Towards the development of Vietnam’s national dementia plan—the first step of action

Nguyen, Tuan Anh; Pham, Thang; Dang, Thu Ha; Hinton, W Ladson; Nguyen, Anh Trung; Pham, Tuan Le; Crotty, Maria; Kurrle, Susan; Bui, Quang Thuc; Nguyen, Huong; Roughead, Elizabeth E.

doi:10.1111/ajag.12755

Cited by 24 publications

(21 citation statements)

References 3 publications

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“…This study focused on the experience of caregiving for persons with dementia in Vietnam, a LMIC in Asia whose elderly population is projected to more than double by 2050 [ 4 ] and is just beginning to develop community services and supports for persons with dementia and their families [ 5 , 6 ]. Understanding the role of filial piety and other Vietnamese cultural values such as spirituality and religion in shaping the caregiving experience can help inform the tailoring of caregiver interventions [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“It’s extremely hard but it’s not a burden”: A qualitative study of family caregiving for people living with dementia in Vietnam

Nguyen

Tran

et al. 2021

PLoS ONE

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Background Vietnam is one of the fastest-aging countries in the world with a rising number of people with Alzheimer’s disease and related dementias (ADRD). Families in Vietnam provide most of the care for persons living with dementia, yet our understanding of their experiences and needs is limited. This study examined the family caregiving experience in a semi-rural region outside of central Hanoi from the perspectives of family caregivers and other key informants. Materials Semi-structured interviews were conducted with 21 key stakeholders (12 family caregivers and 9 healthcare providers and community leaders). A descriptive, thematic analysis was conducted. Results Qualitative data analysis revealed four themes related to the family caregiving experience: 1) perceptions of dementia symptoms as a normal part of aging rather than a disease, 2) caregiving as a moral and expected familial obligation, 3) patterns of caregiving that are heavily influenced by both gender and sibling order, and 4) multiple challenges or hardships, including time constraints, loss of income, increased social isolation, a toll on their perceived physical health, and emotional distress. Caregivers rejected the notion that caregiving was a “burden” and expressed their distress through terms such as frustration, sadness, and exhaustion. Conclusions In this low-resource setting, the stress of family caregiving may be amplified by lack of community resources, cultural stigma discouraging outside help-seeking, and economic impact of care provision. The study highlights the vulnerability and predicament of Vietnamese women who often face multiple challenges in their caregiving role as well as the urgent need for the development of community-based programs and supports.

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Section: Introductionmentioning

confidence: 99%

“It’s extremely hard but it’s not a burden”: A qualitative study of family caregiving for people living with dementia in Vietnam

Nguyen

Tran

et al. 2021

PLoS ONE

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“…Supporting family caregivers through community‐based programs is widely viewed as an essential part of national plans to address AD/ADRDs 5 . This is also true for Vietnam, a country where very substantial gaps in diagnosis, care, and services for persons with dementia and their families exist in the healthcare system and efforts are underway to develop a national plan to help addresses these issues 6 . The reason is that these programs and services are essential to mitigate the adverse social, economic, and health/mental impacts of caregiving that are well‐documented in the United States and other high‐income countries (HICs) 7 .…”

Section: Introductionmentioning

confidence: 99%

Advancing family dementia caregiver interventions in low‐ and middle‐income countries: A pilot cluster randomized controlled trial of Resources for Advancing Alzheimer's Caregiver Health in Vietnam (REACH VN)

Hinton

Nguyen

et al. 2020

A&D Transl Res & Clin Interv

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Introduction Low‐ and middle‐income countries have rapidly increasing numbers of people with dementia, yet little evidence on family caregiving interventions. We tested the preliminary efficacy and feasibility of a family caregiving intervention in northern Vietnam. Methods Nine clusters comprising 60 family caregivers were randomized to a culturally adapted version of a four‐ to six‐session, multicomponent intervention delivered in‐home over 2 to 3 months, or enhanced control. Eligible caregivers were ≥18 years of age and scored ≥6 on the Zarit Burden Inventory (ZBI). Results Fifty‐one caregivers (85%) completed the study. Using analysis of covariance with 3‐month assessment as the outcome and baseline assessment as a covariate, intervention group caregivers had an average ZBI (primary outcome) score 1.2 standard deviation (SD) lower (P = .02) and Patient Health Questionnaire‐4 (psychological distress) score 0.7 SD lower (P = .03) than controls. Discussion In the first study of its kind in Vietnam, a culturally adapted, manualized, family caregiver intervention was both efficacious and feasible.

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“…Seventeen articles were found to meet the selection criteria for this systematic review focused on developing a model for elderly care in Vietnam. Analysis of the main findings indicate that eight studies mentioned the basic approaches to elderly care in Vietnam, with six studies linking family-based care as the basic model of elderly care in Vietnam [4,76,79,83,84,89,90]) and two studies reporting filial piety as the most influential factor of family caregiving for the elderly [83,84]. Five studies out of the 17 reviewed studies explored the prevalence of multiple illnesses among the elderly in rural Vietnam [22,77,80,90,91], with the reviewed studies linking gender differences, income, lifestyles differences in rural and urban Vietnam, the existence of other commonly ignored illnesses, and lack of work and physical activity to the issue of multimorbidity among the elderly in rural Vietnam.…”

Section: Discussionmentioning

confidence: 99%

The Sustainable Care Model for an Ageing Population in Vietnam: Evidence from a Systematic Review

2022

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Social demographic studies in Vietnam have shown a growing trend of an ageing population. Demographic trends project that one third of the Vietnamese population will be aged 65 years and older by 2050. Vietnam is a country where the majority of the elderly live with their children, with little savings and pension. The purpose of this review was to explore existing literature on models of care for an ageing population and provide evidence to develop a care model that is suitable for the ageing community in Vietnam. A systematic review utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework was carried out. An extensive literature search was performed, with a focus on articles and other materials with relevance to elderly care in Vietnam in terms of socio-economic, demographic, and associated factors based on comprehensive data sources. The review found that there is a lack of evidence of professional practice for caring for the aged in Vietnam. There also is a lack of evidence of government support for the limited community initiatives to support the ageing. There exist no community models of care for the ageing population in Vietnam. From a global perspective, there exist alternative models of care options to support the elderly through various care models, such as living in assisted-care facilities, home care, and other assistance. Inter-professional practice care models and health services were found to be essential for an ageing population. There is limited literature specifically for the care of an ageing population in Vietnam. Most of the available literature on care models for the aged is drawn from developed countries. The review offers insights into the development of care models for the elderly in Vietnam, with the need for inter-professional efforts in practice settings to support the ageing Vietnamese population. The reviewed literature agrees on the developing global challenges due to ageing. Despite the existing literature on care models for the ageing, there is a lack evidence-based care models concerning the current and future needs of elderly care in middle- and lower-income economies like Vietnam. More evidence is required to establish evidence for best care models for the elderly in developing economies.

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Towards the development of Vietnam’s national dementia plan—the first step of action

Cited by 24 publications

References 3 publications

“It’s extremely hard but it’s not a burden”: A qualitative study of family caregiving for people living with dementia in Vietnam

“It’s extremely hard but it’s not a burden”: A qualitative study of family caregiving for people living with dementia in Vietnam

Advancing family dementia caregiver interventions in low‐ and middle‐income countries: A pilot cluster randomized controlled trial of Resources for Advancing Alzheimer's Caregiver Health in Vietnam (REACH VN)

The Sustainable Care Model for an Ageing Population in Vietnam: Evidence from a Systematic Review

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