Dementia in the News; Hope, Hype and Hard Truths

Every few weeks a new headline appears claiming a “breakthrough” in dementia. It might be a “simple test” that promises to diagnose Alzheimer’s years in advance, or a “new drug” that could stop memory loss in its tracks. For families living with dementia, these headlines can feel like a lifeline. Unfortunately, too often they are a mirage.

Consider the story that recently declared, “Early Alzheimers brainwave test detects memory decline years before diagnosis.” It sounds miraculous. However, every part of that headline is misleading. The researchers themselves were cautious. They said, “The prognostic value remains to be established but its passive, objective properties give it significant potential as a diagnostic tool and its use of cheap portable technology brings significant practical advantages.” That is scientist language for: we do not know yet if this will work, but it is an interesting idea.

The headline spoke about Alzheimer’s. The study did not. It followed only about one hundred people, half of whom already had memory problems, for a single year. Out of that small group, the test seemed to identify a decline in six individuals. Memory decline is not the same as Alzheimer’s disease. Many people with Alzheimer’s never show obvious memory loss. Many people with memory decline never have Alzheimer’s. A one year follow does not entitle you to claim it revealed something “years before diagnosis.” It is a pilot study, not a breakthrough.

This pattern is repeated again and again. Scientists conduct careful work, often with small numbers, short time frames, or laboratory models. They publish cautiously worded papers. University press offices write a more eye catching press release. Journalists, under pressure to deliver clickable content, turn it into a headline that over promises. By the time it reaches the general public, the story has become something no scientist actually claimed.

The problem is not just academic. False hope can cause real harm. Families affected by dementia are desperate for answers. They may pursue private tests or experimental treatments that offer more risk than benefit. People without dementia may believe that prevention is just around the corner, and ignore the hard but proven actions they can take now to reduce risk. These include staying physically active, eating well, stopping smoking, managing blood pressure, and remaining socially connected.

Another issue is balance. Dementia stories on television often focus on a single emotional angle. A well known presenter talks about a parent’s decline. A celebrity joins a choir with people who have dementia. A production team pairs people with dementia with children in a nursery, or with strangers in a café. These programmes raise awareness, and they can be moving. However, they often oversimplify. They may reinforce the idea that dementia is only about memory. They may suggest that music “reverses” the condition. They may imply that kindness alone is enough to make life better. The daily grind of care, the exhaustion of families, and the failures of services are much harder to package as entertainment.

So how should we approach dementia in the news? With curiosity, but also with scepticism. Ask questions. How many people were in the study? How long were they followed up? Was the work carried out in animals or in humans? Did the researchers really claim what the headline suggests? Is this a first step, or a proven treatment? The answers are usually in the small print.

Above all, we need better conversations. Researchers, press officers, journalists, and advocates all have a role. Scientists should complain about exaggerations in the reporting of their own papers. Universities should take care that press releases do not go beyond the evidence. Journalists should resist the temptation to turn tentative findings into cures. Readers, especially those personally touched by dementia, should feel empowered to challenge misleading claims.

Dementia is real. It is often devastating. It is also complex, and progress to a cure is slow. When there is good news, such as better support for carers or genuine improvements in diagnosis and treatment, it should be shared with honesty. What families deserve is not hype, but truth.

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Prof. June Andrews

“Professor June Andrews FRCN FCGI is an inspirational woman whose impact on healthcare in the UK, and further afield, is considerable. She works independently to improve dementia care and health and social care of older people.”

https://juneandrews.net
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