Published July 2, 2021 | Version v1

Dementia in people with severe or profound intellectual (and multiple) disabilities: Focus group research into relevance, symptoms and training needs

  • 1. Alliade Practice-Oriented Scientific Research (PWO)
  • 2. ROR icon University Medical Center Groningen
  • 3. ROR icon Hanze University of Applied Sciences
  • 4. ROR icon 's Heeren Loo
  • 5. ROR icon Ipse de Bruggen
  • 6. ROR icon University of Antwerp

Description

Abstract

Background: Differentiating dementia from baseline level of functioning is difficult among people with severe/profound intellectual (and multiple) disabilities. Moreover, studies on observable dementia symptoms are scarce. This study examined (a) the relevance of dementia diagnosis, (b) observable symptoms and (c) training/information needs.

Methods: Four explorative focus groups were held with care professionals and family members who have experience with people with severe/profound intellectual (and multiple) disabilities (≥40 years) and decline/dementia.

Results: Thematic analysis showed that participants wanted to know about a dementia diagnosis for a better understanding and to be able to make informed choices (question 1). Using a categorisation matrix, cognitive and behavioural changes were shown to be most prominent (question 2). Participants indicated that they needed enhanced training, more knowledge development and translation, and supportive organisational choices/policies (question 3).

Conclusions: Timely identifying/diagnosing dementia allows for a timely response to changing needs. This requires a better understanding of symptoms.

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2021_Dekker_Dementia_in_SPIMD_focusgroups.pdf

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Additional details

Funding

Netherlands Organisation for Health Research and Development
Praktijkvragen over dementie bij mensen met (zeer) ernstige verstandelijke (en meervoudige) beperkingen 733050863