Assessment of Dementia in Minority Ethnic Groups in Europe: A 14‐Year Follow‐Up Survey: A 14-Year Follow-Up Survey
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| Title: | Assessment of Dementia in Minority Ethnic Groups in Europe: A 14‐Year Follow‐Up Survey: A 14-Year Follow-Up Survey |
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| Authors: | T. Rune Nielsen, Alexandre de Mendonça, Lutz Frölich, Sebastiaan Engelborghs, Dianne Gove, Daphné Lamirel, Clara Calia, Gunhild Waldemar |
| Contributors: | Brussels Photonics, R&D centraal, Neuroprotection & Neuromodulation, Clinical sciences, Neurology |
| Source: | Int J Geriatr Psychiatry International journal of geriatric psychiatry: a journal of the psychiatry of late life and allied sciences Nielsen, T R, de Mendonça, A, Frölich, L, Engelborghs, S, Gove, D, Lamirel, D, Calia, C & Waldemar, G 2024, ' Assessment of Dementia in Minority Ethnic Groups in Europe : A 14-Year Follow-Up Survey ', International Journal of Geriatric Psychiatry, vol. 39, no. 12, e70034 . https://doi.org/10.1002/gps.70034 |
| Publisher Information: | Wiley, 2024. |
| Publication Year: | 2024 |
| Subject Terms: | Male, diagnosis, assessment, Dementia/ethnology, Europe/ethnology, Health Services Accessibility, 03 medical and health sciences, 0302 clinical medicine, inequalities, Surveys and Questionnaires, Humans, survey, Aged, questionnaire, Health Services Accessibility/statistics & numerical data, Ethnic and Racial Minorities/statistics & numerical data, minority ethnic groups, Europe, Cross-Sectional Studies, Ethnic and Racial Minorities, Female, Dementia, Human medicine, dementia, Research Article, Follow-Up Studies |
| Description: | ObjectivesThere is no European consensus on good clinical practice for timely diagnosis and culturally appropriate care of people with dementia from minority ethnic groups. Despite significant advances in culture‐sensitive dementia diagnostics, little is known about how this has been implemented in clinical practice. The aims of this follow‐up survey were to explore current practices for assessing dementia in patients from minority ethnic groups in Europe and to determine whether barriers in access to specialized dementia services have changed during the last 14 years.MethodsA cross‐sectional online survey was conducted in the European Alzheimer's Disease Consortium (EADC) in June 2023. The survey utilized questionnaires from a previous EADC survey from 2009 and focused on different points in the clinical assessment of dementia in patients from minority ethnic groups.ResultsThirty‐three centers from 15 countries participated in the survey, of which 21 were the same as in the 2009 survey. Patients from minority ethnic groups were seen on a regular basis in 91% of these centers, which was a significant increase compared to 2009 (69%, p = 0.04). Despite perceived clinical expertise increasing, implemented strategies for bypassing cultural and linguistic barriers were sparse and communication problems and lack of adequate assessment tools continued to be the main perceived barriers in diagnostic assessment of dementia in minority ethnic groups.ConclusionsPatients from minority ethnic groups are increasingly being referred for diagnostic assessment of dementia in Europe. Despite some improvements, diagnostic challenges generally remained the same as in 2009 and there is a continuous need to implement effective cross‐cultural communication and assessment practices. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1099-1166 0885-6230 |
| DOI: | 10.1002/gps.70034 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/39663199 https://repository.uantwerpen.be/docstore/d:irua:27285 https://hdl.handle.net/10067/2110920151162165141 https://curis.ku.dk/ws/files/419779677/Int_J_Geriat_Psychiatry_2024_Nielsen_Assessment_of_Dementia_in_Minority_Ethnic_Groups_in_Europe_A_14_Year_Follow_Up.pdf https://biblio.vub.ac.be/vubir/(902cf511-ffd3-4f0d-9fa7-68f269168e56).html |
| Rights: | CC BY NC ND URL: http://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
| Accession Number: | edsair.doi.dedup.....75ff97f2c9d98bb926e07e1afe4a4d89 |
| Database: | OpenAIRE |
| Abstract: | ObjectivesThere is no European consensus on good clinical practice for timely diagnosis and culturally appropriate care of people with dementia from minority ethnic groups. Despite significant advances in culture‐sensitive dementia diagnostics, little is known about how this has been implemented in clinical practice. The aims of this follow‐up survey were to explore current practices for assessing dementia in patients from minority ethnic groups in Europe and to determine whether barriers in access to specialized dementia services have changed during the last 14 years.MethodsA cross‐sectional online survey was conducted in the European Alzheimer's Disease Consortium (EADC) in June 2023. The survey utilized questionnaires from a previous EADC survey from 2009 and focused on different points in the clinical assessment of dementia in patients from minority ethnic groups.ResultsThirty‐three centers from 15 countries participated in the survey, of which 21 were the same as in the 2009 survey. Patients from minority ethnic groups were seen on a regular basis in 91% of these centers, which was a significant increase compared to 2009 (69%, p = 0.04). Despite perceived clinical expertise increasing, implemented strategies for bypassing cultural and linguistic barriers were sparse and communication problems and lack of adequate assessment tools continued to be the main perceived barriers in diagnostic assessment of dementia in minority ethnic groups.ConclusionsPatients from minority ethnic groups are increasingly being referred for diagnostic assessment of dementia in Europe. Despite some improvements, diagnostic challenges generally remained the same as in 2009 and there is a continuous need to implement effective cross‐cultural communication and assessment practices. |
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| ISSN: | 10991166 08856230 |
| DOI: | 10.1002/gps.70034 |
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