Evidence map›Paper›PMID 35418934›Full record

ArticleFrontiers in neurology2022

Facilitators and Barriers to Dementia Assessment and Diagnosis: Perspectives From Dementia Experts Within a Global Health Context.

Alissa Bernstein Sideman, Tala Al-Rousan, Elena Tsoy, Stefanie D Piña Escudero, Maritza Pintado-Caipa, Suchanan Kanjanapong, Lingani Mbakile-Mahlanza, Maira Okada de Oliveira, Myriam De la Cruz-Puebla, Stelios Zygouris and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Evaluating the Use of Anxiety Patient-Reported Outcome Measures (PROMs) in Dementia Clinical Trials: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2026
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Alissa Bernstein SidemanPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, United States.
Tala Al-RousanGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Elena TsoyGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Stefanie D Piña EscuderoGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Maritza Pintado-CaipaGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Suchanan KanjanapongGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Lingani Mbakile-MahlanzaGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Maira Okada de OliveiraGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Myriam De la Cruz-PueblaGlobal Brain Health Institute, Trinity College Dublin, Dublin, Ireland.
Stelios ZygourisGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Aya Ashour MohamedGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Hany IbrahimGlobal Brain Health Institute, Trinity College Dublin, Dublin, Ireland.
Collette A GoodeDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, San Francisco, CA, United States.
Bruce L MillerGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Victor ValcourGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Katherine L PossinGlobal Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.

Funding

Blood Pressure Control Advancing Refugee Health Equity (BPCARE): an RCT of adherenceR01HL173155 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Tala Al-Rousan · 2025 to 2026
$1.3M
Hypertension Self-management in Refugees Living in San DiegoK23HL148530 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AL-ROUSAN, TALA · 2020 to 2024
$882k
Mapping the Dynamics of Caregiver Burden in Alzheimer's DiseaseK01AG059840 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SIDEMAN, ALISSA BERNSTEIN · 2020 to 2024
$652k
NHLBI NIH HHS K23 HL148530NHLBI NIH HHS R01 HL173155NIA NIH HHS K01 AG059840
6 · The paper itself

Abstract

Objectives: Dementia poses one of the greatest global health challenges, affecting 50 million people worldwide. With 10 million new cases each year, dementia is a growing burden, particularly in low- and middle-income countries (LMIC). This study aimed to identify the facilitators and barriers to providing quality dementia assessment and care in LMICs from a global health perspective. Methods/Design: A qualitative semi-structured interview study with 20 dementia expert healthcare providers from 19 countries. To be included, providers had to: practice dementia assessment or care in LMICs where the population over age 60 is projected to more than double by 2050 and be recognized as a leading dementia expert in the region based on position, research publications, and/or policy leadership. Interviews were analyzed by a multidisciplinary team of researchers using thematic analysis. Results: Barriers to dementia assessment and care included stigma about dementia, poor patient engagement in and access to healthcare, inadequate linguistic and cultural validation, limited dementia capable workforce, competing healthcare system priorities, and insufficient health financing. Facilitators included the rise in dementia awareness campaigns, dementia training for general practitioners, availability of family support and family caregivers, and national and international collaborations including coordinated policy efforts and involvement in international research initiatives. Conclusions: Findings from this study provide insights for prioritizing dementia assessment and care capacity-building in LMICs as a global health priority and for tailored public health approaches to strengthen dementia assessment and care at the individual, community, national, and multi-national levels.

Indexed as

cognitive assessmentdementiadementia expertsglobal healthqualitative study

Identifiers

PMID35418934
PMCPMC8997042

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.