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Peer-reviewedCC BY-NC-NDInnovation in aging

Community-based solutions: a principles-to-practice framework to support individuals living with dementia and their care partners.

  • Allie Peckham1,2
  • Monika Roerig3,4
  • Sage Sadow1
  • Frances Morton-Chang4
  • Laura Schmid1
  • Clare Schuchardt1
  • Molly Budhiraja5
  • Sara Allin3,4
5 affiliations
  1. 1Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, United States.
  2. 2Center for Innovation in Healthy and Resilient Aging, Arizona State University, Phoenix, Arizona, United States.
  3. 3North American Observatory on Health Systems and Policies, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  4. 4Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  5. 5College of Life Sciences, Arizona State University, Tempe, Arizona, United States.
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Abstract

Background and objectives

Alzheimer's disease and related dementias represent a global public health concern, with persistent gaps in supports for individuals living with dementia and their unpaid care partners. This study synthesized promising community-based innovations that address these gaps and contribute to positive outcomes.Research design and methods

A rapid literature review was conducted to develop a framework for guiding the design and evaluation of community innovations for individuals living with dementia and their care partners. 4 databases were searched using keywords related to dementia, care partners, community-based care, and quality outcomes. 22 articles were included, each evaluating a community-based intervention for individuals with dementia and their care partners and reporting outcomes. Cross-study thematic analysis identified programmatic factors associated with success.Results

The resulting framework comprises 6 programmatic factors of success, 6 design and implementation considerations, and 4 cross-cutting principles. Success factors included early intervention, triadic involvement in planning, individualized and person-centered approaches, multi-component interventions, community-building activities, and direct care partner resources and tools. Design and implementation considerations included target population, delivery models, co-design strategies, resource allocation and system incentives, geographic context, and impacts and outcomes. Core principles emphasize anti-stigma, accessibility, equity and intersectionality, and sustainability.Discussion and implications

Co-design and sustained community engagement were identified as central strategies for reducing stigma and fostering inclusive, dementia-supportive environments. The framework can be used to support the development, investment, and scalability of effective community-based supports for individuals living with dementia and care partners across diverse settings.

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Cite

BibTeXRIS
BibTeX
@article{peckham2026communitybased,
  title = {{Community-based solutions: a principles-to-practice framework to support individuals living with dementia and their care partners.}},
  author = {Allie Peckham and Monika Roerig and Sage Sadow and Frances Morton-Chang and Laura Schmid and Clare Schuchardt and Molly Budhiraja and Sara Allin},
  journal = {Innovation in aging},
  year = {2026},
  month = sep,
  doi = {10.1093/geroni/igag094},
  url = {https://europepmc.org/article/MED/42847062},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Community-based solutions: a principles-to-practice framework to support individuals living with dementia and their care partners.
AU  - Allie Peckham
AU  - Monika Roerig
AU  - Sage Sadow
AU  - Frances Morton-Chang
AU  - Laura Schmid
AU  - Clare Schuchardt
AU  - Molly Budhiraja
AU  - Sara Allin
PY  - 2026
DA  - 2026/09/01
JO  - Innovation in aging
DO  - 10.1093/geroni/igag094
UR  - https://europepmc.org/article/MED/42847062
AB  - Background and objectives  Alzheimer's disease and related dementias represent a global public health concern, with persistent gaps in supports for individuals living with dementia and their unpaid care partners. This study synthesized promising community-based innovations that address these gaps and contribute to positive outcomes.Research design and methods  A rapid literature review was conducted to develop a framework for guiding the design and evaluation of community innovations for individuals living with dementia and their care partners. 4 databases were searched using keywords related to dementia, care partners, community-based care, and quality outcomes. 22 articles were included, each evaluating a community-based intervention for individuals with dementia and their care partners and reporting outcomes. Cross-study thematic analysis identified programmatic factors associated with success.Results  The resulting framework comprises 6 programmatic factors of success, 6 design and implementation considerations, and 4 cross-cutting principles. Success factors included early intervention, triadic involvement in planning, individualized and person-centered approaches, multi-component interventions, community-building activities, and direct care partner resources and tools. Design and implementation considerations included target population, delivery models, co-design strategies, resource allocation and system incentives, geographic context, and impacts and outcomes. Core principles emphasize anti-stigma, accessibility, equity and intersectionality, and sustainability.Discussion and implications  Co-design and sustained community engagement were identified as central strategies for reducing stigma and fostering inclusive, dementia-supportive environments. The framework can be used to support the development, investment, and scalability of effective community-based supports for individuals living with dementia and care partners across diverse settings.
SN  - 2399-5300
ER  -