Exploring experiences of dementia post-diagnosis support and ideas for improving practice: A co-produced study.

IF 2.2
Dementia (London, England) Pub Date : 2025-10-01 Epub Date: 2025-01-28 DOI:10.1177/14713012241312845
Jemima Dooley, Joe Webb, Roy James, Harry Davis, Sandy Read
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Abstract

It takes time to adjust to a diagnosis of dementia. Post-diagnosis support has an important part to play in navigating this transition. However, it is often scarce and variable according to location. This co-produced study explored experiences of support across the UK. The project was co-designed and implemented with people living with dementia. Five focus groups were attended by 18 people with dementia and 10 spouses from across the UK. The aim was to find out what support people currently received, what aspects they valued, and what they would like to see done differently. Most participants reported feeling abandoned after diagnosis, with little continuity of care. Many felt the burden of navigating post-diagnosis life was on them and their loved ones, with a perceived scarcity of support, and difficulties navigating the benefits system. Peer/voluntary support was seen as vital in promoting confidence, a source of relational support, and finding out crucial information relating to benefits, healthcare, and management of symptoms. Participants felt dementia was stigmatised, receiving less support than other medical conditions. Participants identified aspects of post-diagnosis support they valued, and collaborated on ideas for support structures and services they would like to see introduced. In concluding this study, we argue that post-diagnosis support services could be improved with the input of people living with dementia. This could reduce the burden on those receiving the diagnosis to find advice and support outside of health and social care systems. For future research, the financial implications of a dementia diagnosis have rarely been discussed and warrants further exploration.

探索痴呆症诊断后支持的经验和改进实践的想法:一项共同制作的研究。
适应痴呆症的诊断需要时间。诊断后支持在引导这一转变中发挥着重要作用。然而,它往往是稀缺的,并根据位置的变化。这项共同制作的研究探讨了英国各地的支持经验。该项目是与痴呆症患者共同设计和实施的。来自英国各地的18名痴呆症患者和10名配偶参加了5个焦点小组。目的是找出人们目前得到了哪些支持,他们重视哪些方面,以及他们希望看到哪些不同的做法。大多数参与者报告在诊断后感到被抛弃,几乎没有连续性的护理。许多人感到诊断后生活的负担落在了他们和他们所爱的人身上,他们感到缺乏支持,而且难以驾驭福利制度。同伴/自愿支持被认为是促进信任、关系支持的来源以及找到与福利、保健和症状管理有关的关键信息的关键。参与者认为痴呆症是一种耻辱,比其他疾病得到的支持少。参与者确定了他们重视的诊断后支持方面,并就他们希望看到的支持结构和服务的想法进行了合作。在总结本研究时,我们认为诊断后支持服务可以通过痴呆症患者的投入得到改善。这可以减轻接受诊断的人在卫生和社会保健系统之外寻求建议和支持的负担。对于未来的研究,痴呆诊断的财务影响很少被讨论,值得进一步探索。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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