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Brain Health and Dementia Prevention: A Mixed-method Analysis

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Objective: In this study, we assessed patient knowledge, beliefs, and attitudes about brain health and strategies for Alzheimer's disease and related dementias (ADRD) prevention. Methods: We administered a Web-based survey consisting of 17 questions about brain health and strategies for ADRD prevention in a convenience sample of 1661 patients in an integrated healthcare delivery system in Washington state between February and March 2018. We calculated frequency distributions of the quantitative data and conducted inductive content analysis of qualitative data. Results: Most respondents were female (77%), 51-70 years of age (64%), and white (89%). Although most agreed it is possible to improve brain health and reduce personal ADRD risk, one- third lacked confidence that they could take action to reduce personal ADRD risk. Participants' responses to open-ended questions revealed 10 themes grouped into 3 organizing categories regarding their perceptions about how to prevent ADRD onset: (1) understand ADRD; (2) stay engaged; and (3) manage one's own health and healthcare. Conclusions: Survey respondents were engaged and aware of dementia prevention, but they lacked access to personally action- able evidence..
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Keywords: AGING; DISEASE PREVENTION; GERONTOLOGY; HEALTH PROMOTION; NEUROLOGICAL DISORDERS; PUBLIC HEALTH

Document Type: Research Article

Affiliations: 1: Assistant Professor, Department of Pharmacy, University of Washington, School of Pharmacy, Seattle, WA;, Email: [email protected] 2: Fel- low, Fred Hutch Biobehavioral Cancer Prevention & Control 3: Professor, Department of Pharmacy, University of Washington, School of Pharmacy, Seattle, WA 4: Research Assistant Professor, Department of Pharmacy, University of Washington, School of Pharmacy, Seattle, WA 5: Professor, Department of Internal Medicine, University of Washington, School of Medicine, Seattle, WA 6: Executive Director and Senior Investigator, Kaiser Permanente Washington Health Research Institute, Seattle, WA

Publication date: March 1, 2019

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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