{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T06:39:29Z","timestamp":1782542369844,"version":"3.54.5"},"reference-count":60,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2014,3,3]],"date-time":"2014-03-03T00:00:00Z","timestamp":1393804800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Implementation Sci"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Dementia is a growing problem, causing substantial burden for patients, their families, and society. General practitioners (GPs) play an important role in diagnosing and managing dementia; however, there are gaps between recommended and current practice. The aim of this study was to explore GPs\u2019 reported practice in diagnosing and managing dementia and to describe, in theoretical terms, the proposed explanations for practice that was and was not consistent with evidence-based guidelines.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Semi-structured interviews were conducted with GPs in Victoria, Australia. The Theoretical Domains Framework (TDF) guided data collection and analysis. Interviews explored the factors hindering and enabling achievement of 13 recommended behaviours. Data were analysed using content and thematic analysis. This paper presents an in-depth description of the factors influencing two behaviours, assessing co-morbid depression using a validated tool, and conducting a formal cognitive assessment using a validated scale.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 30 GPs were interviewed. Most GPs reported that they did not assess for co-morbid depression using a validated tool as per recommended guidance. Barriers included the belief that depression can be adequately assessed using general clinical indicators and that validated tools provide little additional information (theoretical domain of \u2018Beliefs about consequences\u2019); discomfort in using validated tools (\u2018Emotion\u2019), possibly due to limited training and confidence (\u2018Skills\u2019; \u2018Beliefs about capabilities\u2019); limited awareness of the need for, and forgetting to conduct, a depression assessment (\u2018Knowledge\u2019; \u2018Memory, attention and decision processes\u2019). Most reported practising in a manner consistent with the recommendation that a formal cognitive assessment using a validated scale be undertaken. Key factors enabling this were having an awareness of the need to conduct a cognitive assessment (\u2018Knowledge\u2019); possessing the necessary skills and confidence (\u2018Skills\u2019; \u2018Beliefs about capabilities\u2019); and having adequate time and resources (\u2018Environmental context and resources\u2019).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This is the first study to our knowledge to use a theoretical approach to investigate the barriers and enablers to guideline-recommended diagnosis and management of dementia in general practice. It has identified key factors likely to explain GPs\u2019 uptake of the guidelines. The results have informed the design of an intervention aimed at supporting practice change in line with dementia guidelines, which is currently being evaluated in a cluster randomised trial.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1748-5908-9-31","type":"journal-article","created":{"date-parts":[[2014,3,3]],"date-time":"2014-03-03T08:03:59Z","timestamp":1393833839000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":78,"title":["Understanding diagnosis and management of dementia and guideline implementation in general practice: a qualitative study using the theoretical domains framework"],"prefix":"10.1186","volume":"9","author":[{"given":"Kerry","family":"Murphy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise A","family":"O\u2019Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colette J","family":"Browning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon D","family":"French","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Michie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill J","family":"Francis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant M","family":"Russell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Workman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon","family":"Flicker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin P","family":"Eccles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally E","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2014,3,3]]},"reference":[{"issue":"14","key":"847_CR1","doi-asserted-by":"publisher","first-page":"1326","DOI":"10.1056\/NEJMsa1204629","volume":"368","author":"MD Hurd","year":"2013","unstructured":"Hurd MD, Moartorell P, Delavande A, Mullen KJ, Langa KM: Monetary costs of dementia in the United States. N Engl J Med. 2013, 368 (14): 1326-1334. 10.1056\/NEJMsa1204629.","journal-title":"N Engl J Med"},{"issue":"1","key":"847_CR2","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.jalz.2012.11.007","volume":"9","author":"M Prince","year":"2013","unstructured":"Prince M, Bryce R, Albanese E, Wimmo A, Ribeiro W, Ferri CP: The global prevalence of dementia: a systematic review and metaanalysis. Alzheimer's Dementia J Alzheimer's Assoc. 2013, 9 (1): 63-75. 10.1016\/j.jalz.2012.11.007.","journal-title":"Alzheimer's Dementia J Alzheimer's Assoc"},{"key":"847_CR3","volume-title":"Dementia in Australia. Cat. no. AGE 70","author":"Australian Institute of Health and Welfare","year":"2012","unstructured":"Australian Institute of Health and Welfare: Dementia in Australia. Cat. no. AGE 70. 2012, Canberra: AIHW"},{"issue":"11","key":"847_CR4","doi-asserted-by":"publisher","first-page":"937","DOI":"10.1002\/(SICI)1099-1166(199611)11:11<937::AID-GPS540>3.0.CO;2-0","volume":"11","author":"MG Downs","year":"1996","unstructured":"Downs MG: The role of general practice and the primary care team in dementia diagnosis and management. Int J Geriatr Psychiatry. 1996, 11 (11): 937-942. 10.1002\/(SICI)1099-1166(199611)11:11<937::AID-GPS540>3.0.CO;2-0.","journal-title":"Int J Geriatr Psychiatry"},{"issue":"11","key":"847_CR5","first-page":"923","volume":"35","author":"N Hiramenek","year":"2006","unstructured":"Hiramenek N, Bridges-Webb C, Speechly C, Giles B, Zurynski Y: Patients with dementia and their carers in general practice. Aust Fam Physician. 2006, 35 (11): 923-924.","journal-title":"Aust Fam Physician"},{"issue":"2","key":"847_CR6","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1007\/s12603-010-0022-0","volume":"14","author":"H Villars","year":"2010","unstructured":"Villars H, Oustric S, Andrieu S, Baeyens JP, Bernabei R, Brodaty H, Brummel-Smith K, Celafu C, Chappell N, Fitten J, Frisoni G, Froelich L, Guerin O, Gold G, Holmerova I, Iliffe S, Lukas A, Melis R, Morley JE, Nies H, Nourhashemi F, Petermans J, Ribera Casado J, Rubenstein L, Salva A, Sieber C, Sinclair A, Schindler R, Stephan E, Wong RY: The primary care physician and Alzheimer's disease: an international position paper. J Nutr Health Aging. 2010, 14 (2): 110-120. 10.1007\/s12603-010-0022-0.","journal-title":"J Nutr Health Aging"},{"issue":"2","key":"847_CR7","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1177\/147323000403200207","volume":"32","author":"D Wilkinson","year":"2004","unstructured":"Wilkinson D, Stave C, Keohane D, Vincenzino O: The role of general practitioners in the diagnosis and treatment of Alzheimer's disease: a multinational survey. J Int Med Res. 2004, 32 (2): 149-159. 10.1177\/147323000403200207.","journal-title":"J Int Med Res"},{"key":"847_CR8","volume-title":"Diagnosing Dementia. , in Alzheimer's Association Australia, Higgins","author":"K Black","year":"2001","unstructured":"Black K, LoGiudice D, Ames D, Barber B, Smith R: Diagnosing Dementia. , in Alzheimer's Association Australia, Higgins. 2001, ACT: ACT"},{"issue":"1","key":"847_CR9","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1586\/14737159.4.1.63","volume":"4","author":"CY Chang","year":"2004","unstructured":"Chang CY, Silverman DH: Accuracy of early diagnosis and its impact on the management and course of Alzheimer's disease. Expert Rev Mol Diagn. 2004, 4 (1): 63-69. 10.1586\/14737159.4.1.63.","journal-title":"Expert Rev Mol Diagn"},{"key":"847_CR10","doi-asserted-by":"publisher","first-page":"S281","DOI":"10.1046\/j.1532-5415.5153.x","volume":"51","author":"BP Leifer","year":"2003","unstructured":"Leifer BP: Early diagnosis of Alzheimer\u2019s disease: clinical and economic benefits. J Am Geriatr Soc. 2003, 51: S281-S288. 10.1046\/j.1532-5415.5153.x.","journal-title":"J Am Geriatr Soc"},{"issue":"2","key":"847_CR11","doi-asserted-by":"crossref","first-page":"60","DOI":"10.5694\/j.1326-5377.2011.tb04166.x","volume":"194","author":"Z Terpening","year":"2011","unstructured":"Terpening Z, Hodges JR, Cordato NJ: Towards evidence-based dementia screening in Australia. Med J Aust. 2011, 194 (2): 60-61.","journal-title":"Med J Aust"},{"issue":"11","key":"847_CR12","doi-asserted-by":"publisher","first-page":"927","DOI":"10.7326\/0003-4819-138-11-200306030-00015","volume":"138","author":"M Boustani","year":"2003","unstructured":"Boustani M, Peterson B, Hanson L, Harris R, Lohr KN: Screening for dementia in primary care: a summary of the evidence for the U.S. preventive services task force. Ann Intern Med. 2003, 138 (11): 927-937.","journal-title":"Ann Intern Med"},{"key":"847_CR13","volume-title":"Management of patients with dementia: A National Clinical Guideline","author":"Scottish Intercollegiate Guidelines Network","year":"2006","unstructured":"Scottish Intercollegiate Guidelines Network: Management of patients with dementia: A National Clinical Guideline. 2006, Edinburgh, Scotland: SIGN"},{"issue":"1","key":"847_CR14","doi-asserted-by":"crossref","first-page":"10","DOI":"10.5694\/j.1326-5377.1994.tb138193.x","volume":"160","author":"H Brodaty","year":"1994","unstructured":"Brodaty H, Howarth GC, Mant A, Kurrle SE: General practice and dementia. A national survey of Australian GPs. Med J Aust. 1994, 160 (1): 10-14.","journal-title":"Med J Aust"},{"issue":"8","key":"847_CR15","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1111\/j.1532-5415.2007.01249.x","volume":"55","author":"J Chodosh","year":"2007","unstructured":"Chodosh J, Mittman BS, Connor KI, Vassar SD, Lee ML, DeMonte RW, Ganiats TG, Heikoff LE, Rubenstein LZ, Della Penna RD, Vickrey BG: Caring for patients with dementia: how good is the quality of care? Results from three health systems. J Am Geriatr Soc. 2007, 55 (8): 1260-1268. 10.1111\/j.1532-5415.2007.01249.x.","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"847_CR16","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1080\/713649963","volume":"4","author":"M Downs","year":"2000","unstructured":"Downs M, Cook A, Rae C, Collins KE: Caring for patients with dementia: the GP perspective. Aging Mental Health. 2000, 4 (4): 301-304. 10.1080\/713649963.","journal-title":"Aging Mental Health"},{"key":"847_CR17","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/j.eurger.2010.05.010","volume":"1","author":"L Hausner","year":"2010","unstructured":"Hausner L, Froelich L: Alzheimer\u2019s disease \u2013 Germany. Eur Geriatr Med. 2010, 1: 176-181. 10.1016\/j.eurger.2010.05.010.","journal-title":"Eur Geriatr Med"},{"issue":"1","key":"847_CR18","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1097\/00002093-200201000-00003","volume":"16","author":"CS Rosen","year":"2002","unstructured":"Rosen CS, Chow HC, Greenbaum MA, Finney JF, Moos RH, Sheikh JI, Yesavage JA: How well are clinicians following dementia practice guidelines?. Alzheimer Dis Assoc Disord. 2002, 16 (1): 15-23. 10.1097\/00002093-200201000-00003.","journal-title":"Alzheimer Dis Assoc Disord"},{"issue":"2","key":"847_CR19","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1080\/13607860802636206","volume":"13","author":"J Wilcock","year":"2009","unstructured":"Wilcock J, Iliffe S, Turner S, Bryans M, O'Carroll R, Keady J, Levin E, Downs M: Concordance with clinical practice guidelines for dementia in general practice. Aging Mental Health. 2009, 13 (2): 155-161. 10.1080\/13607860802636206.","journal-title":"Aging Mental Health"},{"key":"847_CR20","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1071\/PY10037","volume":"17","author":"FB Millard","year":"2011","unstructured":"Millard FB, Kennedy RL, Baune BT: Dementia: opportunities for risk reduction and early detection in general practice. Aust J Primary Health. 2011, 17: 89-94. 10.1071\/PY10037.","journal-title":"Aust J Primary Health"},{"issue":"15","key":"847_CR21","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1001\/jama.282.15.1458","volume":"282","author":"MD Cabana","year":"1999","unstructured":"Cabana MD, Rand C, Powe SNR, Wu AW, Wilson MH, Abboud PC, Rubin HR: Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA. 1999, 282 (15): 1458-1465. 10.1001\/jama.282.15.1458.","journal-title":"JAMA"},{"key":"847_CR22","first-page":"52","volume-title":"Rapid appraisal of barriers to the diagnosis and management of patients with dementia in primary care: A systematic review, Volume 11","author":"T Kock","year":"2010","unstructured":"Kock T, Iliffe S, and for the EVIDEM-ED project: Rapid appraisal of barriers to the diagnosis and management of patients with dementia in primary care: A systematic review, Volume 11. 2010, BMC Family Practice: BMC Family Practice, 52-"},{"key":"847_CR23","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/1748-5908-5-14","volume":"5","author":"P Davies","year":"2010","unstructured":"Davies P, Walker AE, Grimshaw JM: A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations. Impement Sci. 2010, 5: 14-10.1186\/1748-5908-5-14.","journal-title":"Impement Sci"},{"issue":"4","key":"847_CR24","first-page":"1","volume":"1","author":"ICEBeRG","year":"2006","unstructured":"ICEBeRG: Designing theoretically-informed implementation interventions: the Improved Clinical Effectiveness through Behavioural Research Group (ICEBeRG). Impement Sci. 2006, 1 (4): 1-8.","journal-title":"Impement Sci"},{"key":"847_CR25","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/1748-5908-4-18","volume":"4","author":"MP Eccles","year":"2009","unstructured":"Eccles MP, Armstrong D, Baker R, Cleary K, Davies H, Davies S, Glasziou P, Ilott I, Kinmonth AL, Leng G, Logan S, Marteau T, Michie S, Rogers H, Rycroft-Malone J, Sibbald B: An implementation research agenda. Implement Sci. 2009, 4: 18-10.1186\/1748-5908-4-18.","journal-title":"Implement Sci"},{"key":"847_CR26","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/1748-5908-7-38","volume":"7","author":"SD French","year":"2012","unstructured":"French SD, Green SE, O'Connor DA, McKenzie JE, Francis JJ, Michie S, Buchbinder R, Schattner P, Spike N, Grimshaw JM: Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the theoretical domains framework. Impement Sci. 2012, 7: 38-10.1186\/1748-5908-7-38.","journal-title":"Impement Sci"},{"issue":"1","key":"847_CR27","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1111\/j.1468-0009.2007.00478.x","volume":"85","author":"R Grol","year":"2007","unstructured":"Grol R, Bosch MC, Hulscher ME, Eccles M, Wensing M: Planning and studying improvement in patient care: the use of theoretical perspectives. Milbank Q. 2007, 85 (1): 93-138. 10.1111\/j.1468-0009.2007.00478.x.","journal-title":"Milbank Q"},{"issue":"1","key":"847_CR28","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1136\/qshc.2004.011155","volume":"14","author":"S Michie","year":"2005","unstructured":"Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A: Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005, 14 (1): 26-33. 10.1136\/qshc.2004.011155.","journal-title":"Qual Saf Health Care"},{"key":"847_CR29","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1186\/1748-5908-7-37","volume":"7","author":"J Cane","year":"2012","unstructured":"Cane J, O'Connor D, Michie S: Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012, 7: 37-10.1186\/1748-5908-7-37.","journal-title":"Implement Sci"},{"key":"847_CR30","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1186\/1748-5908-7-35","volume":"7","author":"JJ Francis","year":"2012","unstructured":"Francis JJ, O'Connor D, Curran J: Theories of behaviour change synthesised into a set of theoretical groupings: introducing a thematic series on the theoretical domains framework. Implement Sci. 2012, 7: 35-10.1186\/1748-5908-7-35.","journal-title":"Implement Sci"},{"key":"847_CR31","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/1748-5908-7-82","volume":"7","author":"AE Bussieres","year":"2012","unstructured":"Bussieres AE, Patey AM, Francis JJ, Sales AE, Grimshaw JMCPPT: Identifying factors likely to influence compliance with diagnostic imaging guideline recommendations for spine disorders among chiropractors in North America: a focus group study using the theoretical domains framework. Implement Sci. 2012, 7: 82-10.1186\/1748-5908-7-82.","journal-title":"Implement Sci"},{"key":"847_CR32","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/1748-5908-3-11","volume":"3","author":"JE McKenzie","year":"2008","unstructured":"McKenzie JE, French SD, O'Connor DA, Grimshaw JM, Mortimer DS, Michie S, Francis JJ, Spike N, Schattner P, Kent PM, Buchbinder R, Green SE: IMPLEmenting a clinical practice guideline for acute low back pain evidence-based manageMENT in general practice (IMPLEMENT): cluster randomised controlled trial study protocol. Implement Sci. 2008, 3: 11-10.1186\/1748-5908-3-11.","journal-title":"Implement Sci"},{"key":"847_CR33","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/1748-5908-5-86","volume":"5","author":"JE McKenzie","year":"2010","unstructured":"McKenzie JE, O'Connor DA, Page MJ, Mortimer DS, French SD, Walker BF, Keating JL, Grimshaw JM, Michie S, Francis JJ, Green SE: Improving the care for people with acute low-back pain by allied health professionals (the ALIGN trial): a cluster randomised trial protocol. Implement Sci. 2010, 5: 86-10.1186\/1748-5908-5-86.","journal-title":"Implement Sci"},{"key":"847_CR34","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1186\/1748-5908-7-77","volume":"7","author":"VM Boscart","year":"2012","unstructured":"Boscart VM, Fernie GR, Lee JH, Jaglal SB: Using psychological theory to inform methods to optimize the implementation of a hand hygiene intervention. Implement Sci. 2012, 7: 77-10.1186\/1748-5908-7-77.","journal-title":"Implement Sci"},{"key":"847_CR35","first-page":"1","volume":"2","author":"J Dyson","year":"2010","unstructured":"Dyson J, Lawton R, Jackson C, Cheater F: Does the use of a theoretical approach tell us more about hand hygiene behaviour? The barriers and levers to hand hygiene. J Infect Prev. 2010, 2: 1-","journal-title":"J Infect Prev"},{"key":"847_CR36","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1348\/135910708X397025","volume":"14","author":"JJ Francis","year":"2009","unstructured":"Francis JJ, Stockton C, Eccles ME, Johnston M, Cuthbertson BH, Grimshaw JM, Hyde C, Tinmouth A, Stanworth SJ: Evidence-based selection of theories for designing behaviour change interventions: using methods based on theoretical construct domains to understand clinicians' blood transfusion behaviour. Br J Health Psychol. 2009, 14: 625-646. 10.1348\/135910708X397025.","journal-title":"Br J Health Psychol"},{"key":"847_CR37","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1186\/1748-5908-7-93","volume":"7","author":"R Islam","year":"2012","unstructured":"Islam R, Tinmouth AT, Francis JJ, Brehaut JC, Born J, Stockton C, Stanworth SJ, Eccles MP, Cuthbertson BH, Hyde C, Grimshaw JM: A cross-country comparison of intensive care physicians' beliefs about their transfusion behaviour: a qualitative study using the theoretical domains framework. Implement Sci. 2012, 7: 93-10.1186\/1748-5908-7-93.","journal-title":"Implement Sci"},{"key":"847_CR38","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/1748-5908-7-86","volume":"7","author":"EM Duncan","year":"2012","unstructured":"Duncan EM, Francis JJ, Johnston M, Davey P, Maxwell S, McKay GA, McLay J, Ross S, Ryan C, Webb DJ, Bond C, on behalf of the PROTECT Study Group: Learning curves, taking instructions, and patient safety: using a theoretical domains framework in an interview study to investigate prescribing errors among trainee doctors. Implement Sci. 2012, 7: 86-10.1186\/1748-5908-7-86.","journal-title":"Implement Sci"},{"key":"847_CR39","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/1748-5908-2-8","volume":"2","author":"S Michie","year":"2007","unstructured":"Michie S, Pilling S, Garety P, Whitty P, Eccles MP, Johnston M, Simmons J: Difficulties implementing a mental health guideline: an exploratory investigation using psychological theory. Implement Sci. 2007, 2: 8-10.1186\/1748-5908-2-8.","journal-title":"Implement Sci"},{"key":"847_CR40","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1186\/1748-5908-8-91","volume":"8","author":"JE McKenzie","year":"2013","unstructured":"McKenzie JE, French SD, O'Connor DA, Mortimer DS, Browning CJ, Russell GM, Grimshaw JM, Eccles MP, Francis JJ, Michie S, Murphy K, Kossenas F, Green SE: Evidence-based care of older people with suspected cognitive impairment in general practice: protocol for the IRIS cluster randomised trial. Implement Sci. 2013, 8: 91-10.1186\/1748-5908-8-91.","journal-title":"Implement Sci"},{"key":"847_CR41","volume-title":"Qualitative Research and Evaluation Methods","author":"M Patton","year":"2002","unstructured":"Patton M: Qualitative Research and Evaluation Methods. 2002, Thousand Oaks: California"},{"key":"847_CR42","volume-title":"Qualitative Reseach: Theory, method and practices","author":"D Silverman","year":"2004","unstructured":"Silverman D: Qualitative Reseach: Theory, method and practices. 2004, London: SAGE"},{"key":"847_CR43","volume-title":"Basics of Qualitative Research","author":"A Strauss","year":"1998","unstructured":"Strauss A, Corbin J: Basics of Qualitative Research. 1998, California: Thousand Oaks"},{"issue":"2","key":"847_CR44","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1017\/S1041610208008235","volume":"21","author":"C Wijeratne","year":"2009","unstructured":"Wijeratne C, Harris P: Late life depression and dementia: a mental health literacy survey of Australian general practitioners. Int Psychogeriatr. 2009, 21 (2): 330-337. 10.1017\/S1041610208008235.","journal-title":"Int Psychogeriatr"},{"issue":"5","key":"847_CR45","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1001\/archfami.6.5.433","volume":"6","author":"M Glasser","year":"1997","unstructured":"Glasser M, Gravdal JA: Assessment and treatment of geriatric depression in primary care settings. Arch Fam Med. 1997, 6 (5): 433-438. 10.1001\/archfami.6.5.433.","journal-title":"Arch Fam Med"},{"issue":"4","key":"847_CR46","first-page":"1180","volume":"9","author":"M Glasser","year":"2009","unstructured":"Glasser M, Vogels L, Gravdal J: Geriatric depression assessment by rural primary care physicians. Rural Remote Health. 2009, 9 (4): 1180-","journal-title":"Rural Remote Health"},{"key":"847_CR47","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1080\/03601270590962497","volume":"31","author":"M Allen","year":"2005","unstructured":"Allen M, Ferrier S, Sargeant J: Alzheimer's disease and other dementias: an organizational approach to identifying and addressing practices and learning needs of family physicians. Educ Gerontol. 2005, 31: 521-539. 10.1080\/03601270590962497.","journal-title":"Educ Gerontol"},{"issue":"4","key":"847_CR48","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1093\/geront\/39.4.457","volume":"39","author":"L Boise","year":"1999","unstructured":"Boise L, Camicioli R, Morgan DL, Rose JH, Congleton L: Diagnosing dementia: perspectives of primary care physicians. Gerontologist. 1999, 39 (4): 457-464. 10.1093\/geront\/39.4.457.","journal-title":"Gerontologist"},{"key":"847_CR49","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1002\/gps.1956","volume":"23","author":"S Cahill","year":"2008","unstructured":"Cahill S, Clark M, O'Connell H, Lawlor B, Coen RF, Walsh C: The attitudes and practices of general practitioners regarding dementia diagnosis in Ireland. Int J Geriatr Psychiatr. 2008, 23: 663-669. 10.1002\/gps.1956.","journal-title":"Int J Geriatr Psychiatr"},{"issue":"11","key":"847_CR50","doi-asserted-by":"publisher","first-page":"1487","DOI":"10.1007\/s11606-007-0317-y","volume":"22","author":"L Hinton","year":"2007","unstructured":"Hinton L, Franz CE, Reddy G, Flores Y, Kravitz RL, Barker JC: Practice constraints, behavioral problems, and dementia care: primary care physicians' perspectives. J Gen Intern Med. 2007, 22 (11): 1487-1492. 10.1007\/s11606-007-0317-y.","journal-title":"J Gen Intern Med"},{"issue":"1","key":"847_CR51","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/13607860412331323791","volume":"9","author":"S Iliffe","year":"2005","unstructured":"Iliffe S, De Lepeleire J, Van Hout HP, Kenny G, Lewis A, Vernooij-Dassen M, the DIADEM group: Understanding obstacles to the recognition of and response to dementia in different European countries: a modified focus group approach using multinational, multi-disciplinary expert groups. Aging Mental Health. 2005, 9 (1): 1-6. 10.1080\/13607860412331323791.","journal-title":"Aging Mental Health"},{"issue":"1","key":"847_CR52","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1177\/1471301205049191","volume":"4","author":"S Iliffe","year":"2005","unstructured":"Iliffe S, Wilcock J: The identification of barriers to the recognition of, and response to, dementia in primary care using a modified focus group approach. Dementia. 2005, 4 (1): 73-85. 10.1177\/1471301205049191.","journal-title":"Dementia"},{"key":"847_CR53","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1093\/fampra\/cmi116","volume":"23","author":"S Iliffe","year":"2006","unstructured":"Iliffe S, Wilcock J, Haworth D: Obstacles to shared care for patients with dementia: a qualitative study. Fam Pract. 2006, 23: 353-362. 10.1093\/fampra\/cmi116.","journal-title":"Fam Pract"},{"key":"847_CR54","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1080\/028134301316982469","volume":"19","author":"M Olafsdottir","year":"2001","unstructured":"Olafsdottir M, Foldevi M, Marcusson J: Dementia in primary care: why the low detection rate?. Scand J Prim Health Care. 2001, 19: 194-198. 10.1080\/028134301316982469.","journal-title":"Scand J Prim Health Care"},{"issue":"5","key":"847_CR55","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1080\/13607860410001725018","volume":"8","author":"CS Teel","year":"2004","unstructured":"Teel CS: Rural practitioners' experiences in dementia diagnosis and treatment. Aging Mental Health. 2004, 8 (5): 422-429. 10.1080\/13607860410001725018.","journal-title":"Aging Mental Health"},{"key":"847_CR56","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1093\/ageing\/afh140","volume":"33","author":"S Turner","year":"2004","unstructured":"Turner S, Iliffe S, Downs M, Wilcock J, Bryans M, Levin E, Keady J, O'Carroll R: General practitioners' knowledge, confidence and attitudes in the diagnosis and management of dementia. Age Ageing. 2004, 33: 461-467. 10.1093\/ageing\/afh140.","journal-title":"Age Ageing"},{"key":"847_CR57","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1016\/S0738-3991(99)00034-8","volume":"39","author":"HP van Hout","year":"2000","unstructured":"van Hout HP, Vernooij-Dassen M, Bakker K, Blom M, Grol R: General practitioners on dementia: tasks, practices and obstacles. Patient Educ Couns. 2000, 39: 219-225. 10.1016\/S0738-3991(99)00034-8.","journal-title":"Patient Educ Couns"},{"issue":"4","key":"847_CR58","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1111\/j.1741-6612.2008.00316.x","volume":"27","author":"AL Robinson","year":"2008","unstructured":"Robinson AL, Emden CG, Elder JA, Lea EJ, Vickers JC, Turner PA: Multiple views reveal the complexity of dementia diagnosis. Aust J Ageing. 2008, 27 (4): 183-188. 10.1111\/j.1741-6612.2008.00316.x.","journal-title":"Aust J Ageing"},{"key":"847_CR59","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1186\/1748-5908-7-52","volume":"7","author":"AM Patey","year":"2012","unstructured":"Patey AM, Islam R, Francis JJ, Bryson GL, Grimshaw JM, for the Canada PRIME Plus Team: Anesthesiologists\u2019 and surgeons\u2019 perceptions about routine pre-operative testing in low-risk patients: application of the Theoretical Domains Framework (TDF) to identify factors that influence physicians\u2019 decisions to order pre-operative tests. Implement Sci. 2012, 7: 52-10.1186\/1748-5908-7-52.","journal-title":"Implement Sci"},{"issue":"1","key":"847_CR60","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1007\/s12160-013-9486-6","volume":"46","author":"S Michie","year":"2013","unstructured":"Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Eccles MP, Cane J, Wood CE: The behavior change technique taxonomy (v1) of 93 hierarchically-clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013, 46 (1): 81-95. 10.1007\/s12160-013-9486-6.","journal-title":"Ann Behav Med"}],"container-title":["Implementation Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1748-5908-9-31.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1748-5908-9-31\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1748-5908-9-31","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1748-5908-9-31.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,2]],"date-time":"2021-09-02T11:28:59Z","timestamp":1630582139000},"score":1,"resource":{"primary":{"URL":"https:\/\/implementationscience.biomedcentral.com\/articles\/10.1186\/1748-5908-9-31"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,3]]},"references-count":60,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["847"],"URL":"https:\/\/doi.org\/10.1186\/1748-5908-9-31","relation":{},"ISSN":["1748-5908"],"issn-type":[{"value":"1748-5908","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,3]]},"assertion":[{"value":"28 August 2013","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 February 2014","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 March 2014","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"31"}}