{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T11:32:38Z","timestamp":1777548758866,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["22K21078"],"award-info":[{"award-number":["22K21078"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003478","name":"Japanese Ministry of Health, Labour, and Welfare","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dementia"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>\n                    Introduction: Public participation by people with dementia in relevant policymaking has been advocated to improve the quality of health systems and democratic processes. Public officials\u2019 attitude is a key determinant of public participation. This study aimed to explore Japanese local-government officials\u2019 attitudes towards public participation by people with dementia in policymaking and associated factors. Methods: This cross-sectional study, utilising an online survey conducted in December 2022, included public officials (\n                    <jats:italic>n<\/jats:italic>\n                    = 997) in charge of dementia policy in Japanese municipalities, with one respondent from each municipality. Participants\u2019 certifications were administrative, public-health nurse, or other professionals. Univariate and mediation analyses were performed with attitudes towards public participation by people with dementia as a dependent variable, attitudes towards people with dementia as a mediating variable, and demographic characteristics, contact opportunities with people with dementia, and sources of dementia-related information as exploratory variables. Results: The mean attitude towards people with dementia and towards public participation was 45.1 (SD: 5.1) and 12.6 (SD: 1.8), respectively. Positive attitudes towards people with dementia were a significant determinant of supportive attitudes towards public participation. Participation in collaborative activities with people with dementia and a larger municipality population had positive and significant direct effects on attitudes towards public participation by people with dementia. Additionally, the public officials\u2019 sex and exposure to information about dementia directly from people with dementia showed a significant positive indirect effect mediated by attitude towards people with dementia. Discussion: Attitudes towards people with dementia are the most significant factor influencing their public participation; therefore, reducing stigma among public officials is essential to foster public participation by people with dementia. Active involvement of public officials in collaborative activities with people with dementia at the micro level and valuing the perspectives of people with dementia as essential contributions can enhance public participation by in local policymaking.\n                  <\/jats:p>","DOI":"10.1177\/14713012251324263","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T12:44:57Z","timestamp":1740573897000},"page":"1077-1091","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Public officials\u2019 attitudes towards public participation in policymaking by people with dementia"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2150-6484","authenticated-orcid":false,"given":"Hiroshige","family":"Matsumoto","sequence":"first","affiliation":[{"name":"Department of Community Health Nursing\/Public Health Nursing, Graduate School of Medicine, The University of Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2546-4074","authenticated-orcid":false,"given":"Shuji","family":"Tsuda","sequence":"additional","affiliation":[{"name":"Research Team for Human Care, Tokyo Metropolitan Institute of Gerontology, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoko","family":"Hotta","sequence":"additional","affiliation":[{"name":"Graduate School of Health Management, Keio University, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"e_1_3_4_2_1","volume-title":"Dementia friendly communities: Key principles","author":"Alzheimer\u2019s Disease International","year":"2016","unstructured":"Alzheimer\u2019s Disease International. (2016). Dementia friendly communities: Key principles. Alzheimer\u2019s Disease International. https:\/\/www.alzint.org\/u\/dfc-principles.pdf"},{"key":"e_1_3_4_3_1","volume-title":"Dementia-friendly communities local government toolkit","author":"Alzheimer Society of British Columbia","year":"2016","unstructured":"Alzheimer Society of British Columbia. (2016). Dementia-friendly communities local government toolkit. Alzheimer\u2019s Disease International. https:\/\/www.kitshouse.org\/wp-content\/uploads\/2020\/05\/Alzheimers-Toolkit.pdf"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12253"},{"issue":"5","key":"e_1_3_4_5_1","first-page":"458","article-title":"The concept of Dementia Friendly Community and global developments [Dementia Friendly Community no rinen to sekai no ugoki]","volume":"28","author":"Awata S.","year":"2017","unstructured":"Awata S. (2017). The concept of Dementia Friendly Community and global developments [Dementia Friendly Community no rinen to sekai no ugoki]. Japanese Journal of Geriatric Psychiatry, 28(5), 458\u2013465.","journal-title":"Japanese Journal of Geriatric Psychiatry"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078345820916444"},{"key":"e_1_3_4_7_1","volume-title":"Dementia supporter caravan","author":"Community Care Policy Network","year":"2022","unstructured":"Community Care Policy Network. (2022). Dementia supporter caravan. 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(2020). \u201cLoud and clear!\u201d exploring two decades of involvement, voice and activism by people with dementia in Scotland. Life Changes Trust. https:\/\/www.ed.ac.uk\/files\/atoms\/files\/loud_and_clear_final_web.pdf"},{"key":"e_1_3_4_14_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis. a regression-based approach","author":"Hayes A. F.","year":"2017","unstructured":"Hayes A. F. (2017). Introduction to mediation, moderation, and conditional process analysis. a regression-based approach (2nd ed.). Guilford Publications.","edition":"2"},{"key":"e_1_3_4_15_1","volume-title":"Journal of health and welfare statistics [Kokumin eisei no doukou] 2018\/2019","author":"Health, Labour and Welfare Statistics Association","year":"2021","unstructured":"Health, Labour and Welfare Statistics Association. (2021). Journal of health and welfare statistics [Kokumin eisei no doukou] 2018\/2019. Health, Labour and Welfare Statistics Association."},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2017.09.006"},{"key":"e_1_3_4_17_1","volume-title":"Survey and research project on measures to reflect the voices of people with dementia in municipal policies [Ninchi sho hon-nin no koe wo sichoson sisaku ni han-ei suru housaku ni kansuru chousa kenkyu jigyou]","author":"Hitomachi-lab","year":"2023","unstructured":"Hitomachi-lab. (2023). Survey and research project on measures to reflect the voices of people with dementia in municipal policies [Ninchi sho hon-nin no koe wo sichoson sisaku ni han-ei suru housaku ni kansuru chousa kenkyu jigyou]. Hito to Machidukuri Kenkyujo. https:\/\/hitomachi-lab.com\/"},{"key":"e_1_3_4_18_1","unstructured":"Japan Dementia Working Group. (2017). 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