Telemedicine and Cultural Competency in Dementia Care: Mapping Stakeholder Roles in Digital Toolkit Development in SSA: A Systematic Review

Authors: Adedeji, A., Dogan, H., Adedoyin, F. and Heward, M.

Journal: Health Expectations

Volume: 28

Issue: 6

eISSN: 1369-7625

ISSN: 1369-6513

DOI: 10.1111/hex.70489

Abstract:

Background: Dementia is a growing concern in Sub-Saharan Africa (SSA), particularly Nigeria, where care is hindered by weak infrastructure, stigma, and limited culturally responsive services. Telemedicine offers promise but faces adoption challenges in low-resource settings. Objective: To evaluate digital interventions for dementia care in SSA and examine how culturally tailored telemedicine is shaped by stakeholder input, it may reduce caregiver burden and improve care delivery. Methods: Following PRISMA guidelines, 1650 records were screened: across PubMed, Scopus, PsycINFO, and Google Scholar; 20 studies met inclusion criteria. Thematic analysis identified trends across intervention types, populations, and barriers. Results: Five core themes emerged: barriers to care (30%), telemedicine opportunities (25%), stakeholder involvement (23%), cultural influences (20%) and technological feasibility (17%). Mobile health tools showed potential when culturally adapted. However, poor infrastructure, digital literacy and traditional beliefs constrained adoption. Engaging caregivers, clinicians and community leaders improved solution relevance and uptake. Conclusions: Culturally informed, co-designed telemedicine models can strengthen dementia care delivery in SSA, stakeholder-driven digital models may serve as a scalable blueprint for other low-resource contexts. Patient or Public Contribution: This review incorporated studies that engaged patients, informal caregivers, clinicians, policymakers and community leaders in the codesign and implementation of digital dementia care tools. Their lived experiences and cultural insights informed the development of interventions that are not only technologically feasible but also socially and “culturally appropriate”.

Source: Scopus

Telemedicine and Cultural Competency in Dementia Care: Mapping Stakeholder Roles in Digital Toolkit Development in SSA: A Systematic Review.

Authors: Adedeji, A., Dogan, H., Adedoyin, F. and Heward, M.

Journal: Health Expect

Volume: 28

Issue: 6

Pages: e70489

eISSN: 1369-7625

DOI: 10.1111/hex.70489

Abstract:

BACKGROUND: Dementia is a growing concern in Sub-Saharan Africa (SSA), particularly Nigeria, where care is hindered by weak infrastructure, stigma, and limited culturally responsive services. Telemedicine offers promise but faces adoption challenges in low-resource settings. OBJECTIVE: To evaluate digital interventions for dementia care in SSA and examine how culturally tailored telemedicine is shaped by stakeholder input, it may reduce caregiver burden and improve care delivery. METHODS: Following PRISMA guidelines, 1650 records were screened: across PubMed, Scopus, PsycINFO, and Google Scholar; 20 studies met inclusion criteria. Thematic analysis identified trends across intervention types, populations, and barriers. RESULTS: Five core themes emerged: barriers to care (30%), telemedicine opportunities (25%), stakeholder involvement (23%), cultural influences (20%) and technological feasibility (17%). Mobile health tools showed potential when culturally adapted. However, poor infrastructure, digital literacy and traditional beliefs constrained adoption. Engaging caregivers, clinicians and community leaders improved solution relevance and uptake. CONCLUSIONS: Culturally informed, co-designed telemedicine models can strengthen dementia care delivery in SSA, stakeholder-driven digital models may serve as a scalable blueprint for other low-resource contexts. PATIENT OR PUBLIC CONTRIBUTION: This review incorporated studies that engaged patients, informal caregivers, clinicians, policymakers and community leaders in the codesign and implementation of digital dementia care tools. Their lived experiences and cultural insights informed the development of interventions that are not only technologically feasible but also socially and "culturally appropriate".

Source: PubMed

Telemedicine and Cultural Competency in Dementia Care: Mapping Stakeholder Roles in Digital Toolkit Development in SSA: A Systematic Review

Authors: Adedeji, A., Dogan, H., Adedoyin, F. and Heward, M.

Journal: HEALTH EXPECTATIONS

Volume: 28

Issue: 6

eISSN: 1369-7625

ISSN: 1369-6513

DOI: 10.1111/hex.70489

Source: Web of Science (Lite)

Telemedicine and Cultural Competency in Dementia Care: Mapping Stakeholder Roles in Digital Toolkit Development in SSA: A Systematic Review

Authors: Adedeji, A., Dogan, H., Heward, M. and Adedoyin, F.

Journal: Health Expectations

Publisher: Wiley

eISSN: 1369-7625

ISSN: 1369-6513

Source: Manual

Telemedicine and Cultural Competency in Dementia Care: Mapping Stakeholder Roles in Digital Toolkit Development in SSA: A Systematic Review.

Authors: Adedeji, A., Dogan, H., Adedoyin, F. and Heward, M.

Journal: Health expectations : an international journal of public participation in health care and health policy

Volume: 28

Issue: 6

Pages: e70489

eISSN: 1369-7625

ISSN: 1369-6513

DOI: 10.1111/hex.70489

Abstract:

Background

Dementia is a growing concern in Sub-Saharan Africa (SSA), particularly Nigeria, where care is hindered by weak infrastructure, stigma, and limited culturally responsive services. Telemedicine offers promise but faces adoption challenges in low-resource settings.

Objective

To evaluate digital interventions for dementia care in SSA and examine how culturally tailored telemedicine is shaped by stakeholder input, it may reduce caregiver burden and improve care delivery.

Methods

Following PRISMA guidelines, 1650 records were screened: across PubMed, Scopus, PsycINFO, and Google Scholar; 20 studies met inclusion criteria. Thematic analysis identified trends across intervention types, populations, and barriers.

Results

Five core themes emerged: barriers to care (30%), telemedicine opportunities (25%), stakeholder involvement (23%), cultural influences (20%) and technological feasibility (17%). Mobile health tools showed potential when culturally adapted. However, poor infrastructure, digital literacy and traditional beliefs constrained adoption. Engaging caregivers, clinicians and community leaders improved solution relevance and uptake.

Conclusions

Culturally informed, co-designed telemedicine models can strengthen dementia care delivery in SSA, stakeholder-driven digital models may serve as a scalable blueprint for other low-resource contexts.

Patient or public contribution

This review incorporated studies that engaged patients, informal caregivers, clinicians, policymakers and community leaders in the codesign and implementation of digital dementia care tools. Their lived experiences and cultural insights informed the development of interventions that are not only technologically feasible but also socially and "culturally appropriate".

Source: Europe PubMed Central