4.5 Review

Dementia wellbeing and COVID-19: Review and expert consensus on current research and knowledge gaps

Journal

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
Volume 36, Issue 11, Pages 1597-1639

Publisher

WILEY
DOI: 10.1002/gps.5567

Keywords

COVID-19; dementia; research; wellbeing

Funding

  1. Medical Research Council [MR/S021418/1]
  2. UK Dementia Research Institute
  3. University of Worcester
  4. University College London Hospitals NHS Foundation Trust
  5. NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer Research
  6. Economic and Social Research Council
  7. Engineering and Physical Sciences Research Council
  8. UK Research and Innovation
  9. MRC [MR/S021418/1] Funding Source: UKRI

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The working group conducted a review on the impact of the COVID-19 pandemic on dementia wellbeing through studying 141 research articles within six domains. The study highlights the need for future research to address outstanding questions and develop evidence-based measures to improve the quality of life for dementia-affected individuals.
Objectives: In response to a commissioned research update on dementia during the COVID-19 pandemic, a UK-based working group, comprising dementia researchers from a range of fields and disciplines, aimed to describe the impact of the pandemic on dementia wellbeing and identify priorities for future research. Methods: We supplemented a rapid literature search (including unpublished, non-peer reviewed and ongoing studies/reports) on dementia wellbeing in the context of COVID-19 with expert group members' consensus about future research needs. From this we generated potential research questions the group judged to be relevant that were not covered by the existing literature. Results: Themes emerged from 141 studies within the six domains of the NHS England COVID-19 Dementia Wellbeing Pathway: Preventing Well, Diagnosing Well, Treating Well, Supporting Well, Living Well and Dying Well. We describe current research findings and knowledge gaps relating to the impact on people affected by dementia (individuals with a diagnosis, their carers and social contacts, health and social care practitioners and volunteers), services, research activities and organisations. Broad themes included the potential benefits and risks of new models of working including remote healthcare, the need for population-representative longitudinal studies to monitor longer-term impacts, and the importance of reporting dementia-related findings within broader health and care studies. Conclusions: The COVID-19 pandemic has had a disproportionately negative impact on people affected by dementia. Researchers and funding organisations have responded rapidly to try to understand the impacts. Future research should highlight and resolve outstanding questions to develop evidence-based measures to improve the quality of life of people affected by dementia.

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