Qualitative Perspectives of Young-Onset Dementia Care in Australia: A Thematic Analysis From the Joint Solutions Project

被引:0
作者
Beard, Clare [1 ]
Tjokrowijoto, Priscilla [2 ]
Stange, Debbie [3 ]
D'Cunha, Nathan M. [4 ]
Moylan, Naomi [5 ]
Cations, Monica [1 ]
Withall, Adrienne [6 ]
Cartwright, Jade [7 ]
Loi, Samantha M. [2 ,8 ]
机构
[1] Flinders Univ S Australia, Coll Educ Psychol & Social Work, Sturt Rd,Bedford Pk, Adelaide, SA 5042, Australia
[2] Royal Melbourne Hosp, Neuropsychiat Ctr, Parkville, Vic, Australia
[3] Wesley Coll, Melbourne, Vic, Australia
[4] Univ Canberra, Ctr Ageing Res & Translat, Bruce, ACT, Australia
[5] Brightwater Care Grp, Inglewood, WA, Australia
[6] Univ New South Wales, Fac Sci, Sch Psychol, Kensington, NSW, Australia
[7] Univ Tasmania, Sch Hlth Sci, Launceston, Tas, Australia
[8] Univ Melbourne, Dept Psychiat, Parkville, Vic, Australia
来源
DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE | 2025年
关键词
young-onset dementia; dementia; dementia care pathway;
D O I
10.1177/14713012251360600
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
People with young-onset dementia in Australia face significant challenges due to inconsistencies in diagnostic and post-diagnostic care. These challenges stem from a general lack of knowledge of young-onset dementia, limited age-appropriate supports, and inconsistent services that are available for people with young-onset dementia. The lack of awareness, insufficient professional training, and inadequacies in services exacerbate these challenges, and geographic disparities exist. In 2024, the Joint Solutions Young-onset Dementia project aimed to explore the care experiences of people with young-onset dementia in Australia, highlighting gaps, barriers, and positive aspects of the care pathway This paper presents the emergent themes derived from the Joint Solutions project. Using qualitative methodology, we gathered optional free-text data from a pool of 313 survey participants and feedback from 47 focus group participants, including individuals with young-onset dementia, caregivers, general practitioners, and community service providers. A thematic analysis generated six key recurring themes and patterns underscoring the needs of this population. These themes highlight the necessity to (1) increase knowledge, information, and education relating to young-onset dementia; (2) improve services to manage the psychosocial implications associated with young-onset dementia; (3) ensure sufficient requisites are in place to provide necessary support and preparedness; (4) enhance the accessibility and availability of age-relevant services; (5) consider the impact young-onset dementia has on personal finances; (6) reduce bureaucracy to obtaining support. These findings emphasise the urgent need for a nationally consistent care pathway to address young-onset diagnostic and post-diagnostic care. A comprehensive framework must be developed, offering a diverse range of resources and services tailored to meet the unique needs of individuals diagnosed with young-onset dementia and their families.
引用
收藏
页数:21
相关论文
共 40 条
[1]   Knowledge of Dementia Among the Australian Health Workforce: A National Online Survey [J].
Annear, Michael J. .
JOURNAL OF APPLIED GERONTOLOGY, 2020, 39 (01) :62-73
[2]  
[Anonymous], 2023, NVivo
[3]   Transitions: Living With Young-Onset Alzheimer's Disease: A Qualitative Interview Study [J].
Aspo, Malin ;
Visser, Leonie N. C. ;
Kivipelto, Miia ;
Bostroem, Anne-Marie ;
Cronfalk, Berit Seiger .
HEALTH EXPECTATIONS, 2024, 27 (05)
[4]  
Bakker C., 2021, Camberwell assessment of need for the elderly, V2nd ed., P77, DOI [10.1017/9781911623373.008, DOI 10.1017/9781911623373.008]
[5]   Differences in Awareness of Disease Between Young-onset and Late-onset Dementia [J].
Baptista, Maria A. T. ;
Santos, Raquel L. ;
Kimura, Nathalia ;
Marinho, Valeska ;
Simoes, Jose P. ;
Laks, Jerson ;
Johannenssen, Aud ;
Barca, Maria L. ;
Engedal, Knut ;
Dourado, Marcia C. N. .
ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2019, 33 (02) :129-135
[6]   One size fits all? What counts as quality practice in (reflexive) thematic analysis? [J].
Braun, Virginia ;
Clarke, Victoria .
QUALITATIVE RESEARCH IN PSYCHOLOGY, 2021, 18 (03) :328-352
[7]   Understanding Clinician's Experiences with Implementation of a Younger Onset Dementia Telehealth Service [J].
Brown, Aimee D. ;
Kelso, Wendy ;
Velakoulis, Dennis ;
Farrand, Sarah ;
Stolwyk, Renerus J. .
JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 2022, :295-308
[8]   System and policy-level barriers and facilitators for timely and accurate diagnosis of young onset dementia [J].
Burkinshaw, Kirsty ;
Tsourtos, George ;
Cations, Monica .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2023, 38 (01)
[9]   Post-Diagnostic Support for Behaviour Changes in Young-Onset Dementia in Australia [J].
Cadwallader, Claire J. ;
Velakoulis, Dennis ;
Loi, Samantha M. .
BRAIN SCIENCES, 2023, 13 (11)
[10]   Administering inequality? The National Disability Insurance Scheme and administrative burdens on individuals [J].
Carey, Gemma ;
Malbon, Eleanor ;
Blackwell, James .
AUSTRALIAN JOURNAL OF PUBLIC ADMINISTRATION, 2021, 80 (04) :854-872