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Trust and inclusion during the Covid‐19 pandemic: Perspectives from Black and South Asian people living with dementia and their carers in the UK
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 und...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9015357/ https://www.ncbi.nlm.nih.gov/pubmed/35137453 http://dx.doi.org/10.1002/gps.5689 |
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author | Armstrong, Megan Aker, Narin Nair, Pushpa Walters, Kate Barrado‐Martin, Yolanda Kupeli, Nuriye Sampson, Elizabeth L. Manthorpe, Jill West, Emily Davies, Nathan |
author_facet | Armstrong, Megan Aker, Narin Nair, Pushpa Walters, Kate Barrado‐Martin, Yolanda Kupeli, Nuriye Sampson, Elizabeth L. Manthorpe, Jill West, Emily Davies, Nathan |
author_sort | Armstrong, Megan |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9015357 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90153572022-04-19 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 Int J Geriatr Psychiatry Research Article 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. John Wiley and Sons Inc. 2022-02-09 2022-03 /pmc/articles/PMC9015357/ /pubmed/35137453 http://dx.doi.org/10.1002/gps.5689 Text en © 2022 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Armstrong, Megan Aker, Narin Nair, Pushpa Walters, Kate Barrado‐Martin, Yolanda Kupeli, Nuriye Sampson, Elizabeth L. Manthorpe, Jill West, Emily Davies, Nathan Trust and inclusion during the Covid‐19 pandemic: Perspectives from Black and South Asian people living with dementia and their carers in the UK |
title | Trust and inclusion during the Covid‐19 pandemic: Perspectives from Black and South Asian people living with dementia and their carers in the UK |
title_full | Trust and inclusion during the Covid‐19 pandemic: Perspectives from Black and South Asian people living with dementia and their carers in the UK |
title_fullStr | Trust and inclusion during the Covid‐19 pandemic: Perspectives from Black and South Asian people living with dementia and their carers in the UK |
title_full_unstemmed | Trust and inclusion during the Covid‐19 pandemic: Perspectives from Black and South Asian people living with dementia and their carers in the UK |
title_short | Trust and inclusion during the Covid‐19 pandemic: Perspectives from Black and South Asian people living with dementia and their carers in the UK |
title_sort | trust and inclusion during the covid‐19 pandemic: perspectives from black and south asian people living with dementia and their carers in the uk |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9015357/ https://www.ncbi.nlm.nih.gov/pubmed/35137453 http://dx.doi.org/10.1002/gps.5689 |
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