Rationale: Addressing modifiable risk factors for dementia through primary health care intervention, may assist in reducing the increasing rates of dementia in Indigenous communities.

Aim: To describe the methods and outcomes to-date of a quality improvement project in an urban Indigenous primary health care service in south-east Queensland to address risk factors associated with dementia in the broader community.

Method: Aboriginal Participatory Action Research and Continuous Quality Improvement, guided by research yarning with stakeholder groups (health practitioners and Indigenous community members) and a review of current clinical practice, forms the project methodological framework. Indigenous leadership, key-skills working groups, and cyclic stakeholder engagement is central to this project. Data were summarised and presented back to stakeholder groups for discussion and goal setting. Health service deliverable strategies for addressing dementia risk are being planned, co-developed and implemented, at 3-6 monthly cycles, with stakeholder groups.

Results: Stakeholder research yarning forums n=6. Clinical records review=150. Stakeholder-identified goals include: i) increase cognitive screening and assessment, ii) strengthen health practitioner capacity to deliver best-practice prevention and clinical management of dementia and related risk, iii) empower community to recognise and respond to risk and signs of dementia, iv) co-develop preventive health and health promotion strategies for addressing dementia risk. Strategies implemented to-date include the addition of cognition questions to the annual health check and the development of dementia eLearning modules for health practitioners.

Conclusion: This project has successfully identified and is cyclically planning and implementing dementia risk reduction strategies that reflect the needs of stakeholder groups.