Barriers and Facilitators for Implementing a Dementia Family Caregiver Support Strategy Among Latinos in Primary Care

Latino family caregivers of people with dementia face significant challenges and limited access to support. Community health workers (CHWs) may help deliver culturally tailored education in primary care settings. This qualitative study explored barriers and facilitators to implementing ¡Unidos Podemos! a caregiver support intervention using a comic-style educational booklet, group discussions, and follow-up calls by CHWs. We conducted interviews with 20 CHWs, primary care providers, and clinic staff across the U.S. and analyzed transcripts using deductive methods guided by the Consolidated Framework for Implementation Research. Twenty-one themes emerged across five domains, highlighting enthusiasm for the intervention and its simplicity, particularly the booklet format. Participants recommended addressing logistical challenges including reimbursement for group sessions, staff training, and support infrastructure. Findings offer practical insights to inform future implementation strategies, supporting the integration of CHWs into dementia care for Latino families in primary care.