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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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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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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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Public Health.

Maria Bunyan1, Philip Vassilev2, Jennifer H Barnett3

  • 1University of Oxford, Oxford, Oxford, United Kingdom.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
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Summary
This summary is machine-generated.

Older age, female sex, and healthier baseline lifestyles predict higher engagement with digital dementia prevention apps. Virtual clinician sessions did not significantly impact long-term app usage in this study.

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Area of Science:

  • Gerontology
  • Digital Health
  • Dementia Prevention

Background:

  • 45% of dementia cases are potentially modifiable through lifestyle interventions.
  • Digital delivery of lifestyle interventions offers accessibility and scalability.
  • Long-term participant engagement is crucial for the success of digital health interventions.

Purpose of the Study:

  • To evaluate the long-term engagement with a digital lifestyle intervention (Five Lives app).
  • To assess the impact of demographic factors and virtual clinician sessions on engagement.
  • To understand factors influencing sustained use of digital tools for dementia risk reduction.

Main Methods:

  • A randomized controlled trial involving 154 participants aged 50-69 with normal cognition.
  • Four groups: control, app-only, app + 1 virtual clinic session, app + 3 virtual clinic sessions.
  • Intervention included a digital dementia risk assessment and a 12-week digital coaching program.

Main Results:

  • Engagement was predicted by participant age, sex, and baseline lifestyle score.
  • Older, female participants with healthier lifestyles completed more activities.
  • Engagement declined over 12 weeks across all intervention groups, with no significant difference based on virtual clinic sessions.

Conclusions:

  • The digital lifestyle intervention is accessible but long-term engagement is variable.
  • Participant baseline characteristics, not virtual clinic sessions, influenced long-term engagement.
  • Further research is needed to optimize digital interventions for sustained engagement and lifestyle change in older adults at risk for dementia.