A qualitative study of older and middle-aged adults' perception and attitudes towards dementia and dementia risk reduction

AimTo investigate perceptions of dementia and dementia risk reduction held by people without dementia. BackgroundDementia does not only affect individuals with dementia, but also has an impact on family and friends, society and healthcare professionals. Recent research has identified modifiable risk and protective factors for dementia. However, it is unclear what knowledge people without dementia have about these risk factors and their attitudes towards addressing these risk factors to achieve dementia risk reduction are not known. DesignQualitative descriptive study using focus group methodology. MethodA focus group study was conducted in February 2011 with 34 older adults aged between 52-90years. The long-table approach was used to identify themes and categorize data on dementia knowledge, risk and attitudes. FindingsParticipants correctly identified dementia risk factors as a group. Participants' responses about their perceived likelihood of developing dementia could be classified into three distinctive themes; fear, rational and cynical perceptions. Both fear of developing dementia and the need to improve dementia knowledge were considered major motivators towards adopting healthier lifestyle and health behaviours. Lack of knowledge on risk factors for dementia was identified as a major barrier for behavioural and lifestyle change. ConclusionThese findings can be used to develop effective and personalized interventions that increase motivators and reduce barriers by tailoring interventions to individual's dementia risk reduction literacy and motivations to change behaviours. Greater public-health promotion and education about risk and protective factors for dementia are also necessary to increase dementia health literacy and to reduce overall dementia prevalence.