Receiving a diagnosis of young onset dementia: evidence-based statements to inform best practice

O'Malley, Mary ORCID: https://orcid.org/0000-0003-3636-6197, Parkes, Jacqueline, Campbell, Jackie, Stamou, Vasileios, La Fontaine, Jenny, Oyebode, Jan and Carter, Janet (2020) Receiving a diagnosis of young onset dementia: evidence-based statements to inform best practice. Dementia. ISSN 1471-3012 (In Press)

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Abstract

Introduction: Better understanding of patient experience is an important driver for service improvements and can act as a lever for system change. In the UK, the patient experience is now a central issue for the NHS Commissioning Board, Clinical Commissioning Groups and the providers they commission from. Traditionally, dementia care in the UK has focused predominantly on the individual experience of those with late onset dementia, while the voice of those with young onset dementia has been, comparatively, unheard. This study aims to improve the understanding of the personal experience of younger people undergoing investigation for dementia.
Methods: A modified Delphi approach was undertaken with 18 younger people with dementia and 18 supporters of people with young onset dementia. Questions were informed by a scoping review of the literature (O’Malley, Carter, et al., 2019). Summary individual statements were refined over two rounds to a final list of 29 key statements.
Results: Twenty-seven of these statements were rated as absolutely essential or very important and included the (1) For the GP to identify dementia in younger people, (2) Clinicians should be compassionate, empathic and respectful during the assessment and particularly sensitive when providing information about a diagnosis, and (3) Remembering that receiving the diagnosis is a lot to absorb for a person with dementia and their supporter. Statistical analyses found no difference in the scoring patterns between younger people with dementia and supporters, suggesting similar shared experiences during the diagnostic process.
Conclusion: Understanding the uniquely personal experience of young people going through the process of diagnosis for dementia is essential to providing person-centred, needs-led, and cost-effective services. Patient’s values and experiences should be used to support and guide clinical decision making.

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article due to be published by Sage in Dementia. The official published article will be available online at: https://uk.sagepub.com/en-gb/eur/journal/dementia
Uncontrolled Keywords: young onset dementia, dementia assessment, diagnosis, lived experiences, Delphi methods
Subjects: Medicine and health > Clinical medicine > Dementia
Medicine and health
Related URLs:
Depositing User: Camille Regnault
Date Deposited: 09 Oct 2020 16:51
Last Modified: 09 Oct 2020 16:51
URI: http://repository.uwl.ac.uk/id/eprint/7381

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