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Title: Exploring modifiable lifestyle risk-talk in Mild Cognitive Impairment diagnosis consultations Abstract: Mild Cognitive Impairment (MCI) is described by clinicians as the “grey area between normal ageing and dementia”. We know that around one in five people over 65 in the UK have MCI, and of those, about one in ten will go on to develop dementia. Research suggests that around 45% of dementias globally could be linked to fourteen modifiable risk factors. These include things like hearing loss, high cholesterol, social isolation, depression, and lifestyle habits like smoking and physical inactivity. Healthcare professionals, especially in memory assessment services, can play a crucial role in communicating dementia risk. In this study, we explored exactly how those clinical conversations unfold in real-life memory clinic consultations. We analysed 43 video-recorded diagnostic feedback sessions from nine UK memory services, and using conversation analysis, we examined how clinicians bring up and discuss lifestyle-related dementia risks. What we found is that risk-talk doesn’t just happen in one moment—it’s woven throughout the consultation. Clinicians typically engage in three key types of talk: first, they identify what kinds of risk behaviours the patient might have or engage in; next, they explain how those behaviours relate to dementia risk; and finally, they offer advice on what to do about it. Sometimes this is tailored to the individual; other times, it’s more general advice. Talking about health risks—especially ones linked to a condition as feared as dementia—is emotionally, socially and interactionally delicate. This talk will explore risk-talk in these clinical encounters, reflecting on future directions for research and practice. Bio: Danielle is an Associate Professor in the Centre for Applied Dementia Studies at the University of Bradford. Danielle is a University of York alumna, having studied her undergraduate and postgraduate degrees in sociology in York (2003-2012). Danielle is a dementia researcher, specialising in qualitative methods and Conversation Analysis. Her work focuses on communication in dementia care—within families, and between healthcare professionals, people living with dementia, and their companions. She currently leads projects on how clinicians communicate dementia risk and Brain Health across diverse healthcare settings. Danielle plays a key role in dementia education within the Centre for Applied Dementia Studies, where she leads the Postgraduate Certificate for Practitioners with Advanced or Extended Roles in Dementia. She recently co-produced "Understanding the Me in Dementia", a groundbreaking postgraduate module created in partnership with 22 people living with dementia. The module has been recognised nationally, receiving multiple award nominations for innovation, co-production, and teaching excellence.
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