Digital Tools Could Improve Dementia Diagnosis in Primary Care Settings

Early detection of cognitive decline, including Alzheimer disease and related dementias, remains a critical priority in clinical research. However, a recent report by the Gerontological Society of America (GSA) and the American Academy of Family Physicians (AAFP) reveals a significant gap between clinical interest and current practice. While timely detection is a "critical lever" for managing dementia, most clinicians still rely on analog, paper-based tools may lack the sensitivity to catch subtle markers of early-stage decline.¹

“Current reliance on analog, paper-based screenings introduces a level of subjectivity and coarseness in data that may miss the subtle markers of early-stage decline,” said, Lisa C. McGuire, PhD, GSA vice president of Strategic Alliances and Practice Innovation.¹

Surveys conducted in late 2025 show nearly 9 in 10 AAFP respondents (88%) and 77% of GSA respondents continue to use standardized paper assessments like the Montreal Cognitive Assessment or Mini-Mental State Examination. In contrast, only 3% of AAFP and 13% of GSA members currently utilize digital cognitive assessments (DCAs).^1,2

Despite low current usage, there is overwhelming clinician interest in modernizing the diagnostic process. More than 95% of respondents in both groups reported being "very or somewhat interested" in adopting DCAs. These technology-based tools offer standardized, efficient approaches provide granular insights into cognitive trajectories. Clinicians identified the generation of quantifiable data to guide decision-making and the ability to enable earlier detection as the top clinical advantages of DCAs.

Transitioning to digital platforms is not without challenges. The primary hurdles cited include a lack of integration into electronic health records (EHRs), insufficient clinical guidelines, and patient difficulty with technology. Furthermore, while 79% of AAFP and 65% of GSA members are open to remote or at-home administration, concerns persist regarding test accuracy and reimbursement.

To accelerate adoption, the report identifies key priorities:

• Seamless EHR incorporation
• Consistent guidance on billing and coding
• Targeted continuing medical education

Resources like the GSA KAER Toolkit for Brain Health provide a framework—kickstart conversations, assess, evaluate, and refer—to help primary care teams transition to these modernized diagnostics. By bridging this digital gap, clinicians can provide more cohesive care coordination and improve outcomes for patients and caregivers alike.

McGuire has no relevant disclosures to report.

References:

1. Using digital cognitive assessments for dementia diagnosis: Are primary care providers ready? EurekAlert! Published March 5, 2026. Accessed March 17, 2026. https://www.eurekalert.org/news-releases/1118928
2. GSAenrich: KAER Toolkit For Brain Health. Geron.org. Accessed March 17, 2026. https://gsaenrich.geron.org/kaer-toolkit-for-brain-health