Context and Project Goal

In 2019, Kobe City launched Japan’s first dementia policy, the Kobe Dementia Model, to support cognitive screening and dementia diagnosis. The program includes annual cognitive screening for citizens over 65 using free vouchers and follow-up evaluations by dementia specialists for those with detected cognitive decline. Over 450 primary care physicians and 70 hospitals participate, offering tests covered by the city. While the program serves 20,000 elderly citizens annually, only 5% of the elderly population is reached.

To improve participation, this project explored the role of pharmacists. Many elderly individuals regularly visit pharmacies for chronic medications, creating opportunities for early cognitive screening. Pharmacists can discuss cognitive health, use waiting times for digital cognitive tests, and facilitate screening appointments with primary care physicians. This study aims to determine whether such tools at pharmacies can help detect cognitive decline early and promote lifestyle changes to prevent dementia.

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Project Description

The project, led by the Tamba City Pharmacists Association in collaboration with the city measured brain age through digital games at 26 participating pharmacies. The target group, aged 60-85, used the Cogstate app to assess cognitive functions like memory, attention, and response speed through quick games, with immediate results provided. While not a medical diagnosis, participants with concerning scores were referred to a dementia specialist if they consented. Pharmacies also used questionnaires to encourage healthy lifestyle changes, aligning with WHO recommendations for brain health, and provided ongoing support during routine visits. The initiative leveraged pharmacies' accessibility to foster long-term relationships and encouraged proactive health management.