Creating Dementia-Friendly Communities for Social Inclusion: A Scoping Review

Hung, Lillian; Hudson, Allison; Gregorio, Mario; Jackson, Debra; Mann, Jim; Horne, Neil; Berndt, Annette; Wallsworth, Christine; Wong, Lily; Phinney, Alison

doi:10.1177/23337214211013596

Cited by 56 publications

(45 citation statements)

References 31 publications

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“…We must admit that this pathway warrants a more rigorous analysis because our repeated cross-sectional data, where individuals were not connected across waves, did not allow for a detailed analysis. However, this pathway is plausible when referring to the coherent narratives from people living with dementia in prior qualitative studies, who expressed that the vital function of a dementia-friendly neighborhood was connecting them with peers and neighbors, and facilitating meaningful interactions [ 5 ]. DFCs will be achievable when inclusive networks promote compassionate interactions and mutual exchange of support, thereby giving a sense of assurance of living in the community [ 15 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

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Promoting cultural change towards dementia friendly communities: a multi-level intervention in Japan

et al. 2022

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BackgroundEffective strategies to develop dementia-friendly communities (DFCs) are needed in aging societies. We aimed to propose a strategy to develop DFCs from a Japanese perspective and to evaluate an intervention program that adopted the strategy.MethodsThis study implemented a multi-level intervention that emphasized nurturing community social capital in a large apartment complex in the Tokyo metropolitan area in 2017. We offered an inclusive café that was open for extended hours as a place to socialize and a center for activities that included monthly public lectures. Individual consultation on daily life issues was also available for free at the café. Postal surveys were sent out to all older residents aged 70 years and older in 2016 and 2019. With a one-group pre-test and post-test design, we assessed changes in the proportion of older residents who had social interaction with friends and those who were confident about living in the community, even if they were living with dementia.ResultsTotals of 2633 and 2696 residents completed the pre and post-intervention surveys, respectively. The mean age of the pre-intervention respondents was 77.4 years; 45.7% lived alone and 7.7% reported living with impaired cognitive function. The proportion of men who had regular social interaction and were confident about living in their community with dementia increased significantly from 38.8 to 44.5% (p = 0.0080) and from 34.1 to 38.3% (p = 0.045), respectively. Similar significant increases were observed in the subgroup of men living with impaired cognitive function, but not in the same subgroup for women.ConclusionsThe intervention benefitted male residents who were less likely to be involved in the community’s web of social networks at baseline. A strategy to create DFCs that emphasizes nurturing community social capital can form a foundation for DFCs.Trial registrationThis study was retrospectively registered in the University hospital Medical Information Network (UMIN) Clinical Trial Registry (registry number:UMIN000038193, date of registration: Oct 3, 2019).

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Section: Discussionmentioning

confidence: 99%

“…Since every community has its own unique features, a one-size-fits-all solution does not exist [ 4 ]. Actions towards DFCs could be more effective when they are tailored according to the needs of the target population, their cultural preferences, and existing community resources [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Promoting cultural change towards dementia friendly communities: a multi-level intervention in Japan

et al. 2022

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show abstract

“…We must admit that this pathway warrants a more rigorous analysis because our repeated cross-sectional data, where individuals were not connected across waves, did not allow for a detailed individual-level analysis. However, this pathway is plausible when referring to the coherent narratives from people living with dementia in prior qualitative studies, who expressed that the vital function of a dementiafriendly neighborhood was connecting them with peers and neighbors, and facilitating meaningful interactions (5). DFCs will be achievable when inclusive networks promote compassionate interactions and mutual exchange of support, thereby giving a sense of assurance of living in the community (15,39).…”

Section: Social Interaction: a Potential Intermediate Factor To Perce...mentioning

confidence: 99%

“…Since every community has its own unique features, a one-size-ts-all solution does not exist (4). Actions towards DFCs could be more effective when they are tailored according to the needs of the target population, their cultural preferences, and existing community resources (5).…”

Section: Introductionmentioning

confidence: 99%

Promoting Cultural Change Towards Dementia Friendly Communities: A Multi-level Intervention in Japan

Tsuda

Inagaki

Okamura

et al. 2021

Preprint

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BackgroundEffective strategies to develop dementia-friendly communities (DFCs) are needed in aging societies. We aimed to propose a strategy to develop DFCs from a Japanese perspective and to evaluate an intervention program that adopted the strategy.MethodsThis study implemented a multi-level intervention that emphasized nurturing community social capital in a large apartment complex in the Tokyo metropolitan area in 2017. We offered an inclusive café that was open for extended hours as a place to socialize and a center for activities that included monthly public lectures. Individual consultation on daily life issues was also available for free at the café. Postal surveys were sent out to all older residents aged 70 years and older in 2016 and 2019. With a one-group pre-test and post-test design, we assessed changes in the proportion of older residents who had social interaction with friends and those who were confident about living in the community, even if they were living with dementia.ResultsTotals of 2,633 and 2,696 residents completed the pre and post-intervention surveys, respectively. The mean age of the pre-intervention respondents was 77.4 years; 45.7% lived alone and 7.7% reported living with impaired cognitive function. The proportion of men who had regular social interaction and were confident about living in their community with dementia increased significantly from 38.8–44.5% (p=0.008) and from 34.1–38.3% (p=0.045), respectively. Similar significant increases were observed in the subgroup of men living with impaired cognitive function, but not in the same subgroup for women.ConclusionsThe intervention benefitted male residents who were less likely to be involved in the community’s web of social networks at baseline. A strategy to create DFCs that emphasizes nurturing community social capital can form a foundation for DFCs.Trial registrationThis study was retrospectively registered in the University hospital Medical Information Network (UMIN) Clinical Trial Registry (registry number: UMIN000038193, date of registration: Oct 3, 2019).

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“…Dementia-friendly initiatives are becoming more and more common in a variety of settings, such as dementia-friendly communities [ 1 ], prisons [ 2 ], the arts [ 3 ], environmental design [ 4 ] and healthcare [ 5 ] and targeted in national dementia plans [ 6 , 7 ]. The World Health Organization’s global action plan set a target to establish at least one dementia-friendly initiative in 50% of countries by 2025 [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of dementia-friendly hospitals: an integrative review

et al. 2022

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Background/Objectives Dementia-friendly initiatives are becoming common in society, politics, and research, including health care. Regarding efforts to improve care for patients with dementia in hospitals, the term dementia-friendly hospital is being used increasingly. However, a theoretical understanding of this term and the underlying concept are missing. This integrative review aims to identify current descriptions of dementia-friendly hospitals and to analyze their characteristics. Methods An integrative review was conducted. The databases MEDLINE, CINAHL, PsycInfo, Cochrane Library, and additional resources were searched. Two reviewers independently screened publications for inclusion. We extracted data from the included publications and analyzed the descriptions of dementia-friendly hospitals using inductive content analysis in an iterative process. Results We identified 4191 records and included 34 publications on 17 descriptions of dementia-friendly hospitals. These were found in the context of practice projects (n = 8), recommendations (n = 6) and research (n = 3). Our analysis resulted in six characteristics of dementia-friendly hospitals. Characteristics related to the patients and their care are continuity, person-centeredness, consideration of phenomena within dementia and environment. Additional characteristics are valuing relatives and knowledge and expertise within the hospital. Conclusion Dementia-friendly hospitals are currently characterized more by healthcare practices and professional dementia experts than by the results of empirical studies. Additionally, the perspective of people with dementia is underrepresented in current descriptions. Accordingly, further research is needed that involves people with dementia in order to develop a theoretical understanding and suitable concepts of dementia-friendly hospitals, since their perspective is essential.

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Creating Dementia-Friendly Communities for Social Inclusion: A Scoping Review

Cited by 56 publications

References 31 publications

Promoting cultural change towards dementia friendly communities: a multi-level intervention in Japan

Promoting cultural change towards dementia friendly communities: a multi-level intervention in Japan

Promoting Cultural Change Towards Dementia Friendly Communities: A Multi-level Intervention in Japan

Characteristics of dementia-friendly hospitals: an integrative review

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