Evidence map›Paper›PMID 42774041›Full record

ArticleFrontiers in dementia2026

Inverting the 'dementia triangle' as a salutogenic approach to avoiding the "treadmill of disasters" in changed behaviors: a qualitative study.

Kasia Bail, Lara Wiseman, Georgina Chelberg, Nathan M D'Cunha, Stephen Isbel, Henry Brodaty, Thomas Morris, Diane Gibson

Abstract read
In one paragraph

Article in Frontiers in dementia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Kasia BailCentre for Aging Research and Translation, University of Canberra, Canberra, ACT, Australia.
Lara WisemanCentre for Aging Research and Translation, University of Canberra, Canberra, ACT, Australia.
Georgina ChelbergCentre for Aging Research and Translation, University of Canberra, Canberra, ACT, Australia.
Nathan M D'CunhaCentre for Aging Research and Translation, University of Canberra, Canberra, ACT, Australia.
Stephen IsbelCentre for Aging Research and Translation, University of Canberra, Canberra, ACT, Australia.
Henry BrodatyUniversity of New South Wales Centre for Healthy Brain Aging, Sydney, NSW, Australia.
Thomas MorrisHammondCare The Dementia Centre, Greenwich, NSW, Australia.
Diane GibsonCentre for Aging Research and Translation, University of Canberra, Canberra, ACT, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: People with dementia are likely to experience changes in behavior, and health and aged care services are struggling to effectively respond to these behaviors alongside a growing aging population. This research aimed to explore the experiences and recommendations of clinicians involved in providing care to people with dementia, including people experiencing changed behaviors, across multiple settings including community, acute, transitional and residential care. Materials and methods: This qualitative study used semi-structured interviews with clinicians, analyzed using reflexive thematic analysis. A stratified purposive sample from all relevant care settings was used in a metropolitan region. Results: Dementia experts ( Discussion: Dementia experts from across settings provided information regarding experiences and recommendations to enable access to effective care services for people with dementia and their care partners in acute, community and residential dementia care. Early intervention, de-escalation, and education can enable better community responsiveness, but need health service investment. A visual framework was developed to represent the recommendations, "the Salutogenic Triangle," highlighting a broad base of community support services that focus on wellness, with additional targeted multidisciplinary transitional services, including clinicians with gerontological expertise to improve dementia care for all severity levels. This upstream/downstream public health policy approach is provided to guide policymakers, service providers and clinical leaders to positively and effectively impact changed behavior in people with dementia, the communities they live in, and the health services they deserve.

Indexed as

behavioral and psychological symptoms of dementiachanged behaviorsdementiahealthcare systemshealth professionalshealth servicesqualitative research

Identifiers

PMID42774041
PMCPMC13593413

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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.