{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:16:41Z","timestamp":1792048601556,"version":"4.4.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>People with dementia and their caregivers regularly face unmet needs, not only in dementia care, but also in self-care, education, training, and the use of digital tools. National dementia policies, clinical guidelines, and best practices can improve dementia care and quality of life across Europe. This study examined how far current national guidelines and good practices address these domains, and where important gaps remain. The objective was to identify unmet needs in national guidelines and good practices on self-care, education and training, and digital tools for people with dementia and their caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-country comparative analysis in countries participating in the JADE Health collaboration: Bulgaria, Croatia, Denmark, Germany, Latvia, Lithuania, Poland, Spain, and Ukraine. Country partners provided national and regional dementia guidelines and descriptions of good practices, which were systematically reviewed and compared against selected best practices from the EU Best Practice Portal, focusing on alignment and gaps in the three domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found substantial variation between countries in the maturity, scope, and implementation of dementia guidelines and good practices. Some countries, such as Denmark and Germany, have relatively advanced policy frameworks and clinical guidance, while others, such as Croatia, rely on promising but regionally limited programs, and several, including Bulgaria and Latvia, still depend on fragmented services. Across all countries, integrated approaches that combine structured self-care support, systematic education and training, and scalable digital tools were rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Best practices explicitly addressing self-care, education and training, and digital tools remain limited and unevenly implemented. Strengthening and disseminating such practices is essential to guide the further development of dementia care across Europe and to reduce persistent unmet needs among people with dementia and their caregivers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1869995","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:45:09Z","timestamp":1784695509000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["National guidelines and good practices on unmet needs in self-care, education, training, and digital tools in person-centered dementia care models across Europe\u2013a cross-country comparative analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Nadia","family":"Blecha","sequence":"first","affiliation":[{"name":"German Center for Neurodegenerative Diseases (DZNE)","place":["Greifswald, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna-Karin Holst","family":"Johannsen","sequence":"additional","affiliation":[{"name":"Center for Assisted Living Technology, Health and Care Department","place":["Aarhus, Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Ku\u017ama-Kozakiewicz","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical University of Warsaw","place":["Warsaw, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawel","family":"Cwiek","sequence":"additional","affiliation":[{"name":"Institute of Biochemistry and Biophysics, Polish Academy of Sciences","place":["Warsaw, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz J.","family":"Sarnowski","sequence":"additional","affiliation":[{"name":"Institute of Biochemistry and Biophysics, Polish Academy of Sciences","place":["Warsaw, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Danusevi\u010diene","sequence":"additional","affiliation":[{"name":"Mental Health Division, Lithuanian University of Health Sciences (LSMU)","place":["Kaunas, Lithuania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariia","family":"Rosol","sequence":"additional","affiliation":[{"name":"Public Health Center of the Ministry of Health of Ukraine","place":["Kyiv, Ukraine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Latchezar","family":"Trayko","sequence":"additional","affiliation":[{"name":"Clinic of Neurology, University Hospital Alexandrovska","place":["Sofia, Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shima","family":"Mehrabian","sequence":"additional","affiliation":[{"name":"Clinic of Neurology, UH \u201cAlexandrovska\u201d, Medical University\u2013Sofia","place":["Sofia, Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natko","family":"Gere\u0161","sequence":"additional","affiliation":[{"name":"Croatian Institute of Public Health (CIPH)","place":["Zagreb, Croatia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karmen Korda","family":"Orlovi\u0107","sequence":"additional","affiliation":[{"name":"Croatian Institute of Public Health (CIPH)","place":["Zagreb, Croatia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zane Anna","family":"Litauniece","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Riga East University Hospital, R\u012bga Stradi\u0146\u0161 University","place":["Riga, Latvia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria Moreno","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Foundation for the Training and Research of Health Professionals of Extremadura","place":["Extremadura, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birut\u0117","family":"Bartkevi\u010di\u016bt\u0117","sequence":"additional","affiliation":[{"name":"Mental Health Division, Lithuanian University of Health Sciences (LSMU)","place":["Kaunas, Lithuania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen Ren\u00e9","family":"Thyrian","sequence":"additional","affiliation":[{"name":"German Center for Neurodegenerative Diseases (DZNE)","place":["Greifswald, Germany"]},{"name":"Institute for Community Medicine, University Medicine Greifswald","place":["Greifswald, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"119","DOI":"10.5582\/bst.2022.01042","article-title":"The management of dementia worldwide: a review on policy practices, clinical guidelines, end-of-life care, and challenge along with aging 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