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Program
• Mind your Mind – a brief overview
• Evidence based research – what does it show?
• The National Strategy
• Panel – unique contributions from across the nation
• Questions and Comments from the audience
Mind your Mind®
Seven Signposts
Mind your Brain
Mind your Body
Mind your Diet
Mind your Health Checks
Mind your Social Life
Mind your Habits
Mind your Head
5WWW.VU.EDU.AU
Jocelyn Angus Ph.D - Victoria University
Jane Sims Ph.D - Monash University
Susan Feldman Ph.D – Monash University
Harriet Radermacher Ph.D – Monash University
DEMENTIA RISK REDUCTION
STRATEGIESAN EVIDENCE-BASED
APPROACH2007 ALZHEIMER’S AUSTRALIA CONFERENCE
6
Victoria University acknowledges the input, support and funding from Alzheimer's Australia (VIC) for this Project.
Further reading:Angus, J., Sims, J., Feldman, S. & Radermacher, H. 2007. Can other key national health priority areas inform community-based intervention strategies to reduce the risk of dementia? A review of the evidence. For publication.Angus, J., Sims, J., Radermacher, H. & Feldman, S. 2007. The effectiveness of social marketing in community awareness of public health issues: Implications for dementia-risk reduction. For publication.For further information : [email protected]
DEMENTIA
RISKREDUCTION
Acknowledgements
7
• A limited but accelerating body of research supports a range of lifestyle strategies aimed at lowering the community’s dementia risk
• Very limited empirical evidence concerning dementia community intervention strategies
• Increasing demand for awareness and knowledge of dementia across the community
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Background to Project
8
• Identify national health priority areas that have high effectiveness in preventative community intervention strategies
• Explore key determinants & options that have the highest utility for dementia risk reduction strategies in the Australian community
• To identify the importance of social marketing & the mass media for dementia risk reduction strategies
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Aims
9
Extensive and systematic search of:
• Electronic databases and published sources
• Websites of key organizations
• Reference lists of existing reviews and RCT’ s
In addition:
• Interviews with representatives from major peak body organisations
• The search strategy was devised and refined in conjunction with an expert advisory group
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Research Methods
10
• Cardiovascular risk factors
• Diabetes prevention
• Screening for cancers
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
National Health Priority Community Intervention Strategies Targeted for Dementia Risk Reduction
11
• Most cases of dementia have a common vascular pathology
• Intervention strategies directed towards vascular risk factors could make a significant impact on delaying the onset of ‘mixed state’ dementia syndromes
• Strategies categorizing the risk factors of dementia according to upstream, midstream and downstream variables may provide a useful framework
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Heart Promotion Strategies Can Inform Dementia Risk
12
Current evidence in diabetes intervention strategies suggests the need to ‘centre’ community participation at multiple levels directed towards:
• Risk reduction and/or • The advantages of early diagnosis
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Diabetes Interventions Can Inform Dementia Risk
13
• Research evidence related to improving screening rates to reduce the risk of cancer is likely to offer greater insight for dementia risk reduction
• Valid and cost efficient methods to screen people for risk factors associated with cognitive impairment is an important first step towards effective risk reduction of dementia
• Screening for early stage dementia has important implications for the identification of existing risk factors such as diabetes that may delay the progress of dementia
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Cancer Interventions Can Inform Dementia Risk
14
Targeting:
• Overweight children, young people and adults to reduce weight and risk of high blood pressure. Middle aged men and older people with existing hypertension.
• Those with high fat diets, low intake of vegetable and omega-3 fats or with high serum cholesterol and low HDL cholesterol levels
• Type II diabetics and those at high risk
• Possibly those at risk of depression - young men, older men, new mothers, carers and those with existing depression
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
A life course approach to community education
15
• The role of Collaborative Partnerships
• Community Development and Engagement
• Health Promotion Settings
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Key contextual determinants for effective Community Education Programs
16
• ‘Piggy back’ onto existing health promotion programs • Identify the most important risk factors & develop a focused dementia risk reduction
program• Focus on particular ‘at risk’ population group and identify the dementia risk reduction
strategy.
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Options for Dementia Risk Reduction Strategies
17
The key message is:
• target specific communities and settings with appropriate and tailored message
• provide repeated, sustained exposure to maximise their impact
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
The importance of Social Marketing
18
• Leading outlet for informing the public about health issues• Positive impact on the uptake of health services and healthy behaviours• Significant impact when complemented by other collateral efforts to reduce
barriers to behaviour change• Needs to be of sufficient duration, reach and quality to compete successfully with
other paid advertising and product-induced behaviour change
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
The role of the Mass Media
19
• Transferability of findings to dementia risk reduction remains to be empirically tested
• Evidence would suggest that dementia risk reduction interventions are required at an individual, community and population levels
COMMUNITY EDUCATION DEMENTIA
RISKREDUCTION
Conclusion
20WWW.VU.EDU.AU
Jocelyn Angus Ph.D - Victoria University
Jane Sims Ph.D - Monash University
Susan Feldman Ph.D – Monash University
Harriet Radermacher Ph.D – Monash University
DEMENTIA RISK REDUCTION
STRATEGIESAN EVIDENCE-BASED
APPROACH2007 ALZHEIMER’S AUSTRALIA CONFERENCE
Mind your Mind®
National Strategy
• Print Media
• Marketing Collateral
• Filler Ads
• Community Service Announcements
Panel Presentations
•Queensland – Shana Day
•South Australia – Marie Alford
•Tasmania – Allison Bligh
•Western Australia – Claire Sherwood
•Victoria – David Oliver
Thank you
Thanks to
Sarah Hennessy Mead – CIO
And AASA Community Programs Team for
delivering these messages to the public
Alzheimer’s Australia SA Inc
Minding the Community
Mind in Tasmania
Penny Clifford - Launceston Office
Allison Bligh - Hobart Office
Mind your Mind VanThis is Hobart’s Mind your Mind resource van.
The van can be used when we go to rural & remote areas to give people an overall experience of what services are available at Alzheimers Australia, Tas.
The van has books, videos, dvd’s, a selection of sensory stimulation items, help sheets & services guides plus many more interesting items
to view.
Where do we go ?
There are over 35 community houses in Tasmania & 25
houses have participated in the Mind your Mind program.
We travel all over Tasmania from the very top at Flinders Island
to the very bottom at Dover and all the areas in between.
Our audience group is usually 65+ and they are all very interested in
hearing the information. Many wish that they had access to this
information when they looked after their mother or fathers.
The areas in which we are delivering the
program are the high unemployment, low
socioeconomic areas.
Who are the people in our
neighbourhood?
Photo’s supplied by Tasmanian Association of Community Houses.
WomenWomenWomenWomen’’’’s s s s KaradiKaradiKaradiKaradi Aboriginal CorporationAboriginal CorporationAboriginal CorporationAboriginal Corporation
ChigwellChigwellChigwellChigwell Community Community Community Community
HouseHouseHouseHouse
BURP @ BridgewaterBURP @ BridgewaterBURP @ BridgewaterBURP @ Bridgewater
UlverstoneUlverstoneUlverstoneUlverstone Community HouseCommunity HouseCommunity HouseCommunity House
WestwindsWestwindsWestwindsWestwinds
Community HouseCommunity HouseCommunity HouseCommunity House
RokebyRokebyRokebyRokeby Community HouseCommunity HouseCommunity HouseCommunity House
West West West West MoonahMoonahMoonahMoonah Community HouseCommunity HouseCommunity HouseCommunity House
FingalFingalFingalFingal Valley Valley Valley Valley NeighbourhoodNeighbourhoodNeighbourhoodNeighbourhood HouseHouseHouseHouse
Dorset Community Dorset Community Dorset Community Dorset Community
HouseHouseHouseHouse
How many people have we
informed?
As of the 25th May 2007 we have been able to deliver the
program to
752 Tasmania people!
Who are the people in our
neighbourhood?
Photo’s supplied by Tasmanian Association of Community Houses.
WomenWomenWomenWomen’’’’s s s s KaradiKaradiKaradiKaradi Aboriginal CorporationAboriginal CorporationAboriginal CorporationAboriginal Corporation
ChigwellChigwellChigwellChigwell Community Community Community Community
HouseHouseHouseHouse
BURP @ BridgewaterBURP @ BridgewaterBURP @ BridgewaterBURP @ Bridgewater
UlverstoneUlverstoneUlverstoneUlverstone Community HouseCommunity HouseCommunity HouseCommunity House
WestwindsWestwindsWestwindsWestwinds
Community HouseCommunity HouseCommunity HouseCommunity House
RokebyRokebyRokebyRokeby Community HouseCommunity HouseCommunity HouseCommunity House
West West West West MoonahMoonahMoonahMoonah Community HouseCommunity HouseCommunity HouseCommunity House
FingalFingalFingalFingal Valley Valley Valley Valley NeighbourhoodNeighbourhoodNeighbourhoodNeighbourhood HouseHouseHouseHouse
Dorset Community Dorset Community Dorset Community Dorset Community
HouseHouseHouseHouse
What has the response been?
Some of the responses…
� Great informative session.
� We wish we had known about this before.
� Very useful for me.
� Interactive session.
� I enjoyed it greatly.
� Content very relevant.
� Good to know that some of my memory loss is normal.
� Enjoyed talking to others in an open & friendly environment about this subject.
Count every " F" in the following text:
FINISHED FILES ARE THE RE SULT OF YEARS OF SCIENTI FIC STUDY COMBINED WITH THE EXPERIENCE OF YEARS...
ANSWERS:
• Cross roads
• Reading between the lines
• Long underwear
• Last but not least
• Head in the sand
• There are 6 “f’s” in this statement!!