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June 7, 2026BMC Public HealthOpen Access

Programmatic readiness and health literacy predict the adoption of multidomain dementia prevention: a nationwide survey of Japanese municipalities

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Authors

YKYujiro KurodaAichi Medical UniversityAGAya GotoFukushima Medical UniversityYSYumi ShindoTokyo Metropolitan Institute of Gerontology

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Overview

Nationwide survey identifies factors predicting adoption of multidomain dementia prevention in municipalities, suggesting important implications for public health.

Key Points

  • This study aims to identify factors influencing the adoption of multidomain dementia prevention programs by Japanese municipalities.
  • Nationwide cross-sectional survey targeting all 1,741 municipalities in Japan
  • Structured questionnaire assessing the implementation of 12 WHO-recommended prevention items
  • Multinomial logistic regression analysis to identify predictors of adoption intention
  • Out of 941 municipalities surveyed, current prevention efforts generally emphasized cognitive and social activities
  • Implementation of health literacy measures strongly predicted adoption intention (RRR = 2.8, 95% CI: 1.2–6.5)
  • Awareness of WHO guidelines and prior experience with multidomain programs also influenced adoption intention (RRR = 1.4, 95% CI: 1.0–2.0)

Cite This Study

Kuroda et al. (2026) studied this question.

synapsesocial.com/papers/6a250b707def13d035e1b653https://doi.org/10.1186/s12889-026-28068-8
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Also Consider

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  1. 1Interest in and Feasibility of a Dementia Prevention Program Among Community‐Dwelling Older Adults: A Questionnaire Survey2026
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  3. 3Municipal implementation of community-based preventive programs during the COVID-19 pandemic and long-term care certification trends in Japan: a nationwide ecological analysis2026
  4. 4Evaluation of a public awareness campaign for dementia risk reduction in the Netherlands: a mixed methods study2025 · 2 citations
  5. 5Japan-multimodal intervention trial for prevention of dementia (J-MINT) and its societal implementation: Concepts, challenges, and future directions2026