Barriers and facilitators to implementing person-centred dementia care in long-term care facilities in Western and Asian countries: a scoping review

Reviewed as evidence on: Caregiver tax credits / paid leave / respite and caregiver burden, outcomes 2 studies (what the news said). Being listed means the study bears on the question, not that it agrees with the news.

Topic: Risk, prevention and care in population studies

Thirty-three studies were included. Over half were conducted in Western countries (n =20). Barriers and facilitators were grouped under four high level themes: Nursing and care staff factors, people living with dementia and family factors, organizational factors, and resource factors. Inadequate knowledge of person-centred care, staffing shortages, time constraints, and low wages were the principal barriers to implementing person-centred dementia care in both Western and Asian countries. The findings indicate that staff encounter numerous obstacles and needs in implementing person-centred care for people living with dementia in long-term care settings. Educational levels of nursing staff in Western countries were generally higher compared to Asian countries. Additionally, work-related injuries and stigma associated with dementia care presented unique challenges for nursing staff in Asia and were not cited in Western studies. Conversely, family-related factors were more frequently and elaborately cited as influencing person-centred dementia care in Western long-term care facilities. Moreover, Asian studies identified a significant lack of educational training support for person-centred dementia care, as well as shortages in staffing and poor availability of personalized, home-like environments.

Key findings

• Over half were conducted in Western countries (n =20).
• Barriers and facilitators were grouped under four high level themes: Nursing and care staff factors, people living with dementia and family factors, organizational factors, and resource factors.
• Inadequate knowledge of person-centred care, staffing shortages, time constraints, and low wages were the principal barriers to implementing person-centred dementia care in both Western and Asian countries.
• The findings indicate that staff encounter numerous obstacles and needs in implementing person-centred care for people living with dementia in long-term care settings.
• Educational levels of nursing staff in Western countries were generally higher compared to Asian countries.

Why it matters

This scoping review of 33 studies found that inadequate knowledge of person-centred care, staffing shortages, time constraints, and low wages were the main barriers to implementing person-centred dementia care in long-term care facilities in Western and Asian countries. It addresses care delivery challenges, not treatment, cure or prevention of Alzheimer's disease.

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Study details

• Participants20
• Evidence strengthLow

Read the original

• DOI: 10.3389/fpsyt.2024.1523501
• PubMed: 39876992
• Original source →
• Free full text: Frontiers in Psychiatry →

Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).

@article{guan2025-39876992,
  author  = {Guan, Xin and Duan, A-min and Xin, Gong-kai and Oyebode, Jan Rachel and Liu, Yu},
  title   = {{Barriers and facilitators to implementing person-centred dementia care in long-term care facilities in Western and Asian countries: a scoping review}},
  journal = {Frontiers in Psychiatry},
  year    = {2025},
  doi     = {10.3389/fpsyt.2024.1523501},
  pmid    = {39876992},
  url     = {https://doi.org/10.3389/fpsyt.2024.1523501}
}

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