{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:22:23Z","timestamp":1778278943534,"version":"3.51.4"},"reference-count":78,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Limited dementia awareness among culturally and linguistically diverse communities can exacerbate stigma and hinder support for carers and people at risk of or living with dementia. Co\u2010producing a culturally inclusive dementia education intervention with representative stakeholders can address these knowledge and service gaps. This paper details the protocol for designing and evaluating a co\u2010produced multilingual dementia education intervention named Dementia Friends Unite. This project aims to improve dementia knowledge, attitudes and supportive practices in a multicultural context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This project will be conducted in South Western Sydney, Australia, where Arabic, Cantonese, English, Greek, Mandarin and Vietnamese are the most common languages spoken. A multi\u2010stakeholder collaboration involving representatives from each of these communities was formed to co\u2010produce the multilingual dementia education intervention. Two studies are planned to explore the co\u2010production process and evaluate the intervention's impact, guided by implementation science frameworks. Study 1 will examine stakeholder and researcher experiences in co\u2010production through minuted meetings and responses to the patient and public engagement evaluation tool. Data will be descriptively analysed to identify the barriers and facilitators to co\u2010production. Study 2 involves evaluating the initiative's impact according to the RE\u2010AIM framework. Outcome measures include intervention reach and effectiveness in changing participants' knowledge, attitudes and supportive practices through questionnaires (pre\u2010, post\u2010 and follow\u2010up) and interviews; adoption and implementation characteristics through focus groups with stakeholders and facilitators; and maintenance through a cost\u2013benefit analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This project will employ a comprehensive approach to address unmet needs and research gaps in co\u2010produced dementia education and its implementation in multicultural contexts. It can serve as a blueprint for others seeking to engage culturally diverse populations in community\u2010based health education and research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>A multi\u2010stakeholder collaboration involving representatives from local government and care services, as well as people with living and caring experiences of dementia, from each of the targeted communities, was formed to co\u2010produce this initiative. Their involvement spans study design, conduct, interpretation of findings and dissemination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70307","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T02:09:46Z","timestamp":1748398186000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Co\u2010Producing and Evaluating a Culturally Inclusive Dementia Education Initiative: A Multimethod Study Protocol"],"prefix":"10.1111","volume":"28","author":[{"given":"Gabriela","family":"Caballero","sequence":"first","affiliation":[{"name":"NICM Health Research Institute Western Sydney University Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5767-1794","authenticated-orcid":false,"given":"Ann","family":"Dadich","sequence":"additional","affiliation":[{"name":"School of Business Western Sydney University Sydney Australia"},{"name":"Translational Health Research Institute (THRI) Western Sydney University Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"DiGiacomo","sequence":"additional","affiliation":[{"name":"Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health University of Technology Sydney Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicky","family":"Morrison","sequence":"additional","affiliation":[{"name":"Urban Transformations Research Centre Western Sydney University Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Okafor","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research, Faculty of Medicine The University of Queensland Brisbane 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Stakeholders","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8749-348X","authenticated-orcid":false,"given":"Diana","family":"Karamacoska","sequence":"additional","affiliation":[{"name":"NICM Health Research Institute Western Sydney University Sydney Australia"},{"name":"Translational Health Research Institute (THRI) Western Sydney University Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Alzheimer's Association \u201cAlzheimer's Disease Facts and Figures.\u201d Alzheimer's & Dementia.2023 https:\/\/www.alz.org\/media\/documents\/alzheimers-facts-and-figures.pdf."},{"key":"e_1_2_12_3_1","unstructured":"World Health Organization.Global Action Plan on the Public Health Response to Dementia 2017\u20102025 accessed February 28 2021 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