RESEARCH PAPER
A qualitative study of perceptions of professionals regarding multidisciplinary memory clinics for dementia care
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1
Rajagiri College of Social Sciences Kalamassery, Kochi, Kerala, India
2
Alzheimer’s and Related Disorders Society of India-Kottayam, Kerala,
India
Submission date: 2022-08-07
Final revision date: 2024-07-16
Acceptance date: 2024-07-30
Publication date: 2024-08-28
Corresponding author
C. T. Sudhir Kumar
Alzheimer’s and Related Disorders Society of India-
Kottayam, Grace Hospital, Aymanam P.O. 686 015, Kerala, India
Popul. Med. 2024;6(August):22
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Dementia is a challenging problem across the
world, with over 5 million people with dementia in India.
Multidisciplinary memory clinics (MCs) are the mainstay of
care for people with dementia in many countries. There is
limited information about the understanding of and attitudes
towards MC among health and social care professionals in
India. This study aimed to identify the perceived advantages
and disadvantages of a multidisciplinary memory clinic
model in the care of people with dementia, and to identify
the facilitators and barriers in establishing and running
multidisciplinary memory clinics, as perceived by a group of
specialist doctors, psychologists, and social workers.
Methods:
A qualitative study using focus group discussions
(FGDs) was conducted and the theoretical background of
directed content analysis was applied for data analysis. The
participants were from Kerala, a southern state in India,
working in 13 different institutions involved in healthcare
and social work. Purposive sampling was utilized for the FGD
representative of a multidisciplinary team.
Results:
All participants agreed that a multidisciplinary
memory clinic approach would improve patient care. Early
detection, comprehensive, continuous, person-centered
care and caregiver focus were perceived benefits that MCs
could offer. Disadvantages include unclear role definition,
disjointed care, complex team dynamics, and high costs.
Awareness of dementia, close involvement of stakeholders,
clarity in role definitions, elder-friendly settings, community
involvement and access to finances were perceived
to facilitate establishing memory clinics while lack of
awareness, stigma, risk of duplication of functions, lack of
outcome assessment and lack of funding were barriers.
Conclusions:
Multidisciplinary memory clinics potentially
facilitate early diagnosis of dementia and comprehensive
person-centered care. Caregivers stand to benefit as the team
has more time and diversity in skills to educate and support
them.
CONFLICTS OF INTEREST
The authors have completed and submitted the ICMJE Form for
Disclosure of Potential Conflicts of Interest and none was reported.
FUNDING
There was no source of funding for this research.
ETHICAL APPROVAL AND INFORMED CONSENT
Ethical approval was obtained from the Institutional Ethics Committee
of Rajagiri Institutional Ethics Committee (Approval number:
RAJH/2020/002; Date: 15 February 2020). Participants provided
informed consent.
DATA AVAILABILITY
The data supporting this research are available from the authors on
reasonable request.
PROVENANCE AND PEER REVIEW
Not commissioned; externally peer reviewed.
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