Training needs for dementia care in China from the perspectives of mental health providers: who, what, and how

Xu, Ling; Hsiao, Hsin-Yi; Denq, Wenchen; Chi, Iris

doi:10.1017/s1041610217002654

Cited by 24 publications

(31 citation statements)

References 19 publications

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“…Wang et al (2019) discussed that cultural and social values can serve as facilitators but can also be barriers to implementing person-centered care. For example, most PWCI visit neurologists in China if they want to seek access to cognitive impairment-specific expertise (Shubhakaran, Wang et al, 2014), which may be seen as a reflection of overmedicalization (Xu et al, 2018). For those with mild stage of cognitive impairment, the major cognitive impairment symptoms become normalized and viewed as part of the normal aging process because of the traditional belief that older adults are returning to a childish state (Hsiao et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens

et al. 2020

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China has experienced a substantial increase in the number of older adults with dementia and milder forms of cognitive impairment. Being spouses of Persons with cognitive impairment (PWCI) and living with them for several decades does not necessarily mean that it is easier for them to provide person-centered care and maintain a valued and healthy relationship. The current study explored how elements of PCC, as operationalized by the Senses Framework, operate or fail to operate in the dyadic experiences of PWCI and their spousal care partners within the socio-cultural context of China. Our findings suggest that PWCI and their spouses experience the six senses through the person-centeredness in their daily interactions with each other. It also indicated successes and challenges to being person-centered early in the disease and identified their unmet needs as well as barriers and facilitators to improve their well-being.

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Section: Discussionmentioning

confidence: 99%

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens

et al. 2020

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“…While elderly care facilities such as nursing homes may have increased their available occupancy based on the targets set by legislation, there is a shortage of both facility/community-based care workers with experience or training in dementia care to provide specialised dementia care services 9 17 33. An urgent need has been identified to train both professional healthcare providers and formal and informal caregivers in dementia 70. It is encouraging that the China Central Government National Five-year Plan for Mental Health includes stipulation on training for assessment and management of mental health disorders, with Alzheimer’s disease given specific mention 15.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Barriers to dementia diagnosis and care in China

Quail¹,

Wei²,

Zhang³

et al. 2020

BMJ Case Rep

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In China, the ageing population and the prevalence of dementia are projected to escalate significantly by 2050 resulting in a substantial increase in health and economic burden on caregivers, healthcare facilities, healthcare providers and communities. There is no published national dementia policy or strategy in China. This case report describes significant barriers contributing to diagnostic problems and inadequate care of dementia through the case of an older female in rural China, whose condition deteriorated due to neuropsychiatric and functional symptoms of undiagnosed dementia. Intersectoral collaboration between care organisations facilitated delivery of a non-pharmacological intervention programme which was associated with improvements in the patient’s functional and neuropsychiatric symptoms. The case demonstrates that recruitment and training of a wider range of health and care professionals and caregivers in a systematic approach to non-pharmacological interventions could help overcome barriers to the specialised care needs of people with dementia where resources are lacking.

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“…Some older adults with dementia reside in LTC facilities or community hospitals despite the limited availability of dementia-specific programs. The ethos of caring for persons with dementia in health care systems is medically dominated, disease oriented, and task focused (Xu, Hsiao, Deng, & Chi, 2018). Care providers tend to prioritize routines and tasks ahead of the individualized preferences of persons with dementia (Wang, Wang, Cao, Jia, & Wu, 2016).…”

Section: Introductionmentioning

confidence: 99%

Person-Centered Dementia Care in China: A Bilingual Literature Review

Wang

Bowers

et al. 2019

Gerontology and Geriatric Medicine

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We conducted a bilingual literature review of the existing studies focusing on person-centered dementia care in China. We synthesized key findings from included articles according to three overarching themes: Chinese cultural relevance of person-centered care (PCC), perceived needs for PCC for older adults in China, implementation and measurement of PCC in China , and person-centered dementia care model . We also drew on frameworks, theories, and other contents from the examined articles to develop a person-centered dementia care model with specific relevance to China. The model is a good starting point to help us operationalize globally relevant core principles of PCC in the specific sociocultural context of China. The framework will be informed by more empirical studies and evolve with the ongoing operationalization of PCC. Although PCC is a new concept and has not been vigorously or systematically studied in China, it is attracting increasing attention from Chinese researchers. More empirical studies are needed to link PCC to measurable outcomes, enrich the framework for applying PCC, and construct assessment and evaluation systems to facilitate the provision of PCC across countries and cultures. Global consortia and collaborations with multidisciplinary expertise to develop a PCC common data infrastructure that is internationally relevant for data sharing and comparison are needed.

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Training needs for dementia care in China from the perspectives of mental health providers: who, what, and how

Abstract: Culturally, sensitive education and specific trainings for formal and informal dementia caregivers are urgently needed in China. Policy and program implications are discussed.

Cited by 24 publications

References 19 publications

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens

Barriers to dementia diagnosis and care in China

Person-Centered Dementia Care in China: A Bilingual Literature Review

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