The African and Caribbean Elders (ACE) Study

  • Research type

    Research Study

  • Full title

    Understanding the support needs of African and African-Caribbean people living with dementia, their care partners and families and the impacts of delayed support: identifying inclusive strategies to facilitate timely and culturally appropriate social care support.

  • IRAS ID

    342835

  • Contact name

    Shadreck Mwale

  • Contact email

    shadreck.mwale@uwl.ac.uk

  • Sponsor organisation

    University of West London

  • Duration of Study in the UK

    2 years, 5 months, 30 days

  • Research summary

    This study focusses on understanding the experiences of support seeking, from the
    perspectives of African and African Caribbean (AAC) people living with dementia (PLWD), their care partners and families, and how their support needs are understood, become recognised, and responded to, by social and community services (Social Workers and Crisis Intervention Teams).

    AAC PLWD have historically experienced significant discrimination and health inequalities, are at high risk of experiencing failings in care, poor health outcomes, and face significant barriers in accessing health and social care support. We know services recognise the support needs of AAC PLWD far later than White PLWD, meaning they receive support from services only once their dementia is more advanced, when they and their families are unable to cope, are distressed, or need urgent care. This delay means missed opportunities for support at home, increasing the person’s risk of institutionalisation.

    Presently, no research has focussed on asking AAC PLWD, their care partners and families about their experiences of accessing support. This knowledge is vital to design and deliver services that recognise and respond to the needs of this vulnerable population.

    Study Design:
    (1) We will review existing research to identify what is already known about how this population access and are recognised by services. This will be co-produced with AAC PLWD, carers and families, ensuring it focusses on priorities relevant to them.

    (2) We will talk to AAC PLWD (N=40), their care partners and families over a period of 6 months to understand experiences of support seeking and services.

    (3) We will observe team and case meetings of social care professionals (15 per site) and community teams (3 per site) serving these communities (N=120days), to understand how services recognise and assess the needs of AAC PLWD, care partners, and families, and how they make decisions about care.

  • REC name

    West Midlands - Coventry & Warwickshire Research Ethics Committee

  • REC reference

    25/WM/0094

  • Date of REC Opinion

    26 Jun 2025

  • REC opinion

    Further Information Favourable Opinion