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Dementia‐friendly community initiatives: An integrative review

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  • Kay Shannon
  • Kasia Bail
  • Stephen Neville

Abstract

Aim To synthesise international research conducted on dementia‐friendly community initiatives. Background The number of people living with dementia is increasing as a result of population ageing. Impairments related to neurological changes, together with environmental challenges, result in disability for people who have dementia. Led by the World Health Organization and Alzheimer's Disease International, initiatives have been undertaken internationally to promote social inclusion for people who have dementia. Communities where people with dementia are able to remain socially included are known as dementia‐friendly communities. Design An integrative review of the literature. Methods Scopus, MEDLINE, Web of Science and CINAHL Plus via Ebsco databases were searched for relevant articles. The PRISMA framework guided the article search and screening; reporting is in accordance with the PRISMA guideline. Eight eligible studies were identified. The methodological quality of the eligible studies was evaluated using the MMAT checklist. The matrix method was used to extract, abstract and analyse the data. Results Of the eight studies reviewed, five were from the UK and one each from Australia, New Zealand and Canada. Four major concepts were identified in the literature, and these are characteristics of dementia‐friendly communities, facilitators and barriers to community engagement for people with dementia, strategies for developing dementia‐friendly communities and challenges encountered when developing dementia‐friendly communities. Conclusion People with dementia are at the centre of dementia‐friendly initiatives, and these foster social inclusion. Collaborations and partnerships enhance development of dementia‐friendly communities; however, lack of resources and difficulty ensuring representation of marginalised groups provide challenges. Relevance to clinical practice An understanding of the impact of marginalisation and inequality on community participation for people with dementia is important for practitioners, enabling them to support those people. Senior nurses with this understanding can ensure services are able to meet the needs of a growing population with dementia.

Suggested Citation

  • Kay Shannon & Kasia Bail & Stephen Neville, 2019. "Dementia‐friendly community initiatives: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2035-2045, June.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:11-12:p:2035-2045
    DOI: 10.1111/jocn.14746
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    References listed on IDEAS

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    1. Cleusa Pinheiro Ferri & K S Jacob, 2017. "Dementia in low-income and middle-income countries: Different realities mandate tailored solutions," PLOS Medicine, Public Library of Science, vol. 14(3), pages 1-4, March.
    2. Jane McKeown & Amanda Clarke & Christine Ingleton & Julie Repper, 2010. "Actively involving people with dementia in qualitative research," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(13‐14), pages 1935-1943, July.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    4. Stephen Neville & Sara Napier & Jeffery Adams & Carol Wham & Debra Jackson, 2016. "An integrative review of the factors related to building age‐friendly rural communities," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(17-18), pages 2402-2412, September.
    5. Fantom,Neil James & Serajuddin,Umar, 2016. "The World Bank's classification of countries by income," Policy Research Working Paper Series 7528, The World Bank.
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    1. Isabelle Tournier & Laura Orton & Tom Dening & Anya Ahmed & Vjera Holthoff-Detto & Kristina Niedderer, 2023. "An Investigation of the Wishes, Needs, Opportunities and Challenges of Accessing Meaningful Activities for People Living with Mild to Moderate Dementia," IJERPH, MDPI, vol. 20(7), pages 1-25, March.
    2. Valentina Bressan & Allette Snijder & Henriette Hansen & Kim Koldby & Knud Damgaard Andersen & Natalia Allegretti & Federica Porcu & Sara Marsillas & Alvaro García & Alvisa Palese, 2022. "Supporting the Community to Embrace Individuals with Dementia and to Be More Inclusive: Findings of a Conceptual Framework Development Study," IJERPH, MDPI, vol. 19(16), pages 1-14, August.

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