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Published in: Journal of Public Health 10/2023

Open Access 12-08-2022 | Dementia | Original Article

Community support for caring relatives of people with dementia: qualitative analysis using the Theoretical Domains Framework

Authors: Maren Wittek, Henrike Voß, Anna Kiefer, Stefanie Wiloth, Eric Schmitt

Published in: Journal of Public Health | Issue 10/2023

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Abstract

Aim

Although caring relatives of people with dementia are a mainstay of many care systems, the availability of support services for them within the municipal community shows deficiencies. Adopting the Theoretical Domains Framework (TDF) this study aims to investigate 1) which of the TDF domains adapted to gerontology show up in public dialogue, and 2) the results that public dialogues produce in terms of support services for caring relatives.

Subject and methods

The data consists of town hall meetings and focus groups from 14 municipal communities in Germany. Participants were caring relatives and stakeholders of the communities. A qualitative content analysis was conducted, focusing on the assessment of three TDF domains, namely knowledge, goals, and sociopolitical context as well as outcomes of care optimisation.

Results

With regard to domain knowledge, it was evident that in every community there were actors aware of the situation and relevance of carers and their relatives. Only some actors mentioned goals for optimising the care of the target group. The sociopolitical context is often addressed through statements about incomplete requirements.

Conclusion

Overall, a relation between the discussion about the domains in public dialogues and changes in supporting carers of people with dementia can be assumed. The results indicate that an increased discussion about the domains within town hall meetings influences the actors and their statements with regard to the improvement of support services for caring relatives of people with dementia. Since the domains were not developed exclusively for the outlined context, this approach can also be applied to other areas of care.
Appendix
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Footnotes
1
In February 2021, due to the Corona pandemic, an amendment was submitted to the Ethics Committee, which was again positively assessed on 24.02.2021 (2021 1/1-A1).
 
2
As the project was carried out in Germany, the following quotations in the Results section are literal translations from German. The original German quotations can be found in Appendix Table 2.
 
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Metadata
Title
Community support for caring relatives of people with dementia: qualitative analysis using the Theoretical Domains Framework
Authors
Maren Wittek
Henrike Voß
Anna Kiefer
Stefanie Wiloth
Eric Schmitt
Publication date
12-08-2022
Publisher
Springer Berlin Heidelberg
Keywords
Dementia
Dementia
Published in
Journal of Public Health / Issue 10/2023
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-022-01744-w

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