Implementing dementia risk reduction in primary care: views of enrollees in the Preventing Dementia Massive Open Online Course
Kali Godbee A E , Maree Farrow B , Aidan Bindoff B , Jane Gunn C , Nicola Lautenschlager D and Victoria Palmer AA Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Vic., Australia.
B Wicking Dementia Research and Education Centre, The University of Tasmania, Hobart, Tas., Australia.
C Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Vic., Australia.
D Academic Unit for Psychiatry of Old Age, Department of Psychiatry, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Vic., Australia.
E Corresponding author. Email: godbeek@student.unimelb.edu.au
Australian Journal of Primary Health 27(6) 479-484 https://doi.org/10.1071/PY21122
Submitted: 4 June 2021 Accepted: 28 September 2021 Published: 25 November 2021
Abstract
There is a push for greater promotion of dementia risk reduction (DRR) by primary care practitioners (PCPs). The aims of this study were to understand the views of non-medically trained Australian contributors in a Massive Open Online Course (MOOC) about dementia prevention regarding the role of PCPs in promoting DRR and to consider the implications of those views for developing implementation strategies. Discussion board posts of MOOC enrollees were analysed regarding the actions that organisations, communities and/or governments should take to help people work towards DRR. Of the 1641 eligible contributors to the discussion, 160 (10%) indicated that PCPs had a role in promoting DRR. This subset of participants particularly wanted earlier identification of risk by PCPs and a discussion about DRR. Some participants thought PCPs did not currently prioritise DRR, lacked knowledge about DRR and faced Medicare and resource restrictions to promoting DRR. We suggest that PCPs need: better publicity for their role in promoting DRR; to prioritise DRR; knowledge about DRR; and to take advantage of existing opportunities to promote DRR quickly. The findings of this study should be considered when attempting to implement DRR guidelines in primary care.
Keywords: dementia, health promotion, implementation science, MOOC, primary care, public, qualitative, retrospective, views.
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