Your browser doesn't support javascript.
Trust and inclusion during the Covid-19 pandemic: Perspectives from Black and South Asian people living with dementia and their carers in the UK.
Armstrong, Megan; Aker, Narin; Nair, Pushpa; Walters, Kate; Barrado-Martin, Yolanda; Kupeli, Nuriye; Sampson, Elizabeth L; Manthorpe, Jill; West, Emily; Davies, Nathan.
  • Armstrong M; Research Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London (UCL), London, UK.
  • Aker N; Research Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London (UCL), London, UK.
  • Nair P; Research Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London (UCL), London, UK.
  • Walters K; Research Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London (UCL), London, UK.
  • Barrado-Martin Y; Research Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London (UCL), London, UK.
  • Kupeli N; Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
  • Sampson EL; Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
  • Manthorpe J; King's College London, London, UK.
  • West E; Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
  • Davies N; Research Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London (UCL), London, UK.
Int J Geriatr Psychiatry ; 37(3)2022 03.
Article in English | MEDLINE | ID: covidwho-1664408
ABSTRACT

INTRODUCTION:

People from ethnic minority backgrounds living with dementia are more likely to be diagnosed later and have less access to health and social care support than their White counterparts in the United Kingdom (UK). Covid-19 has exacerbated health inequalities and diminished trust from underserved communities in the government and health services. The wider aim of the study was to explore the impact of covid-19 on Black and South-Asian people living with dementia and their carers as well as exploring the experiences of dementia care. The present paper specifically explores their views on trust and mistrust using an ecological model.

METHOD:

Semi-structured interviews were conducted with 11 family carers and four people living with dementia from South Asian or Black communities living in the community. Thematic analysis was used to analyse data.

DESIGN:

An exploratory qualiative design was used.

RESULTS:

Four main themes were developed exploring trust at the structural, organisational, community and individual level. At the structural level, participants discussed the inequity of Covid-19, some lack of trust in the UK Government and confusion in its messaging, and the anxiety sometimes leading to curtailment of media usage. At the organisational level, there was some evidence of a perceived lack of person-centred and culturally sensitive care from healthcare professionals, as well as concerns around care homes as places of safety. At the neighbourhood community level, participants discussed both a distrust as well as a strengthening of relationships and, at the individual level, factors such as knowledge of services, identity, and faith influenced their experience of the pandemic.

CONCLUSIONS:

People living with dementia need support at all levels and this study highlights how the pandemic impacted each level. Ways to improve trust in the Government and health professionals alongside culturally adapted health messaging should be explored. Alongside this, an examination of how cultural values and norms may influence help-seeking responses to dementia and increase trust in services may be helpful post-pandemic.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Dementia / COVID-19 Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal subject: Geriatrics / Psychiatry Year: 2022 Document Type: Article Affiliation country: Gps.5689

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Dementia / COVID-19 Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal subject: Geriatrics / Psychiatry Year: 2022 Document Type: Article Affiliation country: Gps.5689