Primary Care Detection of Cognitive Impairment Leveraging Health & Consumer Technologies in Underserved Communities: The MyCog Trial

Our study intends to offer 'real world' evidence of a viable, sustainable means to mobilize primary care via a comprehensive strategy for detecting cognitive impairment and dementias, advancing next steps for referral, and participating in the care planning and management of affected patients and caregivers. We will conduct a clinic-randomized, pragmatic trial testing the effectiveness and fidelity of our NIH Toolbox-derived paradigm to improve early detection and management of cognitive impairment/dementia in primary care settings serving health disparate patient populations.

Inclusion Criteria:been seen by an Oak Street healthcare provider affiliated with one of the 24 enrolled practiceshad at least one clinic visit (routine or Annual Wellness Visit) during the 3-year study periodnot been diagnosed previously with cognitive deficits, impairments or dementias.Exclusion Criteria:Children, adolescence, and younger adults are excluded as cognitive impairment in these populations is often due to differences other than age-related changes.