Evidence map›Paper›PMID 37650126›Full record

ArticleBJPsych open2023

The development and validation of the Discrimination and Stigma Scale Ultra Short for People Living with Dementia (DISCUS-Dementia).

Jem Bhatt, Elaine Brohan, Drew Blasco, Déborah Oliveira, Ioannis Bakolis, Adelina Comas-Herrera, Francesco D'Amico, Nicolas Farina, Martin Knapp, Madeleine Stevens and 5 more

Abstract read
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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

15 authors.

Jem BhattUCL Unit for Stigma Research, Research Department of Clinical, Educational and Health Psychology, University College London, UK.ORCID https://orcid.org/0000-0002-7273-7234
Elaine BrohanCentre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Drew BlascoDepartment of Health Behavior and Health Education, School of Public Health, University of Michigan, Michigan, USA; Department of Social and Behavioral Sciences, School of Global Public Health, New York University, New York, USA; and Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, USA.
Déborah OliveiraFaculty of Nursing, Universidad Andrés Bello, Campus Vina del Mar,Chile; and Millennium Institute for Care Research (MICARE), Santiago,Chile.
Ioannis BakolisDepartment of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.ORCID https://orcid.org/0000-0002-4800-1630
Adelina Comas-HerreraCare Policy and Evaluation Centre, London School of Economics and Political Science, UK.
Francesco D'AmicoCare Policy and Evaluation Centre, London School of Economics and Political Science, UK.
Nicolas FarinaCentre for Dementia Studies, Brighton and Sussex Medical School, UK.ORCID https://orcid.org/0000-0002-0635-2547
Martin KnappCare Policy and Evaluation Centre, London School of Economics and Political Science, UK.
Madeleine StevensCare Policy and Evaluation Centre, London School of Economics and Political Science, UK.
Graham ThornicroftCentre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Emma WilsonESRC Centre for Society and Mental Health, King's College London, UK.ORCID https://orcid.org/0000-0003-4413-8338
Maximilian Salcher-KonradWHO Collaborating Centre for Pharmaceutical Pricing and Reimbursement Policies, Pharmacoeconomics Department, Austrian National Public Health Institute (Gesundheit Österreich GmbH/GÖG), Austria.
Lawrence H YangDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA.
Sara Evans-LackoCare Policy and Evaluation Centre, London School of Economics and Political Science, UK.ORCID https://orcid.org/0000-0003-4691-2630

Funding

Economic and Social Research Council ES/P010938/1Medical Research Council MR/R023697/1
6 · The paper itself

Abstract

backgroundThe recent World Health Organization (WHO) blueprint for dementia research and Lancet Commission on ending stigma and discrimination in mental health has identified a gap around dementia-related measures of stigma and discrimination that can be used in different cultural, language and regional contexts.

aimsWe aimed to characterise experiences of discrimination, and report initial psychometric properties of a new tool to capture these experiences, among a global sample of people living with dementia.

methodWe analysed data from 704 people living with dementia who took part in a global survey from 33 different countries and territories. Psychometric properties were examined, including internal consistency and construct validity.

resultsA total of 83% of participants reported discrimination in one or more areas of life, and this was similar across WHO Regions. The exploratory factor analysis factor loadings and scree plot supported a unidimensional structure for the Discrimination and Stigma Scale Ultra Short for People Living with Dementia (DISCUS-Dementia). The instrument demonstrated excellent internal consistency, with most of the construct validity hypotheses being confirmed and qualitative responses demonstrating face validity.

conclusionsOur analyses suggest that the DISCUS-Dementia performs well with a global sample of people living with dementia. This scale can be integrated into large-scale studies to understand factors associated with stigma and discrimination. It can also provide an opportunity for a structured discussion around stigma and discrimination experiences important to people living with dementia, as well as planning psychosocial services and initiatives to reduce stigma and discrimination.

Indexed as

dementias/neurodegenerative diseasesepidemiologylow- and middle-income countriesrating scalesStigma and discrimination

Identifiers

PMID37650126
PMCPMC10594093

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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.