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The consequences of such challenges in design, implementation, and diffusion are suboptimal care and resulting harm for people living with ADRD and their caregivers. National experts identified four factors that contribute to our limited ability to implement and diffuse of evidence\u2010based services and interventions for people living with ADRD: (1) limited market demand for the implementation and diffusion of effective ADRD interventions; (2) insufficient engagement of persons living with ADRD and those caring for them in the development of potential ADRD services and interventions; (3) limited evidence and experience regarding scalability and sustainability of evidence\u2010based ADRD care services; and (4) difficulties in taking innovations that work in one context and successfully implementing them in other contexts. New investments in the science of human\u2010centered design, implementation, and diffusion are crucial for meeting the goals of the National Plan to Address Alzheimer's Disease under the auspices of the National Alzheimer's Project Act.<\/jats:p>","DOI":"10.1111\/jgs.17342","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T13:20:33Z","timestamp":1625923233000},"page":"1755-1762","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Design, implement, and diffuse scalable and sustainable solutions for dementia care"],"prefix":"10.1111","volume":"69","author":[{"given":"Malaz","family":"Boustani","sequence":"first","affiliation":[{"name":"Department of Medicine Indiana University, Center for Health Innovation and Implementation Science  Indianapolis Indiana USA"},{"name":"Sandra Eskenazi Center for Brain Care Innovation Eskenazi Health  Indianapolis Indiana USA"},{"name":"Regenstrief Institute, Inc  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Un\u00fctzer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luci K.","family":"Leykum","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine South Texas Veterans Healthcare System  Austin Texas USA"},{"name":"Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,10]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Meeting the Challenge of Caring for Persons Living with Dementia and Their Care Partners and Caregivers: A Way Forward","author":"National Academies of Sciences, Engineering, and Medicine","year":"2021"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15320"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2018.05154"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15283"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2013.1221"},{"key":"e_1_2_9_7_1","volume-title":"Agile Implementation: A Model for Implementing Evidence\u2010Based Healthcare Solutions into Real\u2010World Practice to Achieve Sustainable Change","author":"Boustani M","year":"2020"},{"key":"e_1_2_9_8_1","volume-title":"The Agile Network: A Model to Foster Innovation, Implementation, and Diffusion in Healthcare Systems","author":"Boustani M","year":"2020"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-014-0165-1"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/acref\/9780199684984.001.0001"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2019.09.005"},{"key":"e_1_2_9_12_1","volume-title":"Design Thinking: Understand\u2014Improve\u2014Apply","author":"Plattner H","year":"2011"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjinnov-2020-000574"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-69"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.00132"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1041610200006177"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200108000-00005"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0089475"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.22.2836"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53151.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2005.06.001"},{"key":"e_1_2_9_22_1","first-page":"91","article-title":"Long\u2010term cost effects of collaborative care for late\u2010life depression","volume":"14","author":"Un\u00fctzer J","year":"2008","journal-title":"Am J Manag Care"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2020.05.008"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2006.03.006"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2005.09.001"},{"key":"e_1_2_9_26_1","unstructured":"University of Washington AIMS Center.Advancing integrated mental health solutions.https:\/\/aims.uw.edu. 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