Effective for whom? A review of psychological and social intervention recommendations in European dementia care guidelines through the lenses of social health and intersectionality

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dc.contributor.authorNeal, Daviden
dc.contributor.authorBartels, Sara Laureenen
dc.contributor.authorBerdai Chaouni, Salouaen
dc.contributor.authorCaprioli, Thaisen
dc.contributor.authorComas-Herrera, Adelinaen
dc.contributor.authorChattat, Rabihen
dc.contributor.authorDiaz, Anaen
dc.contributor.authorDröes, Rose-Marieen
dc.contributor.authorFaulkner, Thomasen
dc.contributor.authorFelding, Simone Annaen
dc.contributor.authorFranco-Martin, Manuelen
dc.contributor.authorGiebel, Clarissaen
dc.contributor.authorGonçalves-Pereira, Manuelen
dc.contributor.authorHesse, Samiraen
dc.contributor.authorHolmerova, Ivaen
dc.contributor.authorKoh, Wei Qien
dc.contributor.authorMena, Emilyen
dc.contributor.authorMisonow, Juliaen
dc.contributor.authorMkrtchyan, Anahiten
dc.contributor.authorMüller, Nicoleen
dc.contributor.authorRoes, Martinaen
dc.contributor.authorvan Rompuy, Isabeauen
dc.contributor.authorRymaszewska, Joannaen
dc.contributor.authorSzcześniak, Dorotaen
dc.contributor.authorThyrian, Jochen Renéen
dc.contributor.authorde Vugt, Marjoleinen
dc.contributor.authorWalden, Amyen
dc.contributor.authorWolf-Ostermann, Karinen
dc.contributor.authorHopper, Louiseen
dc.contributor.funderHealth Research Boarden
dc.contributor.funderNational Institute for Health and Careen
dc.contributor.funderDepartment of Health and Social Careen
dc.contributor.funderHorizon 2020en
dc.date.accessioned2025-05-13T08:54:25Z
dc.date.available2025-05-13T08:54:25Z
dc.date.issued2025en
dc.description.abstractIn dementia care, access to effective psychosocial interventions is often addressed by evidence-based guidelines for care providers. However, it is unclear if current guidelines consider personal characteristics that may impact intervention effectiveness. This study investigates if, and within what framing, dementia care guidelines in Europe address what is effective and for whom. A review of 47 guidelines from 12 European countries was conducted. Content analysis focused on (i) if guidelines recommended specific psychosocial interventions, and how guidelines referred to (ii) social health, (iii) the intersection of social positioning, and (iv) inequities in care or outcomes. Thirty-five guidelines (74%) recommended specific psychosocial interventions. Around half referenced aspects of social health and of intersectionality. Thirteen guidelines (28%) referenced inequities. Social health was not explicitly recognised as a mechanism of psychosocial interventions. Only age and comorbidity were consistently considered to impact interventions’ effectiveness. Inequities were acknowledged to arise from within-country regional variations and individual economic status, but were not linked to (intersectional) individual societal positions such as sex and/or gender, sexuality, and/or religion. The results between European countries were heterogeneous. Current guidelines offer little insight into what works for whom. Policymakers and guideline developers should work with researchers, generating and translating evidence into policy.en
dc.description.sponsorshipHealth Research Board (JPND-WG-2022-1); National Institute for Health and Care Research (Applied Research Collaboration North West Coast); Horizon 2020 (JPND\u2014)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid457en
dc.identifier.citationNeal, D., Bartels, S. L., Berdai Chaouni, S., Caprioli, T., Comas-Herrera, A., Chattat, R., Diaz, A., Dröes, R.M., Faulkner, T., Felding, S. A. and Franco-Martin, M. (2025) 'Effective for whom? A review of psychological and social intervention recommendations in European dementia care guidelines through the lenses of social health and intersectionality', Behavioral Sciences, 15(4), p.457. https://doi.org/10.3390/bs15040457en
dc.identifier.doi10.3390/bs15040457en
dc.identifier.issn2076328Xen
dc.identifier.issued4
dc.identifier.journaltitleBehavioral Sciencesen
dc.identifier.urihttps://hdl.handle.net/10468/17453
dc.identifier.volume15
dc.language.isoenen
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)en
dc.rights© 2025, the Author(s). Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectDementiaen
dc.subjectDiversityen
dc.subjectEquityen
dc.subjectGuidelineen
dc.subjectIntersectionalityen
dc.subjectInterventionen
dc.subjectSocial healthen
dc.titleEffective for whom? A review of psychological and social intervention recommendations in European dementia care guidelines through the lenses of social health and intersectionalityen
dc.typeArticle (peer reviewed)en
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