Dementia primary prevention policies and strategies and their local implementation: A scoping review using England as a case study
Open accessAbstract
BACKGROUND: Understanding the policy context and how policy is implemented at the local and clinical level is an important precursor to developing preventive strategies focusing on dementia risk reduction in primary healthcare settings. OBJECTIVE: Using England as a case study, we review policies and strategies relevant to dementia prevention from the national to local level and how these are translated into primary healthcare services. METHODS: We conducted a scoping review covering: 1) identification of national, regional, and local policies and strategies that include dementia prevention; 2) identification of national guidelines for implementing dementia prevention at the clinical level; and 3) evaluation of the implementation of these at the clinical level. RESULTS: Dementia prevention is addressed in national policy, and this filters through to regional and local levels. Focus on dementia prevention is limited and variable. Reference to modifiable risk factors is associated with other non-communicable diseases, placing less emphasis on factors more dementia specific. Evidence of implementation of dementia prevention policies at the clinical level is limited and inconsistent. Available evidence suggests messages about dementia prevention may best be delivered through primary healthcare services such as the National Health Service (NHS) Health Check. CONCLUSION: The limitations identified in this review could be addressed through development of a national policy focused specifically on dementia prevention. This could provide a platform for increasing knowledge and understanding among the general population and healthcare professionals. It would be important for such a policy to cover the full range of modifiable risk factors relevant to dementia.
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There was a tendency for the included guidelines to focus on risk factors common to other noncommunicable diseases, thereby overlooking risk factors such as low mental and social activity.
“As in an earlier review of dementia risk reduction guidelines [35], there was a tendency for guidelines to focus on risk factors that were common to other noncommunicable diseases, thereby overlooking risk factors such as low mental and social activity.”
From Dementia Risk Reduction in Primary Care: A Scoping Review of Clinical Guidelines Using a Behavioral Specificity Framework (2022) · cites this paper as [35]
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- Authors
- Collins, R., Silarova, B., & Clare, L.
- Affiliations
- University of Exeter (GB)
- Centre for Research in Ageing and Cognitive Health (REACH), University of Exeter, St Luke’s Campus, Exeter, UK
- Corresponding author
- Collins, Rachel
- Venue
- Journal of Alzheimer’s Disease
- Publisher
- SAGE Publications
- Published
- 2018-11-28
- Volume
- 70
- Issue
- s1
- Pages
- S303-S318
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- PMC
- PMC6700624
- OpenAlex
- W2903333230
- Cited by
- 37
- References
- 45
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 10 · 2023: 1 · 2022: 8 · 2021: 2 · 2020: 5 · 2019: 2 · 2018: 1
- FWCI
- 0.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Alzheimer s Disease (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Kent Academic Repository (University of Kent) (acceptedVersion)
- Open Research Exeter (University of Exeter) (acceptedVersion, cc-by-nc)
- Figshare (submittedVersion)
- Funders
- National Institute for Health and Care Research (NF-SI-0616-10088)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Keywords
- dementia prevention
- MeSH terms
- Dementia, England, Health Policy, Humans, Primary Health Care, Primary Prevention, State Medicine, Risk Reduction Behavior
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