Evidence highlights the role of modifiable risk factors (according to Lancet 2024) such as hypertension, diabetes, usage of tobacco products, obesity, depression, physical inactivity, depression, alcohol consummation, sleep impairment and social inactivity in dementia prevention. Early identification and risk reduction strategies have the potential to delay cognitive decline and improve brain health outcomes. Pilot 18 will cover two target groups in pursuit of prevention improvement. As a primary demographic, adults aged 50 years or older at risk of dementia (three or more risk factors present) will be screened and assessed through a combination of tests - self-reported risk screening test designed by the BSD team, Isaacs Set Test (IST), and TYM. As a secondary demographic, healthcare specialists (GPs and nurses, neuropsychologists, neurologists) will be provided with educational materials (leaflets and presentations as main format, possible others too) to increase their knowledge regarding prevention.

Contribute to prevention of dementia and stroke and provide policy recommendations through a combination of tests/assessments (for patients) and educational resources/materials(for specialists).

- Improved public understanding of dementia risk factors. - Increased identification of individuals at risk through self-screening. - Enhanced knowledge and awareness among healthcare professionals. - Strengthened engagement with caregivers and patient families.

TBD later in pilot implementation.

TBD later in pilot implementation.

The educational materials can be replicated - either partially, or in their entirety, for future prevention measures. The same could be applied to the specific toolkit designed by the team. Both will be designed as an accessible, applicable on a national scale format to be implemented by any institution or healthcare practice in Bulgaria. Further details regarding sustainability will be clarified when commencing with the pilot.

The pilots involves educational materials directly targeted at a) risk factors and b) dementia prevention. As this is their area of focus, they directly correlate with improving the knowledge, understanding and awareness regarding neurocognitive disorders both among patients and healthcare speciliasts. Based on the newly obtained (or deepened) knowledge, health specialists in particular can improve their decision-making regarding dementia prevention in their practice (patient check-ups).