Programme Démence Prévention (pdp ): A Nation-Wide Programme for Dementia Prevention in Luxembourg

121 29

10

Mild Cognitive Impairment (MCI) No cognitive impairment / Subjective Cognitive Impairment (SCI)

Demented 47 16 2 2 General Practitioner Neurologist Geriatrician Other

Remain mentally fit

programm

demenz

prävention

Referring physicians

pdp

participant

Public partners

(vouchers)

Number of pdp participants

Programme Démence Prévention (pdp):

A Nation-Wide Programme for Dementia Prevention in Luxembourg

Valerie Schröder

1,2

_{, Anne Kaysen}

1

_{, Joëlle V. Fritz}

1

_{, Jennifer Kemp}

1,2*

_{, Sophie Wagner}

1

_{, Sebastian Köhler}

4

_{, Tobias}

Hartmann

5,6

_{, Richard C. Dodel}

7

_{, Elke Kalbe}

8

_{, Anja K. Leist}

9

_{, Rejko Krüger}

1,2,3

1. Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Luxembourg; 2. Centre Hospitalier de Luxembourg, Luxembourg; 3. Luxembourg Institute of Health, Luxembourg; 4. Alzheimer Centrum Limburg, School for Mental Health and Neuroscience, Maastricht University, The Netherlands; 5. Deutsches Institut für Demenz Prävention (DIDP), Medical Faculty, Saarland University, Germany; 6. Department of Experimental Neurology, Saarland University, Germany; 7. Chair of Geriatric Medicine, University Hospital Essen, University Duisburg-Essen, Germany; 8. Department of Medical Psychology | Neuropsychology and Gender Studies, Medical Faculty and University Clinic Cologne, Germany; 9. Institute for Research on Socio-Economic Inequality, University of Luxembourg, Luxembourg; *current affiliation: Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg

Background and Aim

• The number of people affected by dementia is projected to triple by 2050. In Luxembourg, it is estimated that 22.500 people present cognitive complaints

• Currently, there is no curative treatment for dementia available • Recent scientific consensus (Livingston et al., Lancet. 2017 Dec

16;390(10113):2673-2734)shows that more than a third of dementia

cases might be prevented by addressing modifiable risk factors

The aim is to prevent or at least delay the development of dementia in a target population in Luxembourg by the means of a personalized lifestyle intervention

Methods

Voucher distribution 3 months of validity used ? Follow-Up Visit Cognitive testing Risk factor assessment Yes / No Target population Referral letter People with a suspicion of mild cognitive impairment People > 18 years old Inclusion criteria MCI (mild cognitive

impairment) Lifestyle change through activities targeting risk factors NP & participant NP & physician

Results and conclusion

Verify personal concerns, 56% General interest, 21% For my loved ones, 18% Financial, 1%

No long waiting times, 1% Other, 3%

• Establishment of a

participant-centred national network, which

raises awareness on dementia

prevention.

• Foster interdisciplinary collaboration

and communication between

individual medical and non-medical

healthcare professionals and

allowing for a successful recruitment of the target population.

• Collection of information about

adherence to the suggested lifestyle changes, as well as the effectiveness of our interventions in reducing risk factors.

Figure 2: Referring physicians were asked

whether they think pdp is important.

Figure 3: Answers from

pdp participants on their

main motivation to join the program

• Evidence for the feasibility of the implementation of a nation-wide dementia prevention program including diverse partners offering personalised lifestyle interventions, which are easily transferrable to other countries.

• Emerging results from this program may help to integrate prevention interventions into the regular healthcare system.

Contact: Phone (+352) 247-75600 • info@demenz.lu • www.demenz.lu 0 50 100 150 200 250 300 350 400 450 N u m b er o f a p p o in tme n ts

BL - Appointment 1 BL - Appointment 2 BL - Appointment 3 BL - Extra-visits FU - Appointment 1 FU - Appointment 2 FU - Appointment 3 FU - Extra-visits

Baseline Assessment Follow-up Figure 1: Cumulative graphical illustration of number of different

appointments per month (as of 1st of March 2020). BL: baseline; FU: follow-up. 0 5 10 15 Very

important Important importantNeither nor unimportant

Rather

unimportantunimportantVery

N u m b e r o f p h ysi ci an s

pdp is funded by the Ministry of Health Mild cognitive impairment (MCI) No cognitive impairment /