key":"bibr3-2150132719840113","unstructured":"US Food and Drug Administration. FDA Public Health Advisory. Death with antipsychotics in elderly patients with behavioral disturbances. http:\/\/psychrights.org\/drugs\/FDAatypicalswarning4elderly.pdf. Published 2005. Accessed April 11, 2015."},{"key":"bibr4-2150132719840113","unstructured":"Levinson DR. Medicare atypical antipsychotic drug claims for elderly nursing home residents. https:\/\/oig.hhs.gov\/oei\/reports\/oei-07-08-00150.pdf. Published May 2011. Accessed March 22, 2019."},{"key":"bibr5-2150132719840113","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/S0029-6465(22)01539-0","volume":"24","author":"Kelly M.","year":"1989","journal-title":"Nurs Clin North Am"},{"key":"bibr6-2150132719840113","unstructured":"American Board of Family Medicine. Ten things physicians and patients should question. http:\/\/www.choosingwisely.org\/wp-content\/uploads\/2015\/02\/AMDA-Choosing-Wisely-List.pdf. Published 2015. Accessed October 12, 2015."},{"key":"bibr7-2150132719840113","unstructured":"Centers for Medicare & Medicaid Services. Details for title: Interim report on the CMS national partnership to improve dementia care in nursing homes: Q4 2011-Q1 2014. https:\/\/www.cms.gov\/Medicare\/Provider-Enrollment-and-Certification\/SurveyCertificationGenInfo\/Policy-and-Memos-to-States-and-Regions-Items\/Survey-and-Cert-Letter-14-19.html. Published 2014. Accessed April 11, 2014."},{"key":"bibr8-2150132719840113","unstructured":"Centers for Medicare & Medicaid Services. Data show national partnership to improve dementia care achieves goals to reduce unnecessary antipsychotic medications in nursing homes. https:\/\/www.cms.gov\/newsroom\/fact-sheets\/data-show-national-partnership-improve-dementia-care-achieves-goals-reduce-unnecessary-antipsychotic. Published 2017. 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