Publications by authors named "Tiffeny James"

Objective: Cognitive Stimulation Therapy (CST) is a dementia intervention shown to improve cognition and quality of life (QoL). Previous research on individual CST delivered by family carers showed no significant improvements in people with dementia. We aimed to evaluate the feasibility and acceptability of Virtual Individual Cognitive Stimulation Therapy (V-iCST) delivered by healthcare personnel.

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Objectives: To systematically review the association between traumatic life events (TLE) and dementia risk.

Design: Systematic review and meta-analysis.

Data Sources: APA, PsychINFO, Embase and MEDLINE from their inception to 29.

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Objectives: To explore the care and support received and wanted by United Kingdom (UK) South Asian and White British people affected by dementia and whether access to it is equitable.

Design: Semi-structured interviews using a topic guide.

Setting: Eight memory clinics across four UK National Health Service Trusts; three in London and one in Leicester.

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Objectives: We culturally adapted STrAtegies for RelaTives (START), a clinically and cost-effective intervention for dementia family carers, for Black and South Asian families. It had previously been delivered to family carers around the time of diagnosis, when most people with dementia had very mild, mild or moderate dementia.

Methods: We interviewed a maximum variation sample of family carers (phase one; n = 15 South Asian; n = 11 Black) about what aspect of START, required cultural adaptation, then analysed it thematically using the Cultural Treatment Adaptation Framework then adapted it in English and into Urdu.

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Introduction: Many older people experience memory concerns; a minority receive a diagnosis of Mild Cognitive Impairment (MCI) or Subjective Cognitive decline (SCD). There are concerns that medicalisation of MCI and memory concern may fail to acknowledge subjective experiences.

Aim: We explore the meaning individuals give to their memory concerns, with or without a diagnosis of MCI and SCD.

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Introduction: Most studies of the Latin American immigrant experience and care for relatives living with dementia have been in the United States (US). In the United Kingdom (UK), unlike the US, most Latin Americans are first generation immigrants and are a rapidly increasing population. Therefore, we aimed to explore the UK experiences of Latin Americans caring for a relative with dementia.

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Article Synopsis
  • National dementia guidelines exist to enhance care by offering effective diagnosis and intervention strategies, but they may not cater to the unique needs of certain minority groups.
  • A systematic review was conducted to identify national dementia guidelines across 196 countries, focusing on recommendations that consider protected characteristics outlined in the UK Equality Act 2010.
  • Out of 46 guidelines reviewed, 85% addressed at least one protected characteristic, with age and race being the most commonly referenced, highlighting the necessity for more inclusive approaches in dementia care.
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Most people with dementia live in low and middle-income countries (LMICs) and there is an increased dementia prevalence in some minority ethnic groups in high-income countries. However, most interventions are devised for majority populations in high-income countries. We systematically searched 11 electronic databases for culturally tailored interventions for people with dementia and their family carers in LMICs and minority ethnic groups, without limit on language or date.

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