EarlyMind‐ID: Co‐designing an Early‐Signs Informant‐Based Checklist and Tracking Framework for Dementia in Adults With Intellectual Disabilities

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Autori principali: Acton Daniel, Waites Robert, Duncan Caroline, Lane Steven, Jaydeokar Sujeet
Natura: Artículo Open Access
Pubblicazione: Wiley 2026
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author Acton Daniel
Waites Robert
Duncan Caroline
Lane Steven
Jaydeokar Sujeet
author_facet Acton Daniel
Waites Robert
Duncan Caroline
Lane Steven
Jaydeokar Sujeet
Acton Daniel
Waites Robert
Duncan Caroline
Lane Steven
Jaydeokar Sujeet
collection Wiley Open Access
contents EarlyMind‐ID: Co‐designing an Early‐Signs Informant‐Based Checklist and Tracking Framework for Dementia in Adults With Intellectual Disabilities Acton Daniel Waites Robert Duncan Caroline Lane Steven Jaydeokar Sujeet British Journal of Learning Disabilities ABSTRACT Background Adults with intellectual disabilities, particularly those with Down's syndrome, are at increased risk of developing dementia, yet early changes are often subtle and first noticed by family members or paid support staff rather than clinicians. While validated diagnostic instruments exist, they are designed for specialist assessment and serve a different purpose from routine caregiver observation and documentation. Methods Using an iterative co‐design approach, we combined an updated review of existing instruments, secondary analysis of lived‐experience data, discussion groups, consensus workshops, and qualitative usability feedback involving people with intellectual disabilities, family carers, paid support staff and clinicians. Findings Co‐design identified priority domains reflecting functional, behavioural, emotional and communication changes that may precede diagnosis, particularly among people with Down's syndrome. A 14‐item informant‐based checklist and tracking framework were developed. Face and content validity were supported through stakeholder review. Users estimated completion time at 10–15 min and reported good acceptability and usability. Conclusion EarlyMind‐ID represents a co‐designed, early‐stage checklist and tracking framework intended to support caregiver observation alongside existing diagnostic assessment processes. Further work is required to examine feasibility, implementation and measurement properties before any clinical application. 10.1111/bld.70049 http://creativecommons.org/licenses/by/4.0/
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spellingShingle EarlyMind‐ID: Co‐designing an Early‐Signs Informant‐Based Checklist and Tracking Framework for Dementia in Adults With Intellectual Disabilities
Acton Daniel
Waites Robert
Duncan Caroline
Lane Steven
Jaydeokar Sujeet
British Journal of Learning Disabilities
EarlyMind‐ID: Co‐designing an Early‐Signs Informant‐Based Checklist and Tracking Framework for Dementia in Adults With Intellectual Disabilities Acton Daniel Waites Robert Duncan Caroline Lane Steven Jaydeokar Sujeet British Journal of Learning Disabilities ABSTRACT Background Adults with intellectual disabilities, particularly those with Down's syndrome, are at increased risk of developing dementia, yet early changes are often subtle and first noticed by family members or paid support staff rather than clinicians. While validated diagnostic instruments exist, they are designed for specialist assessment and serve a different purpose from routine caregiver observation and documentation. Methods Using an iterative co‐design approach, we combined an updated review of existing instruments, secondary analysis of lived‐experience data, discussion groups, consensus workshops, and qualitative usability feedback involving people with intellectual disabilities, family carers, paid support staff and clinicians. Findings Co‐design identified priority domains reflecting functional, behavioural, emotional and communication changes that may precede diagnosis, particularly among people with Down's syndrome. A 14‐item informant‐based checklist and tracking framework were developed. Face and content validity were supported through stakeholder review. Users estimated completion time at 10–15 min and reported good acceptability and usability. Conclusion EarlyMind‐ID represents a co‐designed, early‐stage checklist and tracking framework intended to support caregiver observation alongside existing diagnostic assessment processes. Further work is required to examine feasibility, implementation and measurement properties before any clinical application. 10.1111/bld.70049 http://creativecommons.org/licenses/by/4.0/
title EarlyMind‐ID: Co‐designing an Early‐Signs Informant‐Based Checklist and Tracking Framework for Dementia in Adults With Intellectual Disabilities
topic British Journal of Learning Disabilities
url https://onlinelibrary.wiley.com/doi/10.1111/bld.70049