Innovation in aging · 2026
Community-based solutions: a principles-to-practice framework to support individuals living with dementia and their care partners.
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Peckham Allie, Roerig Monika, Sadow Sage, Morton-Chang Frances, Schmid Laura, Schuchardt Clare, Budhiraja Molly, Allin Sara
Аннотация
BACKGROUND AND OBJECTIVES: Alzheimer's disease and related dementias represent a global public health concern, with persistent gaps in supports for individuals living with dementia and their unpaid care partners. This study synthesized promising community-based innovations that address these gaps and contribute to positive outcomes.
RESEARCH DESIGN AND METHODS: A rapid literature review was conducted to develop a framework for guiding the design and evaluation of community innovations for individuals living with dementia and their care partners. 4 databases were searched using keywords related to dementia, care partners, community-based care, and quality outcomes. 22 articles were included, each evaluating a community-based intervention for individuals with dementia and their care partners and reporting outcomes. Cross-study thematic analysis identified programmatic factors associated with success.
RESULTS: The resulting framework comprises 6 programmatic factors of success, 6 design and implementation considerations, and 4 cross-cutting principles. Success factors included early intervention, triadic involvement in planning, individualized and person-centered approaches, multi-component interventions, community-building activities, and direct care partner resources and tools. Design and implementation considerations included target population, delivery models, co-design strategies, resource allocation and system incentives, geographic context, and impacts and outcomes. Core principles emphasize anti-stigma, accessibility, equity and intersectionality, and sustainability.
DISCUSSION AND IMPLICATIONS: Co-design and sustained community engagement were identified as central strategies for reducing stigma and fostering inclusive, dementia-supportive environments. The framework can be used to support the development, investment, and scalability of effective community-based supports for individuals living with dementia and care partners across diverse settings.
RESEARCH DESIGN AND METHODS: A rapid literature review was conducted to develop a framework for guiding the design and evaluation of community innovations for individuals living with dementia and their care partners. 4 databases were searched using keywords related to dementia, care partners, community-based care, and quality outcomes. 22 articles were included, each evaluating a community-based intervention for individuals with dementia and their care partners and reporting outcomes. Cross-study thematic analysis identified programmatic factors associated with success.
RESULTS: The resulting framework comprises 6 programmatic factors of success, 6 design and implementation considerations, and 4 cross-cutting principles. Success factors included early intervention, triadic involvement in planning, individualized and person-centered approaches, multi-component interventions, community-building activities, and direct care partner resources and tools. Design and implementation considerations included target population, delivery models, co-design strategies, resource allocation and system incentives, geographic context, and impacts and outcomes. Core principles emphasize anti-stigma, accessibility, equity and intersectionality, and sustainability.
DISCUSSION AND IMPLICATIONS: Co-design and sustained community engagement were identified as central strategies for reducing stigma and fostering inclusive, dementia-supportive environments. The framework can be used to support the development, investment, and scalability of effective community-based supports for individuals living with dementia and care partners across diverse settings.