Publicação

Effective for Whom? A Review of Psychological and Social Intervention Recommendations in European Dementia Care Guidelines Through the Lenses of Social Health and Intersectionality

Detalhes bibliográficos
Resumo:	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.
Autores principais:	Neal, David
Outros Autores:	Neal, David; Bartels, Sara Laureen; Bartels, Sara Laureen; Berdai Chaouni, Saloua; Berdai Chaouni, Saloua; Caprioli, Thais; Comas-Herrera, Adelina; Comas-Herrera, Adelina; Chattat, Rabih; Chattat, Rabih; Diaz, Ana; Dröes, Rose Marie; Dröes, Rose-Marie; Faulkner, Thomas; Faulkner, Thomas; Felding, Simone Anna; Felding, Simone Anna; Franco-Martin, Manuel; Franco-Martin, Manuel; Giebel, Clarissa; Giebel, Clarissa; Gonçalves-Pereira, Manuel; Gonçalves-Pereira, M.; Hesse, Samira; Hesse, Samira; Holmerova, Iva; Holmerova, Iva; Koh, Wei Qi; Koh, Wei Qi; Mena, Emily; Mena, Emily; Misonow, Julia; Mkrtchyan, Anahit; Müller, Nicole; Müller, Nicole; Roes, Martina; Roes, Martina; van Rompuy, Isabeau; Rymaszewska, Joanna; Rymaszewska, Joanna; Szcześniak, Dorota; Szczesniak, Dorota; Thyrian, Jochen René; Thyrian, Jochen René; de Vugt, Marjolein; Walden, Amy; Wolf-Ostermann, Karin; Wolf-Ostermann, Karin; Hopper, Louise; Hopper, Louise
Assunto:	dementia diversity equity guideline intersectionality intervention social health Ecology, Evolution, Behavior and Systematics Development Genetics General Psychology Behavioral Neuroscience
Ano:	2025
País:	Portugal
Tipo de documento:	recensão
Tipo de acesso:	acesso aberto
Instituição associada:	Universidade Nova de Lisboa
Idioma:	inglês
Origem:	Repositório Institucional da UNL

Descrição
Resumo:	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.