Background/Objectives: Dementia is one of the leading causes of disability and dependence among older adults. Early screening may support timely intervention and risk management, contributing to better outcomes at the public health level. However, evidence relating to the factors influencing dementia screening acceptance and knowledge among older adults remains limited. This study aimed to assess dementia knowledge and screening acceptance among older adults, identify their associated factors, and explore the relationship between the two. Methods: A cross-sectional survey was conducted among 272 older adults in three Chinese communities. Data were collected using a self-administered questionnaire covering socio-demographic characteristics, dementia knowledge, and screening acceptance. The Dementia Knowledge Questionnaire and the Chinese version of the PRISM-PC scale were applied. Univariate and multivariate linear regression analyses were used. Results: The mean scores for dementia knowledge and screening acceptance were 18.86 ± 5.98 and 62.06 ± 22.18, respectively. Age and education level were negatively associated with screening acceptance. Women had higher knowledge scores than men. Income and social participation were positively associated with dementia knowledge. Knowledge level showed a weak positive correlation with screening acceptance. Conclusions: The study revealed that dementia knowledge and screening acceptance among older adults were moderate; nonetheless, both aspects warrant further improvement. Community-based efforts should prioritize health education, stigma reduction, and targeted interventions to enhance knowledge and promote proactive screening behavior.

Objectives: To evaluate the effect of the synchronous teaching model of lab teaching and clinical practice, simulation teaching in the practical teaching of the Health Assessment Course.Methods: A total of 71 senior baccalaureate nursing students were selected for this study at a university via convenience sampling from September 2022 to February 2024.The health assessment practice teaching utilized a synchronous teaching model that incorporated lab teaching, clinical practice, and simulation teaching. Bedside consultation, Objective Structured Clinical Examination (OSCE), and self-designed questionnaires were used to evaluate the teaching effect. The health assessment practice teaching utilized a synchronous teaching model that incorporated lab teaching, clinical practice, and simulation teaching. Bedside consultation, Objective Structured Clinical Examination (OSCE), and self-designed questionnaires were used to evaluate the teaching effect.Results: The examination score for health history collection was 19.17±0.96, and the score for the OSCE exam was 91.22±5.24. There were 80.28% of the students believed that health history collection by using standardized patients (SP) could be helpful to improve their critical thinking ability, 91.55% of undergraduates thought that the synchronous teaching mode of lab teaching and clinical practice increased the level of challenge, 85.92% of students believed that case discussion is conducive to the comprehensive application of multidisciplinary knowledge and 85.92% of undergraduates reported that the OSCE exam could effectively examine their clinical thinking ability.Conclusion: The synchronous teaching model of lab teaching and clinical practice and simulation teaching increase the difficulty, depth, and challenge of health assessment practice teaching, and realize the deep integration of health assessment knowledge, skills, and clinical thinking.

Background: Dementia is one of the most urgent public health challenges globally. Early screening is indispensable for timely identification and intervention. However, early dementia screening among community-dwelling older adults remains low, and the mechanisms underlying screening barriers remain insufficiently understood. Methods: A qualitative study involving semi-structured interviews was conducted with 23 older adults who were purposively recruited from three communities in Wuhan, China. Interviews were transcribed verbatim and analyzed using thematic analysis that combined deductive coding guided by the social determinants of health framework with inductive coding to capture themes emerging from the data. Results: Five themes and 12 subthemes were identified: (1) economic stability, comprising economic burden concerns and the lack of material incentives; (2) education access and quality, comprising limited disease-related knowledge, the double effect of educational level, and fixed beliefs about dementia risk; (3) social and community context, comprising perceived stigma, result-related anxiety and family concerns, and late-life values; (4) health care access and quality, comprising insufficient medical trust and service assurance, limited information accessibility, and symptom-oriented healthcare-seeking behavior; and (5) neighborhood and built environment, comprising limitations in convenience and accessibility. Conclusion: Low uptake of early dementia screening among community-dwelling older adults in China reflects a system-level behavioral dilemma shaped by social determinants of health. Future screening programs should build integrated, community-embedded pathways that make screening affordable, understandable, trustworthy, connected, and convenient, thereby strengthening the acceptability, equity, and sustainability of dementia prevention and early detection.