IMPACT Dementia – Health Systems Innovations using Mhealth in People with dementiA and Co-morbidiTies
Dementia is a syndrome, not a disease, caused by a multitude of physical factors – such as degenerative disorders and other pathologies – as well as social factors. In addition, it is strongly associated with multi-morbilities, since people with dementia have twice as many chronic conditions (hypertension, diabetes, depression, among others) than people of the same age. Finally, the economic-social burden associated with this condition in general, which impacts the caregiver, must not be lost sight of. In this sense, the approach to dementia requires complex interventions for the dyads [Person With Dementia / Caregiver], which are not only based on pharmacological solutions, but on comprehensive solutions that address the different aspects of the problem.
Aim:
To use dementia as a tracer condition to strengthen health systems in Latin America through sustainable, integrated, person-centred, community-delivered, technology-enabled innovation.
Study design:
Throughout the 5 interconnected work packages supported by technology: i) Health systems readiness; ii) Diagnostics, through the development of an application; iii) Intervention; iv) Health Economics; and v) Project Management, Communication & Outreach, the project will aim to collect evidence that provides policy guidelines to improve the way of approaching the problems generated by this condition.
Result:
The project is currently being executed.
Contact:
Kelly Tello, BA, MPP
WEB IMPACT SALUD:
Place of study
Perú: Tumbes, Lima, Iquitos y Huancayo.
Funding
Global Health Policy and Systems Research programme of the National Institute for Health and Care Research (NIHR) as well as the UK Department for Health and Social Care (DHSC).
Duration of the study
2022 – 2026
Reserachers
J. Jaime Miranda
María Lazo
Antonio Bernabé-Ortiz
María Kathia Cárdenas
Francisco Diez Canseco
Collaborators
Dr Christopher Butler MA PhD FRCP, Clinical Senior Lecturer in Dementia Research, Imperial College London.
The project is a collaboration between Imperial College London (ICL) in London, UK, and Universidad Peruana Cayetano Heredia (UPCH) in Lima, Peru, and involves other key UK PhDs and researchers, including the Universities of Oxford, Cardiff and Edinburgh, as well as a global advisory board.
Dr. Nilton Custodio, Dra. Rosa Montesinos, Instituto Peruano de Neurociencias.
Publications
- Miriam G Lúcar, José Carlos Vera Tudela, Cecilia Anza-Ramirez, J Jaime Miranda, Christopher R Butler; IMPACT Dementia Study Group. Peru initiates the IMPACT Project. Lancet Neurol. 2023 Aug;22(8):653. Doi: 10.1016/S1474-4422(23)00239-9.
- Maria Lazo-Porras, Francisco Jose Tateishi-Serruto, Christopher Butler, María Sofía Cuba-Fuentes, Daniela Rossini-Vilchez, Silvana Perez-Leon, Miriam Lúcar-Flores, J Jaime Miranda, Antonio Bernabe-Ortiz, Francisco Diez-Cansec, Graham Moore, Filipa Landeiro, Maria Kathia Cardenas, Juan Carlos Vera Tudela, Lee White, Rafael A Calvo, William Whiteley, Jemma Hawkins; IMPACT Salud Study Group. Assessment of Health System Readiness and Quality of Dementia Services in Peru: Protocol for a Qualitative Study With Stakeholder Interviews and Documentation Review. JMIR Rest Protoc. 2025 Mar 21:14:e60296. Doi: 10.2196/60296.
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