Lifestyle factors are among the most important modifiable risk factors for dementia, and primary prevention through lifestyle interventions is considered the most cost-effective approach to reducing the incidence of dementia. However, traditional face-to-face interventions have limitations that hinder large-scale implementation. With the development of primary healthcare systems, the delivery of simple, feasible, and brief lifestyle interventions within primary care settings offers a promising avenue for the continuous management and early prevention of dementia risk in older adults.
In this study, brief lifestyle interventions were administered to older adults at risk of dementia by registered physicians at community health service centers.
Age ≥ 60 years
CAIDE dementia risk score ≥ 6
Possessing basic comprehension and verbal expression abilities
Voluntarily participating in the study and signing the informed consent form
Individuals already diagnosed with dementia
individuals with severe heart, liver, or kidney disease
individuals with severe chronic diseases and comorbidities (e.g., congestive heart failure, or hypertension or diabetes with severe complications)
individuals with severe visual or hearing impairment.
Single group
Brief lifestyle intervention
BehavioralPrimary care physicians provide brief lifestyle interventions to older adults at risk of dementia
Lifestyle Scale for Reducing Dementia Risk
Scale of Motivation to Change Lifestyle and Health Behaviors to Reduce Dementia Risk
Adherence-related outcomes
Adherence-related outcomes included rates of intervention receipt, retention, protocol adherence, and session attendance
Readiness to change behaviour
4 for "Already working on improvement," 3 for "Intending to improve," 2 for "No intention to improve," and 1 for "No improvement needed."
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