Shifting the paradigm from person‐centered to Indigenous‐centered: A qualitative study to inform a framework for culturally appropriate approaches to dementia care in Alberta, Canada

Abstract INTRODUCTION Dementia prevalence in Indigenous populations worldwide is increasing at disproportionately higher rates compared to non‐Indigenous populations, and current care systems are insufficient. This project developed a foundational understanding of Indigenous‐centered approaches to dementia care provision in Alberta, Canada. Methods Using a Métis Indigenous visiting methodology (Keeoukaywin), qualitative semi‐structured interviews were completed with 12 participants, including Indigenous People living with dementia, care partners, and community members. Reflexive thematic analysis was used to generate a framework from the data. Results The analysis generated three key themes: relationality, being well, and safety, intersecting across social, cultural, and physical subthemes. Important aspects included embodied relationality, being well holistically, social relationships and culture, and stigma awareness surrounding dementia. Consideration of cultural safety was mentioned by all participants. Discussion Centering the voices of Indigenous People is crucial to inform the development of dementia care interventions that are culturally appropriate to lead to improved health outcomes. Highlights Current models of dementia care are not culturally appropriate for Indigenous Peoples. Indigenous experiences and voices can meaningfully inform a conceptual framework to improve the design and delivery of dementia care. A framework centered around the core domains of relationality, being well, and safety, combined with social, cultural, and physical intersections, can improve care provision for Indigenous People living with dementia.