Dementia Friendly Communities and Older Adults Living with Dementia in the United States: An Integrative Review

Little is known about the development, implementation, and sustainability of Dementia-Friendly Communities (DFCs) in the U.S., designed to enable people living with dementia to maintain dignity, participate in community life, and access needed services. This integrative review synthesizes evidence from 17 articles (2015-2024), examining DFC stakeholders, strategies, and barriers. Findings highlight DFCs as multi-sector collaborations that enhance well-being through person-centered design, social inclusion, and caregiver support. However, challenges such as funding shortages and rural service gaps persist. Addressing these requires sustainable funding, cross-sector partnerships, targeted rural strategies, and public education to promote equity in dementia care and engagement.