Beyond the intervention: how physical, social, and organisational contexts trigger wellbeing for minority ethnic residents with dementia: a realist synthesis.
Background As populations age and diversify, the need for culturally responsive dementia care in residential settings is urgent. Minority ethnic (ME) residents often face barriers to equitable care, and a 'one-size-fits-all' approach risks overlooking what matters most for their wellbeing. This revi...
| Publicado en: | Age & Ageing Vol. 55; no. 2; pp. 1 - 11 |
|---|---|
| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Feb2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513163&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513163 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Feb2026 vid: 55 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513163 10.1093/ageing/afag035 ppf: 1 ppct: 10 formats: tig: atl: Beyond the intervention: how physical, social, and organisational contexts trigger wellbeing for minority ethnic residents with dementia: a realist synthesis. aug: au: Lim, Jennifer N W Ramezani, Nina Lindner, Helen affil: Faculty of Education, Health and Wellbeing, University of Wolverhampton - School of Health and Wellbeing, Wolverhampton, WV1 1LY, United Kingdom of Great Britain and Northern Ireland Orebro universitet - School of Health Sciences, Faculty of Medicine and Health, SE-701 82 Örebro, Örebro County, Sweden su: Ethnic groups Medical technology Cultural competence Medical care Culture Psychological well-being Social context Minorities Health facilities Psychosocial factors Nursing home residents Sensory stimulation Mathematical models Individualized medicine Theory Dementia patients sug: subj: Ethnic groups Medical technology Cultural competence Medical care Culture Psychological well-being Social context Minorities Health facilities Psychosocial factors All Other Outpatient Care Centers Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers Surgical Appliance and Supplies Manufacturing Surgical and Medical Instrument Manufacturing Nursing home residents Sensory stimulation Mathematical models Individualized medicine Theory Dementia patients keyword: agitation copyrightHolder:British Geriatrics Society copyrightYear:2026 cues cultural competency dementia dementia residential care emotions https://dx.doi.org/10.1093/ageing/afag035 inLanguage:en internship and residency interventions languages medical residencies memory minority ethnic groups older people organizations precipitating factors publisher:Oxford University Press realist synthesis sameAs:https://pubmed.ncbi.nlm.nih.gov/41729758/ sense of place agitation copyrightHolder:British Geriatrics Society copyrightYear:2026 cues cultural competency dementia dementia residential care emotions https://dx.doi.org/10.1093/ageing/afag035 inLanguage:en internship and residency interventions languages medical residencies memory minority ethnic groups older people organizations precipitating factors publisher:Oxford University Press realist synthesis sameAs:https://pubmed.ncbi.nlm.nih.gov/41729758/ sense of place ab: Background As populations age and diversify, the need for culturally responsive dementia care in residential settings is urgent. Minority ethnic (ME) residents often face barriers to equitable care, and a 'one-size-fits-all' approach risks overlooking what matters most for their wellbeing. This review investigates how culturally tailored interventions improve wellbeing for ME residents with dementia. Methods A realist synthesis was conducted to explain how , why , and under what conditions interventions work. The protocol was registered with PROSPERO (CRD42024581293). Six databases were searched for studies published between 2013 and 2024. Using the Integrated Model of Place as a framework, data were analysed to develop Context-Mechanism-Outcome configurations (CMOCs). Findings were validated with stakeholders from 10 care homes. Results Seven studies were included. Analysis revealed that effective interventions are those aligned across three contextual domains/environments: the physical (culturally familiar sensory cues), the social (native-language communication, shared activities), and the organisational (supportive leadership, staff training, structured routines). When aligned, these contexts trigger mechanisms of familiarity, emotional memory, trust, and identity affirmation. This leads to outcomes of reduced agitation, improved mood, enhanced communication, and stronger family-staff relationships. On the other hand, interventions lacking this integration, such as those without language support, failed to engage residents and families. Conclusion Wellbeing for ME residents is not achieved by interventions alone but through care environments that are holistically culturally responsive. Culturally attuned physical, social, and organisational contexts must be synergistically aligned to activate essential wellbeing mechanisms. This synthesis provides a practical framework for designing and implementing inclusive dementia care. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|