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Published on: June 26, 2013
Collective efficacy and community readiness for dementia prevention: a spatial spillover analysis
Duan-Rung Chen1, Chun-Tung Kuo2, Tzu-Chin Wu3
1Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei; Population Health Research Center, College of Public Health, National Taiwan University, Taipei.
Geospatial Health
|June 8, 2026
Summary
Community readiness for dementia prevention in Taiwan is linked to social cohesion and existing programs. Collective efficacy and proactive engagement are key for tailored, community-based strategies to combat this growing public health challenge.
Area of Science:
- Public Health
- Gerontology
- Sociology
Background:
- Dementia poses a significant public health challenge in Taiwan, exacerbated by an aging population.
- Assessing community readiness is crucial for developing effective dementia prevention strategies.
Purpose of the Study:
- To systematically assess community readiness for dementia prevention using the Community Readiness Model (CRM).
- To examine the association between collective efficacy (social cohesion and capacity for action) and dementia prevention readiness.
Main Methods:
- Cross-sectional survey of 3,129 community leaders in Taipei City (447 valid responses from 288 communities).
- Spatial lag regression analysis to identify predictors of community readiness.
- Assessment of spatial spillover effects on readiness across neighboring communities.
Main Results:
- Willingness to intervene, social cohesion, and prior dementia prevention programs were significant positive predictors of community readiness.
- Spatial spillover effects for social cohesion and prior programs suggested influence on neighboring communities.
- Higher proportions of residents aged 85+ correlated with lower readiness; average income was not a significant predictor.
Conclusions:
- Collective efficacy and prior dementia prevention efforts are associated with higher community readiness.
- Community-based strategies fostering social cohesion and proactive engagement are essential.
- Addressing spatial disparities is vital for effective dementia prevention initiatives.
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