Co‐design and user‐testing outcomes of a dementia risk reduction education program for multicultural communities in Australia, the MindCare program

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出版年:Alzheimer's & Dementia vol. 21 (Dec 1, 2025)
第一著者: Antoniades, Josefine
その他の著者: Bilimoria, Dilnaz, Brijnath, Bianca, Gerber, Katrin, Woodward‐Kron, Robyn, Levinger, Pazit, Nguyen, Tuan Anh, Enticott, Joanne, Gilbert, Andrew, Dang, Thu Ha, Thodis, Antonia, Low, Lee‐Fay, Do, Phuong Lan, Vakkas, Steve, Bushra, Laila, Barhoum, Rina
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John Wiley & Sons, Inc.
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オンライン・アクセス:Citation/Abstract
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022 |a 1552-5260 
022 |a 1552-5279 
024 7 |a 10.1002/alz70860_099598  |2 doi 
035 |a 3285990875 
045 0 |b d20251201 
100 1 |a Antoniades, Josefine  |u La Trobe University, Bundoora, VIC, Australia, 
245 1 |a Co‐design and user‐testing outcomes of a dementia risk reduction education program for multicultural communities in Australia, the MindCare program 
260 |b John Wiley & Sons, Inc.  |c Dec 1, 2025 
513 |a Journal Article 
520 3 |a Background Current dementia prevention programs largely target Western populations, overlooking multicultural communities and exacerbating health disparities. In Australia, where over 30% of the population is overseas‐born, the MindCare project aims to co‐develop a culturally tailored dementia prevention program for Hindi, Vietnamese, Greek, and Arabic‐speaking communities. Method Using co‐design methodologies, the program incorporated the nominal group technique for cultural adaptation workshops and individual consultations. The Think‐Aloud method was then applied during user testing to obtain final feedback to finalize materials. Result The initial MindCare prototype, based on the Lancet Commission: Dementia Prevention, Intervention, and Care report, was refined through six workshops with 37 participants from target communities, experts, and service providers. Iterative adjustments improved flow, language, visuals, and transitions, with key changes addressing stigma, dietary guidance, and content sequencing. The program was then culturally‐tailored and translated into four bilingual versions (target languages and English) through seven cultural‐adaptation workshops and 10 consultations with 50 participants. The adaptations integrated culturally specific foods, activities, and practices. Striking a balance between evidence‐based content and community preferences required negotiation in some groups, however consensus was achieved in most cases. User testing (n = 3 per language, total n = 12) rendered minor feedback to simplify presenter notes, reduce activities, and extend break times. These insights led to 15 adjustments in the final program. Participants liked the overall layout and aesthetics of the program and found materials to be culturally sensitive, engaging, and well‐balanced in active and passive learning ratio. Conclusion The rigorous co‐design process which involved close collaboration with nearly 100 participants from the target communities, experts, and key services ensured the programs met diverse cultural needs while maintaining evidence‐based rigor. The process of co‐designing MindCare was far from linear and required flexibility, and iterative feedback cycles, however, this has been key to the delivery of four culturally‐tailored community‐education programs. The final MindCare programs will be evaluated through a national randomized controlled trial (RCT) in 2025. Upon trial completion, MindCare programs will be freely available online, offering an impactful dementia prevention education resource for multicultural communities in Australia, with scope for further adaption for use in other languages or countries. 
651 4 |a Australia 
653 |a Risk reduction 
653 |a Vietnamese language 
653 |a Multiculturalism & pluralism 
653 |a Health disparities 
653 |a Feedback 
653 |a Cultural differences 
653 |a Grammatical aspect 
653 |a Aesthetics 
653 |a Prototypes 
653 |a Dementia 
653 |a Residential preferences 
653 |a Education 
653 |a Cultural sensitivity 
653 |a Community 
653 |a Layout 
653 |a Stigma 
653 |a Arabic language 
653 |a Health education 
653 |a Prevention 
653 |a Tests 
653 |a Cultural groups 
653 |a Nominal group technique 
653 |a Experts 
653 |a Prevention programs 
653 |a Hindi language 
653 |a Adjustment 
653 |a Clinical trials 
653 |a Workshops 
653 |a Educational programs 
653 |a Language shift 
653 |a Adaptation 
653 |a Greek language 
653 |a Language tests 
700 1 |a Bilimoria, Dilnaz  |u Consumer Representative, Melbourne, VIC, Australia, 
700 1 |a Brijnath, Bianca  |u La Trobe University, Bundoora, VIC, Australia, 
700 1 |a Gerber, Katrin  |u RMIT, Melbourne, VIC, Australia, 
700 1 |a Woodward‐Kron, Robyn  |u The University of Melbourne, Melbourne, VIC, Australia, 
700 1 |a Levinger, Pazit  |u National Ageing Research Institute, Parkville, VIC, Australia, 
700 1 |a Nguyen, Tuan Anh  |u National Ageing Research Institute, Melbourne, VIC, Australia, 
700 1 |a Enticott, Joanne  |u Monash University, Melbourne, VIC, Australia, 
700 1 |a Gilbert, Andrew  |u National Ageing Research Institute, Parkville, VIC, Australia, 
700 1 |a Dang, Thu Ha  |u Swinburne University of Technology, Melbourne, VIC, Australia, 
700 1 |a Thodis, Antonia  |u The George Institute, Melbourne, VIC, Australia, 
700 1 |a Low, Lee‐Fay  |u The University of Sydney, Sydney, NSW, Australia, 
700 1 |a Do, Phuong Lan  |u La Trobe University, Bundoora, VIC, Australia, 
700 1 |a Vakkas, Steve  |u La Trobe University, Bundoora, VIC, Australia, 
700 1 |a Bushra, Laila  |u La Trobe University, Bundoora, VIC, Australia, 
700 1 |a Barhoum, Rina  |u La Trobe University, Bundoora, VIC, Australia, 
773 0 |t Alzheimer's & Dementia  |g vol. 21 (Dec 1, 2025) 
786 0 |d ProQuest  |t Consumer Health Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3285990875/abstract/embedded/IZYTEZ3DIR4FRXA2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3285990875/fulltextPDF/embedded/IZYTEZ3DIR4FRXA2?source=fedsrch