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UID:pretalx-2026-QBKEBA@conferences.acspri.org.au
DTSTART;TZID=AEST:20261126T111500
DTEND;TZID=AEST:20261126T113000
DESCRIPTION:Social isolation is an established dementia risk factor\, linke
 d to 5% of dementia cases globally. Candidate risk mechanisms include dire
 ct cognitive benefits\, mental health benefits\, and social influence impr
 oving health behaviour. Health promotion messaging calls individuals to so
 cialise to reduce their dementia risk\, with heterogeneity among recommend
 ations. Our sequential mixed-methods study aimed to more effectively promo
 te social engagement to reduce dementia risk. Participants were older adul
 ts (aged 50+) engaged in the Island Study Linking Aging and Neurodegenerat
 ive Disease (ISLAND)\, a Tasmanian longitudinal cohort study that monitors
 \, and educates about\, dementia protective behaviour.  \n\nTo investigate
  participants’ understanding and enactment of existing messages promotin
 g social engagement to reduce dementia risk\, semi-structured interviews w
 ere conducted with a purposively sampled ISLAND participant subset (n=27).
  Sampling aimed to achieve breadth of coverage across individual character
 istics (example: gender\, education\, age)\, social circumstances (example
 : living alone or cohabiting\, working or retired)\, and social preference
 s (extraversion). Interview transcripts were analysed using reflexive them
 atic analysis.  \n\nInterview participants understood messages about socia
 lising for dementia risk reduction within broader knowledge frameworks. Th
 ese broader knowledge-frames included experiential knowledge of social eng
 agement’s impact on cognition\, preferred forms and previous experiences
  of social engagement\, and broader priorities and constraints. Specificit
 y\, perceived trustworthiness\, and individual relevance of health promoti
 on information impacted the weight placed on this within broader knowledge
 -frames. Participants described enjoyably enacting health promotion messag
 es when they perceived sufficient congruence between health promotion info
 rmation and their broader knowledge-frame\, with some individuals having g
 reater incongruence tolerance. When incongruence tolerance was exceeded\, 
 participants described either disregarding or conflictedly enacting health
  promotion information. For some\, this caused anxiety. Participants discu
 ssed social resilience and adaptability as facilitating enjoyable enactmen
 t of social activity when facing changing social circumstances.  \n\nTo im
 prove message specificity\, and potentially increase individual relevance\
 , we examined the relationship between social engagement and cognition acr
 oss people with different social preferences (extraversion) using multiple
  mixed-effects linear regression models and a pooled cross-sectional desig
 n (980 observations\, 622 participants). All models were adjusted for age\
 , gender\, and education level\, along with project timepoint\, repeated c
 ognitive assessments\, and multiple observations per-participant. Online t
 ools measured cognition (age-standardised Cambridge Neuropsychological Tes
 t Automated Battery (CANTAB) paired associate learning (episodic memory) a
 nd spatial working memory (executive function))\; extraversion (10item Big
  Five Inventory)\; and social engagement (Lubben Social Network Scale frie
 nds\, family\, and neighbours subscales\; two loneliness questions). Acros
 s the extraversion continuum\, episodic memory scores were significantly b
 etter among participants who reported more engagement with family (p(main 
 effect)=.004\, gradient[confidence interval]: .017[.005-.029]\; p(interact
 ion)=.11). There was a relationship between engagement with neighbours and
  episodic memory only when considering differences across the extraversion
  continuum (p(interaction)=.038)\; better episodic memory scores were asso
 ciated with more engagement with neighbours only among less extraverted pa
 rticipants (extraversion 25th percentile gradient[confidence interval]: .0
 20 [.005-.035]\; extraversion 75th percentile gradient[confidence interval
 ]: .000[-.017-.018]). In gender stratified analyses\, an additional signif
 icant interaction showed a stronger relationship between family engagement
  and episodic memory scores among more extraverted men (interaction p(men)
 =.028\; extraversion 25th percentile gradient[confidence interval](men): .
 012[-.002-.025]\; extraversion 75th percentile gradient[confidence interva
 l](men): .024 [.009-.039]). No significant associations were found for exe
 cutive function.  \n\nWe identified requisites for enjoyable enactment of 
 messages promoting socialising to reduce dementia risk and generated evide
 nce that indicates engagement with neighbours may be beneficial among less
  extraverted individuals\, while engagement with family may have benefit f
 or all\, particularly more extraverted men. Incorporating this evidence in
 to messages promoting socialising to reduce dementia risk may improve spec
 ificity and perceived message relevance\, promoting enjoyable enactment.
DTSTAMP:20261013T065911Z
LOCATION:Cullen Room
SUMMARY:The “mental gymnastics” of socialising to protect an aging brai
 n: a mixed-methods study to improve health promotion messaging - Hannah Fa
 ir
URL:https://conferences.acspri.org.au/2026/talk/QBKEBA/
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