Designing a communication strategy to promote Alzheimer's disease prevention: The CULTIVAMENTE campaign.

INTRODUCTION: Awareness of Alzheimer's disease (AD) prevention remains limited in community settings, contributing to low adoption of evidence-based recommendations. This study aimed to design a context-tailored communication strategy for older adults and health-care providers. METHODS: A three-phase, multi-method study using a design-thinking framework was conducted in senior centers, including qualitative research, contextual observations, and participatory codesign. RESULTS: A total of 101 older adults and 54 health-care providers contributed to the development phase. The resulting strategy, CULTIVAMENTE, uses positive aging imagery and nudge-based cues to deliver evidence-based AD prevention messages through posters, brochures, and websites. After implementation, older adults in intervention centers reported increased knowledge of prevention strategies (32.7%-61.4%) and more frequent discussions with health-care providers (9.9%-21.8%). Health-care providers reported high acceptability and use of campaign materials. DISCUSSION: CULTIVAMENTE is a low-intensity and context-tailored approach that was feasible to implement and supported improvements in AD prevention awareness.