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Related Experiment Video

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Supporting Individuals With Cognitive Impairment and Family Members in Rural Communities: Protocol for a Mixed

Eric S Cerino1,2, Megan C McCoy3, Margarita Martinez3

  • 1Department of Psychological Sciences, College of Social and Behavioral Sciences, Northern Arizona University, 1100 S. Beaver Street, Flagstaff, AZ, 86011, United States, 1 9285232662.

JMIR Research Protocols
|October 6, 2025
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Summary
This summary is machine-generated.

This study introduces the Northern Arizona Memory Study (NAZMS) protocol to support rural families at risk for Alzheimer disease and related dementias (ADRD). Findings will inform culturally tailored digital interventions for cognitive health in underserved communities.

Keywords:
caregivingcognitive impairmentcommunity-based participatory researchcommunity-engaged researchdementiadigital healthmild cognitive impairmentmixed methodsrural healthsubjective cognitive decline

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Area of Science:

  • Gerontology
  • Public Health
  • Digital Health

Background:

  • Alzheimer disease and related dementias (ADRD) disproportionately affect rural populations due to geographic barriers to care.
  • Limited resources exist for culturally diverse rural care dyads, hindering early detection of mild cognitive impairment (MCI) and subjective cognitive decline (SCD).

Purpose of the Study:

  • To introduce the Northern Arizona Memory Study (NAZMS) protocol.
  • To develop culturally informed and scalable resources for identifying and supporting rural families at risk for ADRD.
  • To address dementia risk and promote cognitive health in rural communities.

Main Methods:

  • A mixed-methods, digital health approach was employed.
  • Rural care dyads with MCI or SCD were recruited and interviewed about technology preferences.
  • Participants completed baseline questionnaires and a 14-day mobile protocol with daily surveys and cognitive assessments.

Main Results:

  • Qualitative data identified dyad preferences for intervention development.
  • Quantitative data will specify individual and daily factors related to cognitive health.
  • The study aims to identify modifiable protective and risk factors influencing cognitive health.

Conclusions:

  • The NAZMS study utilizes a mixed-methods, digital health approach to support rural families at risk for ADRD.
  • Findings will inform culturally tailored interventions and digital assessments for cognitive health in rural areas.
  • The study addresses national priorities in ADRD research and supports rural Arizonans.