‘Pushing back’: People newly diagnosed with dementia and their experiences of the Covid‐19 pandemic restrictions in England

Dixon, J., Hicks, B., Gridley, K., Perach, R., Baxter, K., Birks, Y., Colclough, C., Storey, B., Russell, A., Karim, A., Tipping, E., Banerjee, S. and on behalf of the DETERMIND team 2022. ‘Pushing back’: People newly diagnosed with dementia and their experiences of the Covid‐19 pandemic restrictions in England. International Journal of Geriatric Psychiatry. 37 (10), pp. 1-13. https://doi.org/10.1002/gps.5803

Title‘Pushing back’: People newly diagnosed with dementia and their experiences of the Covid‐19 pandemic restrictions in England
TypeJournal article
AuthorsDixon, J., Hicks, B., Gridley, K., Perach, R., Baxter, K., Birks, Y., Colclough, C., Storey, B., Russell, A., Karim, A., Tipping, E., Banerjee, S. and on behalf of the DETERMIND team
Abstract

Background and Objectives
Research into people with dementia's experiences of the Covid-19 pandemic has tended to focus on vulnerabilities and negative outcomes, with the risk of reproducing a discourse in which people with dementia are positioned as passive. Informed by concepts positioning people with dementia as ‘active social agents’, we aimed to identify the pandemic-related challenges faced by people recently diagnosed with dementia and examine the ways in which they actively coped with, and adapted to, these challenges.

Research Design and Methods
In-depth interviews with 21 people recently diagnosed with dementia, recruited through an existing national cohort. Data was analysed thematically using Framework.

Findings
Key challenges included reduced social contact, loneliness and loss of social routines; difficulties accessing and trusting health services; dementia-unfriendly practices; and disparate experiences of being able to ‘get out’ into the physical neighbourhood. People with dementia responded to challenges by maintaining and extending their social networks and making the most of ‘nodding acquaintances’; learning new skills, for communication and hobbies; supporting others, engaging in reciprocal exchange and valuing connection with peers; seeking help and advocacy and challenging and resisting dementia-unfriendly practices; maintaining and adapting habitual spatial practices and being determined to ‘get out’; and employing similar emotional coping strategies for the pandemic and dementia.

Conclusions
Support for people with dementia, especially during public health crises when carers and services are under pressure, should involve utilising existing capacities, appropriately supporting the acquisition of new knowledge and skills, ‘safety-netting’ through the availability of a named professional, advocacy and support and use of ‘check-in calls’ and creating supportive social and environmental circumstances for people with dementia to sustain their own well-being.

JournalInternational Journal of Geriatric Psychiatry
Journal citation37 (10), pp. 1-13
ISSN0885-6230
1099-1166
Year2022
PublisherWiley
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1002/gps.5803
Web address (URL)http://dx.doi.org/10.1002/gps.5803
Publication dates
Published in printOct 2022
Published online18 Aug 2022

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