{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T14:32:17Z","timestamp":1788877937586,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cognitive interventions, including cognitive stimulation therapy, cognitive rehabilitation and cognitive training, are increasingly recommended as key components of non\u2010pharmacological post\u2010diagnostic support for people with dementia. Cognitive interventions may help delay cognitive decline, enhance goal\u2010directed functional abilities and improve quality of life. Despite inclusion in clinical guidelines and recommendations, guidance on the delivery of these interventions within Australian community settings remains limited and is underutilised. This article addresses a critical translation gap in cognitive interventions for people with dementia, synthesises the evidence through an Australian practice and policy lens, examines current uptake in community settings and identifies barriers, enablers and delivery models to inform implementation strategies. Community settings are defined as memory clinics, primary care, hospital outpatient services, allied health providers, community aged care and non\u2010government providers. Current evidence indicates cognitive interventions have varying benefits across different outcomes, including cognitive function, social engagement, everyday functioning, quality of life and goal attainment. International practices related to implementation are explored, along with future directions for expanding access through technology, flexible delivery models, group\u2010based approaches and integrating these interventions into existing care structures. Addressing the gap between recommendations and current practices requires building community awareness, improving access to professional education and training, and careful resource allocation. Cognitive interventions should be part of comprehensive rehabilitation and can be personalised to individual needs and goals. Expanding access and improving the availability of a range of cognitive interventions in community settings is crucial to ensure people with dementia receive best practice post\u2010diagnostic support.<\/jats:p>","DOI":"10.1111\/ajag.70140","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T06:43:07Z","timestamp":1771310587000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Improving Access to Cognitive Interventions for People With Dementia in Australian Community\u2010Based Settings"],"prefix":"10.1111","volume":"45","author":[{"given":"Stephanie","family":"Mulhall","sequence":"first","affiliation":[{"name":"Centre for Ageing Research and Translation, Faculty of Health University of Canberra  Bruce Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7235-3719","authenticated-orcid":false,"given":"Diane","family":"Gibson","sequence":"additional","affiliation":[{"name":"Centre for Ageing Research and Translation, Faculty of Health University of Canberra  Bruce Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy A.","family":"Longley","sequence":"additional","affiliation":[{"name":"Uniting War Memorial Hospital  Waverley New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4616-9931","authenticated-orcid":false,"given":"Nathan M.","family":"D'Cunha","sequence":"additional","affiliation":[{"name":"Centre for Ageing Research and Translation, Faculty of Health University of Canberra  Bruce Australian Capital Territory Australia"},{"name":"School of Exercise and Rehabilitation Sciences, Faculty of Health University of Canberra  Bruce Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Dementia Network \u201cMemory and Cognition Clinic Guidelines National Service Guidelines for Specialised Dementia and Cognitive Decline Assessment Services in Australia \u201d(2024) https:\/\/memoryandcognitionclinic.com.au\/wp\u2010content\/uploads\/2024\/05\/ADNeT_MC_Clinic_Guidelines_Version_2.pdf."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac105"},{"key":"e_1_2_10_4_1","volume-title":"Overview. 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