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Establishing a Screening Protocol for Primary Caregivers of older adults With Dementia for a Culturally Adapted Family Dementia Caregiver Intervention (REACH VN) in Northern Vietnam
Journal article   Peer reviewed

Establishing a Screening Protocol for Primary Caregivers of older adults With Dementia for a Culturally Adapted Family Dementia Caregiver Intervention (REACH VN) in Northern Vietnam

Hung Trong Nguyen, Binh Thanh Nguyen, Phong Quy Nguyen, Bien Huu Nguyen, Ngoc Hung Nguyen, Anh Thi Phuong Nguyen, Binh Thi Thanh Nguyen, Anh Ngoc Nguyen, Chinh Hong Nguyen, Thuy Le Nguyen, …
The American journal of geriatric psychiatry, v 33(11), pp 1134-1144
Jun 2025
DOI: https://doi.org/10.1016/j.jagp.2025.05.011
PMID: 40774847
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.jagp.2025.05.011View
Published, Version of Record (VoR)

Abstract

Alzheimer’s disease family caregiving screening protocol Dementia Vietnam
•What is the primary question addressed by this study?How can older adults with dementia and their primary caregivers be effectively identified in the community for inclusion in a culturally adapted caregiver intervention in Vietnam?•What is the main finding of this study?A 4-step, community-based screening protocol using trained village health workers and brief diagnostic tools identified 660 individuals with dementia and successfully recruited 350 eligible family caregivers for the REACH VN trial. The culturally adapted screening process proved feasible and effective in a low-resource, rural setting.•What is the meaning of the finding?This approach demonstrates a scalable model for early dementia detection and caregiver support in low- and middle-income countries. Alzheimer’s disease and related dementias (ADRD) pose a growing public health challenge in Vietnam. This study outlines a community-based screening protocol for older adults and their primary family caregivers in Hai Duong province, supporting eligibility for a culturally adapted caregiver intervention (REACH VN). Village health workers were trained to identify older adults “at risk” for dementia using a simplified tool adapted from the Assessment of Cognitive Complaints Toolkit. Those identified were invited for clinical assessments. Dementia diagnosis was based on medical history, brief cognitive tests, and behavioral evaluations. Family caregivers of diagnosed individuals were then screened using the Zarit Burden Interview (ZBI-4), with those scoring ≥6 considered eligible. Of 1,267 older adults identified, 1,198 were screened, resulting in 660 dementia cases. Caregiver screening yielded 350 eligible participants for the REACH VN trial. The study demonstrates a feasible, scalable protocol for identifying older adults with ADRD and their caregivers in a low-resource setting. It highlights the importance of training community health workers and fostering local coordination to support dementia care in Vietnam.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Geriatrics & Gerontology
Gerontology
Psychiatry
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