Autor(es):
Neal, David ; Bartels, Sara Laureen ; Berdai Chaouni, Saloua ; Caprioli, Thais ; Comas-Herrera, Adelina ; Chattat, Rabih ; Diaz, Ana ; Dröes, Rose-Marie ; Faulkner, Thomas ; Felding, Simone Anna ; Franco-Martin, Manuel ; Giebel, Clarissa ; Gonçalves-Pereira, M. ; Hesse, Samira ; Holmerova, Iva ; Koh, Wei Qi ; Mena, Emily ; Misonow, Julia ; Mkrtchyan, Anahit ; Müller, Nicole ; Roes, Martina ; van Rompuy, Isabeau ; Rymaszewska, Joanna ; Szczesniak, Dorota ; Thyrian, Jochen René ; de Vugt, Marjolein ; Walden, Amy ; Wolf-Ostermann, Karin ; Hopper, Louise
Data: 2025
Identificador Persistente: http://hdl.handle.net/10362/182832
Origem: Repositório Institucional da UNL
Assunto(s): dementia; diversity; equity; guideline; intersectionality; intervention; social health; Ecology, Evolution, Behavior and Systematics; Development; Genetics; Psychology(all); Behavioral Neuroscience
Descrição
Funding Information: This research was funded by the Health Research Board [JPND-WG-2022-1]. It is an EU Joint Programme\u2014Neurodegenerative Disease Research (JPND) project supported under the aegis of JPND\u2014www.jpnd.eu. For C.G., this is independent research funded by the National Institute for Health and Care Research Applied Research Collaboration North West Coast (ARC NWC). The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health and Care Research or the Department of Health and Social Care. Publisher Copyright: © 2025 by the authors.
In dementia care, access to effective psychosocial interventions is often addressed by evidence-based guidelines for care providers. However, it is unclear if current guidelines consider personal characteristics that may impact intervention effectiveness. This study investigates if, and within what framing, dementia care guidelines in Europe address what is effective and for whom. A review of 47 guidelines from 12 European countries was conducted. Content analysis focused on (i) if guidelines recommended specific psychosocial interventions, and how guidelines referred to (ii) social health, (iii) the intersection of social positioning, and (iv) inequities in care or outcomes. Thirty-five guidelines (74%) recommended specific psychosocial interventions. Around half referenced aspects of social health and of intersectionality. Thirteen guidelines (28%) referenced inequities. Social health was not explicitly recognised as a mechanism of psychosocial interventions. Only age and comorbidity were consistently considered to impact interventions’ effectiveness. Inequities were acknowledged to arise from within-country regional variations and individual economic status, but were not linked to (intersectional) individual societal positions such as sex and/or gender, sexuality, and/or religion. The results between European countries were heterogeneous. Current guidelines offer little insight into what works for whom. Policymakers and guideline developers should work with researchers, generating and translating evidence into policy.
