{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:21:13Z","timestamp":1791501673085,"version":"4.3.4"},"reference-count":44,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a well\u2010documented lack or delay of diagnosis of dementia in all countries, including in Europe. Most general practitioners (GPs) have acquired adequate academic and scientific information about dementia but avoid using it in practice because of stigma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To persuade GPs of their role in dementia detection, an Antistigma education intervention was designed, with teaching objectives focusing on \u201cWhy\u201d and \u201cHow\u201d to diagnosis and manage dementia, based on ethical and practical content, as opposed to classical training centered on teaching \u201cWhat\u201d, with mainly academic content.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During the European Joint Action \u201cACT ON DEMENTIA\u201d, the Antistigma education intervention was implemented in four Universities: Lyon and Limoges (France), Sofia (Bulgaria) and Lublin (Poland). General data, including information about training and experience in dementia, was collected. Specific scales measured Dementia Negative Stereotypes DNS and Dementia Clinical Confidence D\u2010CO before and after training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>134 GPs and 58 residents R completed the training. The participants were mainly women (74%), and the mean age was 42.8\u00a0\u00b1\u00a013.2. Before training, participants expressed difficulties in defining <jats:italic>GPs role<\/jats:italic> and worries about inflicting <jats:italic>Stigma<\/jats:italic>, <jats:italic>Risks of diagnosis<\/jats:italic>, <jats:italic>Lack of benefit<\/jats:italic> and <jats:italic>Communication difficulties<\/jats:italic>. Participants' D\u2010CO was significantly higher for Diagnosis process (64%) than for other clinical situations. After training, total NS was reduced from 34.2% to 29.9% <jats:italic>(p\u00a0&lt;\u00a00.001),<\/jats:italic> and stereotypes were improved: <jats:italic>GPs' role<\/jats:italic> (40.1% reduced to 35.9%; <jats:italic>p\u00a0&lt;\u00a00.001<\/jats:italic>), <jats:italic>Stigma<\/jats:italic> (38.7% reduced to 35.5%; <jats:italic>p\u00a0&lt;\u00a00.001<\/jats:italic>), <jats:italic>Risks of diagnosis<\/jats:italic> (39.0% reduced to 33.3%; <jats:italic>p\u00a0&lt;\u00a00.001<\/jats:italic>), <jats:italic>Lack of Benefit<\/jats:italic> (29.3% reduced to 24.6%; <jats:italic>p\u00a0&lt;\u00a00.001<\/jats:italic>) and <jats:italic>Communication difficulties<\/jats:italic> (19.9% reduced to 16.9%; <jats:italic>p\u00a0&lt;\u00a00.001<\/jats:italic>). After training, D\u2010CO was significantly increased in all the clinical situations <jats:italic>(p\u00a0&lt;\u00a00.001)<\/jats:italic>, but stayed highest for <jats:italic>Diagnosis Process<\/jats:italic>. There was no significant difference between the universities. Participants who benefited best from the Antistigma education intervention were those without training in Geriatrics and those working in nursing homes (who reduced the most D\u2010NS), as well younger participants and those who managed less than five people living with dementia per week (who increased the most D\u2010CO).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Antistigma program is based on the idea that most often GPs and R have acquired adequate academic and scientific information about dementia but avoid using it in practice because of stigma. These results outline the importance of addressing ethical issues and practical management situations in dementia education, to empower GPs in dementia care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.5958","type":"journal-article","created":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T08:50:35Z","timestamp":1688201435000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Empowering general practitioners in dementia care: The ANTISTIGMA education intervention in Europe"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5480-072X","authenticated-orcid":false,"given":"Leslie","family":"Cartz\u2010Piver","sequence":"first","affiliation":[{"name":"Memory Resource and Research Center Department of Neurology Dupuytren University Hospital  Limoges France"},{"name":"INSERM U1094 IRD U270 University Limoges CHU Limoges, EpiMaCT \u2010 Epidemiology of Chronic Diseases in Tropical Zone Institute of Epidemiology and Tropical Neurology Omega Health  Limoges France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Calvet","sequence":"additional","affiliation":[{"name":"INSERM U1094 IRD U270 University Limoges CHU Limoges, EpiMaCT \u2010 Epidemiology of Chronic Diseases in Tropical Zone Institute of Epidemiology and Tropical Neurology Omega Health  Limoges France"},{"name":"Memory Resource and Research Center Department of Geriatric Psychiatry Esquirol Hospital  Limoges France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shima","family":"Mehrabian\u2010Spassova","sequence":"additional","affiliation":[{"name":"Clinic of Neurology Medical University of Sofia  Sofia Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarita","family":"Raycheva","sequence":"additional","affiliation":[{"name":"Clinic of Neurology Medical University of Sofia  Sofia Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kondrad","family":"Rejdak","sequence":"additional","affiliation":[{"name":"Department of Neurology Medical University of Lublin  Lublin Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Papuk","sequence":"additional","affiliation":[{"name":"Department of Neurology Medical University of Lublin  Lublin Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armelle","family":"Leperre\u2010Desplanques","sequence":"additional","affiliation":[{"name":"Clinical and Research Memory Centre Lyon Institute for Aging Hospices Civils de Lyon University Hospital  Lyon France"},{"name":"INSERM UMR1028 CNRS UMR 5292 Lyon University  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Krolak\u2010Salmon","sequence":"additional","affiliation":[{"name":"Clinical and Research Memory Centre Lyon Institute for Aging Hospices Civils de Lyon University Hospital  Lyon France"},{"name":"INSERM UMR1028 CNRS UMR 5292 Lyon University  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"GauthierS Rosa NetoP MoraisJ WebsterC.World Alzheimer Report 2021: Journey through the Diagnosisof Dementia.Alzheimer\u2019s Disease International."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4066"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0b013e3181a6bebc"},{"key":"e_1_2_9_5_1","unstructured":"BatschN MittelmanM.World Alzhzeimer Report 2012: Overcoming the Stigma of Dementia.Alzheimer\u2019s Disease International."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD\u2010201004"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.3903"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2010.06.004"},{"key":"e_1_2_9_9_1","unstructured":"Krolak SalmonP Leperre DesplanquesA MailletA et\u00a0al.Act on Dementia Joint Action (2016\u20102019) \u2010 Work\u2010Package 4 \u223c Diagnosis & Post\u2010Diagnosis Supports for Neurocognitive Disorders \u2010 Report on the Benefits & Risks of Neurocognitive Disorders DiagnosisFinal Version Accepted by the European Commission in November 2017."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp10X515386"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/39.4.457"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010007\u20100202\u20108"},{"key":"e_1_2_9_13_1","first-page":"477","article-title":"Diagnosing and managing dementia patients. 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