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Telemedicine and Cultural Competency in Dementia Care: Mapping Stakeholder Roles in Digital Toolkit Development in
Abiodun Adedeji1, Huseyin Dogan1, Festus Adedoyin1
1Department of Computing and Informatics, Faculty of Science and Technology, Bournemouth University, Bournemouth, UK.
Digital dementia care in Sub-Saharan Africa faces challenges but culturally adapted telemedicine, co-designed with stakeholders, shows promise for improving care delivery and reducing caregiver burden.
Area of Science:
- Digital health interventions
- Telemedicine in healthcare
- Dementia care research
Background:
- Dementia care is a growing challenge in Sub-Saharan Africa (SSA) due to infrastructure, stigma, and limited culturally relevant services.
- Telemedicine presents a potential solution but faces adoption hurdles in low-resource environments.
Purpose of the Study:
- To evaluate digital interventions for dementia care in SSA.
- To examine how culturally tailored telemedicine, shaped by stakeholder input, can reduce caregiver burden and enhance care delivery.
Main Methods:
- Systematic literature review following PRISMA guidelines.
- Screened 1650 records across major databases; 20 studies met inclusion criteria.
- Thematic analysis to identify trends in interventions, populations, and barriers.
Main Results:
- Key themes: barriers to care (30%), telemedicine opportunities (25%), stakeholder involvement (23%), cultural influences (20%), and technological feasibility (17%).
- Culturally adapted mobile health tools show potential, but infrastructure, digital literacy, and beliefs are constraints.
- Engaging diverse stakeholders (caregivers, clinicians, leaders) improved intervention relevance and adoption.
Conclusions:
- Culturally informed, co-designed telemedicine models can significantly strengthen dementia care in SSA.
- Stakeholder-driven digital models offer a scalable blueprint for low-resource contexts facing similar challenges.
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