{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:03:49Z","timestamp":1790697829160,"version":"4.1.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Little is known regarding the effects of Alzheimer\u2019s disease and related dementias (AD\/ADRD) in in American Indian and First Nation (AI\/FN) communities in the US and Canada. Yet, research suggests FN populations in Canada experience 34% higher dementia rates and over half of US-based Indigenous adults demonstrate incident cognitive impairment, including dementia due to AD and\/or cerebrovascular disease. Already higher than the general population, rates will increase as Indigenous populations age. The Indigenous Cultural Understandings of ADRD-Research and Engagement (ICARE) project was established to understand lived-experiences of dementia in AI\/FN communities around the Great Lakes. We report themes describing practitioner experiences providing dementia care in selected US and Canadian Indigenous communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>Healthcare practitioners (n\u2009=\u200914) providing care in Indigenous communities were interviewed by community-based researchers using semi-structured guides exploring a range of topics. Thematic analysis was used to identify challenges and recommendations to improve care. Trustworthiness checks included reflexivity, consensus, prolonged engagement, member checking and audit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thematic analysis yielded six superordinate themes. Provider-perceived challenges included: 1) Limited Resources for Providing Dementia Care, 2) Need for Caregiver-focused Preparation and Support, 3) Communication and Relationship Gaps, 4) Low-levels of Community Dementia-related Awareness, Education and Engagement. Provider recommendations were characterized as: 5) Increase Dementia-related Awareness, Education and Engagement, 6) Invest in Dementia Caregiver Support and Community Strengths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Findings were contextualized with post-colonial and relational care frameworks. Providers described relevant challenges and provided culturally safe and equitable strategies to improve dementia care outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geront\/gnag230","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:43:34Z","timestamp":1790682214000},"source":"Crossref","is-referenced-by-count":0,"title":["Healthcare Provider Experiences Delivering Dementia Care in Indigenous Communities: Challenges and Recommendations"],"prefix":"10.1093","author":[{"given":"Carey","family":"Gleason","sequence":"first","affiliation":[{"name":"University of Wisconsin-Madison Department of Medicine, Division of Geriatrics and Gerontology, , Madison, WI,","place":["United States"]},{"name":"Education and Clinical Center (GRECC) William S. Middleton Memorial VA Hospital, Geriatric Research, , Madison, WI,","place":["United States"]},{"name":"Wisconsin Alzheimer\u2019s Disease Research Center , Madison, WI,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nickolas","family":"Lambrou","sequence":"additional","affiliation":[{"name":"University of Wisconsin-Madison Department of Medicine, Division of Geriatrics and Gerontology, , Madison, WI,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Blind","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Ketcher","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Weigler","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Dertinger","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"January","family":"Johnson","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Mason","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan L","family":"Ninham","sequence":"additional","affiliation":[{"name":"Red Lake Nation Community Advisory Council , Red Lake, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Red Lake Nation","family":"Ojibwe","sequence":"additional","affiliation":[{"name":"Red Lake Nation Community Advisory Council , Red Lake, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Pitawanakwat","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]},{"name":"Naandwechige-Gamig Wikwemikong Health Centre , Wikwemikong, Ontario,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collette","family":"Pederson","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lois","family":"Metoxen Strong","sequence":"additional","affiliation":[{"name":"University of Wisconsin-Madison Department of Medicine, Division of Geriatrics and Gerontology, , Madison, WI,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlene","family":"Summers","sequence":"additional","affiliation":[{"name":"University of Wisconsin-Madison Department of Medicine, Division of Geriatrics and Gerontology, , Madison, WI,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhonda","family":"Trudeau","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]},{"name":"Naandwechige-Gamig Wikwemikong Health Centre , Wikwemikong, Ontario,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne","family":"Warry","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]},{"name":"University of Minnesota Medical School Department of Family Medicine and Biobehavioral Health, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Jacklin","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Memory Keepers Medical Discovery Team, , Duluth Campus, Duluth, MN,","place":["United States"]},{"name":"University of Minnesota Medical School Department of Family Medicine and Biobehavioral Health, , Duluth Campus, Duluth, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,29]]},"container-title":["The Gerontologist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/gerontologist\/advance-article-pdf\/doi\/10.1093\/geront\/gnag230\/71465798\/gnag230.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/gerontologist\/advance-article-pdf\/doi\/10.1093\/geront\/gnag230\/71465798\/gnag230.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:17:03Z","timestamp":1790695023000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/gerontologist\/advance-article\/doi\/10.1093\/geront\/gnag230\/8845494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/geront\/gnag230","relation":{},"ISSN":["0016-9013","1758-5341"],"issn-type":[{"value":"0016-9013","type":"print"},{"value":"1758-5341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"article-number":"gnag230"}}