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An integrative review of empirical literature on indigenous cognitive impairment and dementia.

AIMS
To synthesize research findings about Indigenous perspectives on cognitive impairment and dementia.


DESIGN
Whittemore and Knafl's updated approach to integrative review and PRISMA guidelines for narrative analysis was followed.


DATA SOURCES
A systematic search of the published literature from 2010-June 2020 was undertaken in four databases and complemented by supplementary searches.


REVIEW METHODS
Thirty-four studies met the research question and inclusion criteria.


RESULTS
Four themes describe the findings. Most of the studies were conducted by non-Indigenous researchers and may reflect Western perspectives on dementia rather than Indigenous views. A majority of the studies report epidemiological data or the testing of clinical tools.


CONCLUSION
The review indicates a dearth of knowledge about Indigenous perspectives on ageing and understanding of cognitive impairment and dementia. Researchers need to draw on Indigenous traditional knowledge, culture, and traditions through a meaningful engagement with Indigenous communities and Elders to indigenize and decolonize dementia care.


IMPACT
This integrative review highlights the need for community-led discussions and community engagement around Indigenous perspectives, needs, and understandings of ageing, cognitive impairment, and dementia care.