Table 1.
Author/s | Year | Journal | Country | Aim of the study | Dementia type | Participants | Cultural group | Data collection | Data analysis |
---|---|---|---|---|---|---|---|---|---|
Robinson et al. | 1997 | Health Care in Later Life | Sweden | To describe the experience of early memory loss and the transition towards seeking professional help | ‘Early symptoms of memory loss’ | People with dementia | Not stated | Semi-structured interviews | Thematic |
Keady | 1999 | Thesis | UK (Wales) | To explore the temporal process of coping within dementia, grounding any emerging insights in the experience of family caregivers themselves | ‘Dementia’ | Carersa | Not stated | Semi-structured interviews | Constant comparative method (Grounded Theory) |
Brown and Alligood | 2004 | Journal of Applied Gerontology | USA | To explore patterns of help-seeking by older wife caregivers of husbands with dementia | Any | Carers (wives) | Caucasian | Unstructured interviews | Constant comparative method (Grounded Theory) |
Krull | 2005 | Journal of Aging Studies | USA | To shed light on the process through which familial caregivers decide to seek out a formal diagnosis of Alzheimer’s disease in their loved ones | AD | Carers | White | Semi-structured interviews | Constant comparative method (Grounded Theory) |
Leung et al. | 2011 | Health and Social Care in the Community | Canada | To explore the perceptions and experiences of problem recognition, and the process of obtaining a diagnosis among individuals with early stage dementia and their primary carers | Any | Both | Anglo-Canadian | Semi-structured interviews | Qualitative descriptive approach (Sandelowski, 2000) |
Mukadam et al. | 2011 | International Psychogeriatrics | UK | To explore the effect of culture and ethnicity on beliefs and attitudes of carers to help-seeking for dementia symptoms and the impact of these beliefs on the pathway to diagnostic and therapeutic services | Any | Carers | Seven different ethnic groups | Semi-structured interviews | Thematic |
Van Vliet et al. | 2011 | International Psychogeriatrics | Netherlands | To investigate the barriers to obtaining a dementia diagnosis for caregivers of people with EOD and to develop a typology of the diagnosis pathway | EOD | Carers | Not stated | Semi-structured interviews | Constant comparative method (Grounded Theory) |
Koehn et al. | 2012 | Journal of Aging Studies | Canada | To understand the experiences of our participants as they negotiate the pathway to a diagnosis of dementia for themselves or a family member | ADRD | Both | Chinese-Canadian | Semi-structured interviews | Thematic |
McCleary et al. | 2013 | Dementia | Canada | To explore and describe the experiences of South Asian Canadian persons with dementia and their family carers in the time prior to a diagnosis | Any | Both | South Asian Canadian | Semi-structured interviews | Qualitative description and content analysis |
ADRD: Alzheimer’s disease and related disorders/dementias, AD: Alzheimer’s disease, EOD: early onset dementia.
Keady developed two separate models from his PhD work: a six-stage model based on carer interviews, and a nine-stage model based on data from people with dementia. We decided to include the six-stage model because it was based on a much greater amount of data.