{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:28:27Z","timestamp":1791354507978,"version":"4.3.1"},"reference-count":45,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAD"],"published-print":{"date-parts":[[2024,7,16]]},"abstract":"<jats:p>Background: Dementia stigma has adverse effects on people with dementia and their carers. These effects can lead to poor quality of life among other negative impacts. Objective: The aim of this study is to develop and pilot a novel dementia stigma reduction intervention in rural Kenya, leveraging existing Community Health Workers (CHWs) for its delivery. Methods: The pre-post pilot study was conducted, utilizing a parallel mixed-methods design. Ten CHWs were trained to deliver a contextually developed dementia anti-stigma intervention. These CHWs delivered four workshops to 59 members of the general public in Makueni County, with each workshop lasting between 1.5 to 2 hours. Focus group discussions and pre\/post surveys were used as measures. Results: The intervention was well received amongst the participants, particularly in terms of its format and accessibility. We observed the largest effects in reducing negative beliefs related to treatment (\u03b72\u200a=\u200a0.34), living well with dementia (\u03b72\u200a=\u200a0.98), and care (\u03b72\u200a=\u200a0.56) for the general public post intervention. Improvements to attitudes were also observed in the CHWs, but the effect sizes were typically smaller. Conclusions: The intervention was accessible and feasible in rural Kenya, while also showing preliminary benefits to stigma related outcomes. The findings indicate that culturally sensitive interventions can be delivered in a pragmatic and context specific manner, thus filling an important knowledge gap in addressing stigma in low-resource settings. Future research is needed to ascertain the intervention\u2019s long-term benefits and whether it tackles important behavioral outcomes and beliefs deeply ingrained within communities.<\/jats:p>","DOI":"10.3233\/jad-240192","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T11:54:34Z","timestamp":1718970874000},"page":"699-711","source":"Crossref","is-referenced-by-count":6,"title":["Acceptability and Feasibility of a Community Dementia Stigma Reduction Program in Kenya"],"prefix":"10.1177","volume":"100","author":[{"given":"Christine W.","family":"Musyimi","sequence":"first","affiliation":[{"name":"Africa Mental Health Research and Training Foundation, Nairobi, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Levi A.","family":"Muyela","sequence":"additional","affiliation":[{"name":"Africa Mental Health Research and Training Foundation, Nairobi, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David 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