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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Levels of Health Promotion and Illness Prevention01:26

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Healthcare Agencies II01:17

Healthcare Agencies II

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Updated: Jan 8, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Public Health.

Mark A Espeland1, Heather M Snyder2, Laura D Baker3

  • 1Wake Forest School of Medicine, Winston-Salem, NC, USA.

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|December 23, 2025
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Summary
This summary is machine-generated.

The U.S. POINTER trial investigated lifestyle interventions for cognitive decline in older adults. Results will show if physical activity, diet, and cognitive training can protect brain health and reduce dementia risk.

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Area of Science:

  • Neurology
  • Public Health
  • Gerontology

Background:

  • The U.S. Study to Protect Brain Health through Lifestyle Intervention to Reduce Risk (U.S. POINTER) is a Phase 3 trial.
  • It assesses lifestyle interventions in older adults at risk for cognitive decline.
  • The study aims to generalize FINGER trial findings to a diverse U.S. population.

Purpose of the Study:

  • To evaluate the impact of two multidomain lifestyle interventions on cognitive function in at-risk older adults.
  • To test the generalizability of the FINGER study's lifestyle intervention model in the U.S.
  • To provide evidence for public health initiatives targeting Alzheimer's disease and related dementias.

Main Methods:

  • A 2-year randomized controlled trial involving 2,111 participants aged 60-79.
  • Two intervention arms: Structured (STR) and Self-Guided (SG), both targeting physical activity, nutrition, cognitive/social engagement, and cardiometabolic risk.
  • Primary outcome: change in global cognition; secondary outcomes: domain-specific cognition, functional ability, frailty, and subgroup analyses.

Main Results:

  • High retention (>94%) and adherence were achieved in a diverse cohort (31% minoritized ethnoracial groups).
  • Topline findings on intervention effects for primary and secondary cognitive outcomes will be presented.
  • Participant testimonials will offer insights into trial experiences.

Conclusions:

  • U.S. POINTER successfully recruited and retained a diverse, at-risk cohort for a large-scale lifestyle intervention trial.
  • Topline results are expected to offer crucial evidence on the efficacy of multidomain lifestyle interventions for cognitive health in older U.S. adults.
  • Findings have the potential to inform public health strategies for reducing dementia risk.