Evidence map›Paper›PMID 39304830›Full record

ReviewBMC geriatrics2024

Dementia Friendly communities (DFCs) to improve quality of life for people with dementia: a realist review.

Stephanie Craig, Peter O' Halloran, Gary Mitchell, Patrick Stark, Christine Brown Wilson

Abstract readReview
In one paragraph

Review in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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

5 authors.

Stephanie CraigSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland. s.craig@qub.ac.uk.ORCID http://orcid.org/0000-0003-0783-4975
Peter O' HalloranSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland.ORCID http://orcid.org/0000-0002-0022-7331
Gary MitchellSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland.ORCID http://orcid.org/0000-0003-2133-2998
Patrick StarkSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland.ORCID http://orcid.org/0000-0003-2659-0865
Christine Brown WilsonSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland.ORCID http://orcid.org/0000-0002-7861-9538

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, there are more than 55 million people living with dementia worldwide. Supporting people with dementia to live as independently as possible in their communities is a global public health objective. There is limited research exploring the implementation of such interventions in the community context. The aim of the review was to create and refine programme theory - in the form of context mechanism-outcome configurations - on how the characteristics of dementia-friendly communities (DFCs) as geographical locations interact with their social and organisational contexts to understand what works for whom and why.

methodsThis realist review sourced literature from 5 electronic databases: Cochrane Library, CINAHL, Medline, Scopus, PsychINFO and Google Scholar, as well as relevant websites such as Alzheimer's Society to identify grey literature. Methodological rigour was assessed using the Joanna Briggs Institute critical appraisal tool.

resultsSeven papers were included in this realist review that focused on DFCs in a geographical context The implementation of DFC interventions emerged as a process characterised by two pivotal implementation phases, intricately linked with sub-interventions. The first intervention, termed Hierarchy Commitment (I1a/b), involves the formalisation of agreements by businesses and organizations, along with the implementation of dementia-friendly action plans. Additionally, Educational Resources (I1c) play a significant role in this phase, engaging individuals with dementia and their caregivers in educational initiatives. The second phase, Geographical/Environmental Requirements (I2), encompasses the establishment of effective dementia-friendly signage, accessible meeting places, and community support.

conclusionsThis realist review highlighted a theoretical framework that might guide the development of dementia-friendly communities to enhance the experiences of individuals with dementia and their caregivers within DFCs. Emphasising the need for a theoretical framework in developing geographical DFCs, the review outlines contextual elements, mechanisms, and outcomes, providing a foundation for future studies. The ultimate goal is to establish a robust body of evidence for the sustainable implementation of dementia-friendly communities, thereby improving the quality of life for those with dementia. STUDY REGISTRATION: This study is registered as PROSPERO 2022 CRD42022317784.

Indexed as

DementiaQuality of LifeHumansIndependent LivingDementiaDementia-friendly communitiesDementia friendsQuality of LifeRealist reviewRealist synthesis

Identifiers

PMID39304830
PMCPMC11414204

What OpenQuestion holds

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Registered trials

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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.