Natives Engaged in Alzheimer’s Research (NEAR) Research Project 1 (RP1): INdians Transforming Alzheimer’s Care Training (INTACT)

Status: Current

Grant Start: 08/01/2021

Grant End: 04/26/2026

INTACT

INdians Transforming Alzheimer’s Care Training

The rapid growth of elderly American Indian and Alaska Native populations signals an increasing number of Native Elders at risk for Alzheimer’s disease and related dementias. With an emphasis on timely diagnosis, the U.S. Department of Health and Human Services has called for more research and resources to offer Native Elders compassionate, culturally-appropriate, and scientifically-based care.

Most American Indian and Alaska Native Elders receive their healthcare from primary care physicians, who often lack the training and resources needed to diagnose and manage Alzheimer’s disease and related dementias. To help equip these primary care physicians with the necessary tools, we partnered with seven urban and rural clinics serving American Indian and Alaska Native people on “INdians Transforming Alzheimer’s Care Training” (INTACT), a program developed to improve the diagnosis of Alzheimer’s disease and related dementias and quality of care for these populations.

Our goals for INTACT are to:

1 Adapt INTACT for use in urban and rural clinics serving American Indian and Alaska Native people.
2 Improve primary care physician knowledge of ADRD, care confidence, and practice behavior.
3 Improve the effectiveness of clinics to diagnose ADRD and provide patients with better quality of care.

INTACT was one of several programs that partner with clinics to provide trainings to primary care physicians as they work to improve care for elderly populations with Alzheimer’s disease and related dementias. Currently, this was the only training and education program designed specifically to care for American Indian and Alaska Native Elder populations. It was based at the University of Washington Cognition in Primary Care program.

With partners in Alaska, Nebraska, Oklahoma, and Washington, INTACT provided:

1) A collaborative program, partnering with primary care physicians at clinics serving American Indian and Alaska Native populations, meant to improve a) Alzheimer’s disease and related dementias diagnoses; and b) Quality of care for American Indian and Alaska Native people.

2) A culturally-appropriate adaptation of Alzheimer’s disease and related dementias educational materials for American Indian and Alaska Native families.

Resource

The Dementia Journey: A Guide for Family and Care Partners

Caring for a person living with memory loss or dementia is a journey, one that can last for many years, and is filled with twists and turns. The journey is not a straight path through stages—each person with Alzheimer’s or other type of dementia may progress differently and in their own time. Family members who are companions on this journey will need information, support and guidance along the way.

Most families report they are not prepared for life with dementia and that they would welcome some type of guide book or road map. This document is designed to be just that. It provides a look at the big picture and the path ahead—and offers direction and tips about what to expect, what decisions lie ahead, and what steps to take.

The Washington State University INTACT Team would like to thank: The Tired Moccasins Program of the Nebraska Urban Indian Health Coalition, Tribal citizens, Ponca Tribe of Nebraska and other parties for kindly sharing the photographs and quotes featured in this brochure. Their contributions made this brochure possible.

INTACT News

Patient and Provider Focus Groups

The INdians Transforming Alzheimer’s Care Treatment (INTACT) team has completed patient and provider focus groups which provided feedback on how to adapt Alzheimer’s disease and related dementias patient and caregiver educational material from the Dementia […]

Funding Sponsors

  • Federal - National Institutes of Health
  • National Institute on Aging (NIA)

Communities Involved

  • Tribal communities