{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:19:57Z","timestamp":1787314797525,"version":"build-2736575974"},"reference-count":83,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dementia\u2014the seventh leading cause of death globally\u2014is most prevalent in Asia, home to over half of those affected. Yet, palliative approaches to dementia, endorsed by the World Health Organization (WHO) Global Action Plan on the Public Health Response to Dementia, and focused on improving quality of life through a holistic and person\u2010centered approach, are largely absent in the region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We reviewed the available literature related to end\u2010of\u2010life experiences with advanced dementia from countries in the WHO South\u2010east Asian and Western Pacific regions. We used the Consolidated Framework for Implementation Research to synthesize barriers and facilitators to implementing a palliative approach to dementia and propose a research agenda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Broad barriers identified in the outer setting of the implementation framework include sociocultural values and a lack of supportive policies, guidelines, and financing. Within the inner setting of the healthcare system, challenges stem from underdeveloped long\u2010term care infrastructure, limited professional training, and gaps in equity and person\u2010centeredness. At the individual level, barriers include low dementia literacy and limited uptake of advance care planning. Potential facilitators were growing digital fluency and established community norms around caring for older adults at home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on our review, we propose a research agenda prioritizing partnering with individuals with dementia and their caregivers, especially in low\u2010 and middle\u2010income countries, de\u2010implementing low\u2010value interventions and implementing community\u2010level palliative care models, leveraging technological innovations, and developing core evaluation metrics to advance WHO's action plan and foster culturally relevant and effective interventions tailored to the region's unique needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70283","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T07:44:47Z","timestamp":1768376687000},"page":"522-531","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The End of Life With Dementia in Asian Countries: Barriers, Facilitators and a Research Agenda for Advancing a Palliative Approach"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5380-0525","authenticated-orcid":false,"given":"Chetna","family":"Malhotra","sequence":"first","affiliation":[{"name":"Lien Centre for Palliative Care Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9086-8222","authenticated-orcid":false,"given":"Ellie B.","family":"Andres","sequence":"additional","affiliation":[{"name":"Lien Centre for Palliative Care Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrika","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Lien Centre for Palliative Care Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/jad\u2010190897"},{"key":"e_1_2_10_3_1","unstructured":"Alzheimer's Disease International DA \u201cDementia in the Asia Pacific Region \u201d(2014) https:\/\/www.alzint.org\/resource\/dementia\u2010in\u2010the\u2010asia\u2010pacific\u2010region\/."},{"key":"e_1_2_10_4_1","unstructured":"WHO \u201cAction Area 4: Dementia Diagnosis Treatment Care and Support 2017: 22\u201324 \u201dGlobal Action Plan on the Public Health Response to Dementia accessed November 2024 http:\/\/www.jstor.org\/stable\/resrep48362.1."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1478951523000068"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18797"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/joim.20086"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13038"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010045787"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1041610214001975"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae232"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000448242"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2008.02.009"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4620"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2014.11.003"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.02.008"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3233\/jad\u2010150898"},{"key":"e_1_2_10_18_1","doi-asserted-by":"crossref","DOI":"10.1093\/gerona\/glaf227","article-title":"The Final Year for Community\u2010Dwelling Older Adults With Dementia in an Asian Setting: Admissions, Interventions and Caregiver Burden","volume":"80","author":"Andres E. 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