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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
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    The Richmond Brain Health Initiative (RBHI) addresses dementia disparities in diverse communities by establishing local services. This model improved access to brain health resources and screenings for Alzheimer's disease and related dementias.

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    Area of Science:

    • Neuroscience
    • Public Health
    • Gerontology

    Background:

    • Addressing Alzheimer's/Dementia health disparities in diverse communities.
    • Identifying and filling local brain health service gaps.

    Purpose of the Study:

    • Establish the Richmond Brain Health Initiative (RBHI).
    • Incorporate community and provider stakeholder input.
    • Develop and test community brain health screening and intake processes.

    Main Methods:

    • Utilized Plan-Do-Study-Act cycles with stakeholder questionnaires.
    • Gathered feedback from 15 providers and 20 community members.
    • Developed and piloted RBHI screening/intake with 45 community participants.

    Main Results:

    • High demand for local brain health services, particularly for caregiving, cognitive status, and lifestyle risks.
    • Prevalent risk factors: hypertension (62%), depression/anxiety (56%), loneliness (44%).
    • Identified cognitive (Montreal Cognitive mean: 18.4) and functional deficits (Functional Activities mean: 14.9), with 73% reporting subjective cognitive decline.

    Conclusions:

    • Demonstrated a viable model for promoting brain health in diverse populations.
    • Enhanced access to Alzheimer's disease and related dementia services.
    • Provided a framework for community-centered brain health initiatives.