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A three‐stage model of engagement with dementia social care services among minority ethnic communities in the United Kingdom: implications for policy and practice
Khalafehnilsaz, Mahnaz
Khalafehnilsaz, Mahnaz
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2025-12-29
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Abstract
INTRODUCTION
By 2050, 27% of UK's older population will be from minority ethnic (ME) groups, yet engagement with dementia-related social care remains low. This meta-synthesis aims to develop a conceptual understanding of ME families’ attitudes toward social care services.
METHODS
A meta-synthesis of 25 UK-based studies was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Using Thomas and Harden's line-of-argument approach, thematic constructs were synthesized to explain ME families’ engagement with home-based, day care, respite, and residential care.
RESULTS
Three overarching stages of engagement were identified – rejection, conditional acceptance, and acceptance – representing linear and non-linear, dynamic trajectories shaped by cultural and religious obligations, stigma, gendered expectations, mistrust, and structural and systemic barriers.
CONCLUSION
Early interventions should combine culturally congruent care with ongoing stigma reduction and trust building. A key policy lever is to embed culturally competent dementia navigators with local social care services to bridge families and providers, normalize help-seeking and promote equitable, person-centered dementia care.
Citation
Lim, J.N.W., Khalafehnilsaz, M., Abdulghaffar, R. (2026) A three‐stage model of engagement with dementia social care services among minority ethnic communities in the United Kingdom: implications for policy and practice, 2(1), e70053.
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Type
Journal article
Language
en
Description
© 2025 The Authors. Published by Wiley. This is an open access article available under a Creative Commons licence.
The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.1002/bsa3.70053
Series/Report no.
ISSN
2997-3805
EISSN
2997-3805
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The authors gratefully acknowledge the University of Wolverhampton for providing financial support towards the Article Processing Charge (APC) for this open access publication.