Increase the proportion of adults with subjective cognitive decline who have discussed their symptoms with a provider — DIA‑03 Data Methodology and Measurement

About the National Data

Data

Baseline: 45.4 percent of adults aged 45 years and over who reported confusion or memory loss that was happening more often or getting worse in the past year reported talking to a health care professional about these issues in 2015-16

Target: 50.4 percent

Numerator
Number of adults aged 45 years and over with SCD who have discussed their confusion or memory loss with a health care professional.
Denominator
Number of adults aged 45 years and over with SCD.
Target-setting method
Percentage point improvement
Target-setting method details
Percentage point improvement from the baseline using Cohen's h effect size of 0.10.
1
Target-setting method justification
Trend data were not available for this objective. A percentage point improvement was calculated using Cohen's h effect size of 0.1. This method was used because it was a statistically significant improvement from the baseline and the Healthy People 2030 Workgroup Subject Matter Experts viewed the target as ambitious yet achievable.

Methodology

Questions used to obtain the national baseline data

(For additional information, please visit the data source page linked above.)

From the 2016 Behavioral Risk Factor Surveillance System

[NUMERATOR]
  1. During the past 12 months, have you experienced confusion or memory loss that is happening more often or is getting worse?
    1. Yes
    2. No [End of module]
    3. Don't know [Go to Q2]
    4. Refused
  2. During the past 12 months, as a result of confusion or memory loss, how often have you given up day-to-day household activities or chores you used to do, such as cooking, cleaning, taking medications, driving, or paying bills?
    1. Always
    2. Usually
    3. Sometimes
    4. Rarely
    5. Never
    6. Don't know
    7. Refused
  3. As a result of confusion or memory loss, how often do you need assistance with these day-to-day activities?
    1. Always
    2. Usually
    3. Sometimes
    4. Rarely [Go to Q5]
    5. Never [Go to Q5]
    6. Don't know [Go to Q5]
    7. Refused [Go to Q5]

    CATI NOTE: If Q3 = 1, 2, or 3, continue. If Q3 = 4 ,5, 7, or 9 go to Q5.

  4. When you need help with these day-to-day activities, how often are you able to get the help that you need?
    1. Always
    2. Usually
    3. Sometimes
    4. Rarely
    5. Never
    6. Don't know
    7. Refused
  5. During the past 12 months, how often has confusion or memory loss interfered with your ability to work, volunteer, or engage in social activities outside the home?
    1. Always
    2. Usually
    3. Sometimes
    4. Rarely
    5. Never
    6. Don't know
    7. Refused
  6. Have you or anyone else discussed your confusion or memory loss with a health care professional?
    1. Yes
    2. No [End of module]
    3. Don't know [Go to Q2]
    4. Refused

Methodology notes

Likert scale responses of Always/Usually/Sometimes are grouped together as a positive response. Responses of Rarely and Never are grouped together as negative response.


1. Effect size h=0.1 was chosen to correspond with 10% improvement from a baseline of 50%.