# EMPOWER!: Brain Health Education to Promote Early Detection of Alzheimer’s and Cognitive Screening

## TL;DR

The EMPOWER! program aims to improve early detection of Alzheimer's disease in Black older adults through culturally relevant brain health education and cognitive screening.

## Contribution

The EMPOWER! program is a novel culturally tailored initiative designed to increase cognitive screening rates in high-risk Black older adult communities.

## Key findings

- Qualitative interviews identified trust, social support, and culturally relevant communication as key factors for engagement.
- Barriers and facilitators to cognitive screening were identified among Black older adults and community stakeholders.
- Preliminary data suggest that tailored materials can improve awareness and acceptance of brain health initiatives.

## Abstract

Black older adults are twice as likely to develop Alzheimer’s disease and related dementias (ADRD). They are also more likely to have delayed or missed diagnoses of ADRD, because of lower cognitive screening rates during the earliest stages of the disease. To address these gaps, we developed the EMPOWER! program to provide education about the importance of early detection of ADRD for those communities at higher risk of this disease.

Educational materials about brain health and the importance of cognitive screening were co-developed with community stakeholders. Qualitative interviews were conducted with Black older adults who had cognitive concerns and <16 years of education, their close contacts, and community center staff working closely with communities at risk of ADRD (N = 15). Thematic analysis identified key themes related to barriers, facilitators, and recommendations for how to improve relevance and accessibility to information about brain health, AD, and cognitive screening.

Study results highlighted the critical factors influencing cognitive health awareness and research participation among Black older adults. Findings emphasize the importance of trust, social support, culturally relevant communication, and targeted outreach in encouraging engagement with cognitive screening and brain health initiatives.

Our preliminary data identified factors which may increase acceptability of culturally tailored materials to engage communities most at risk of ADRD to learn more about brain health and the importance of early detection. Future efforts will further assess content and attitudes towards cognitive screening and adapting EMPOWER! for use in other communities at risk of ADRD.