{"id":4317,"date":"2019-04-09T14:10:57","date_gmt":"2019-04-09T14:10:57","guid":{"rendered":"https:\/\/cusjc.ca\/catalyst\/?post_type=project&#038;p=4317"},"modified":"2019-04-09T18:40:42","modified_gmt":"2019-04-09T18:40:42","slug":"could-language-apps-slow-dementia-progression-in-indigenous-communities","status":"publish","type":"project","link":"https:\/\/cusjc.ca\/catalyst\/project\/could-language-apps-slow-dementia-progression-in-indigenous-communities\/","title":{"rendered":"Could language apps slow dementia progression in Indigenous communities?"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;3.21&#8243;][et_pb_fullwidth_header title=&#8221;Could language apps slow dementia progression in Indigenous communities?&#8221; subhead=&#8221;A First Nations-led study hopes to uncover a link between Indigenous language use and dementia progression in a population that is aging rapidly.&#8221; header_fullscreen=&#8221;on&#8221; _builder_version=&#8221;3.21&#8243; title_font=&#8221;|700|||||||&#8221; title_text_align=&#8221;left&#8221; title_font_size=&#8221;60px&#8221; title_line_height=&#8221;1.2em&#8221; title_text_shadow_style=&#8221;preset1&#8243; content_font=&#8221;|800|||||||&#8221; content_text_align=&#8221;left&#8221; content_font_size=&#8221;25px&#8221; content_line_height=&#8221;2.9em&#8221; subhead_font=&#8221;||||||||&#8221; subhead_text_align=&#8221;left&#8221; subhead_font_size=&#8221;21px&#8221; subhead_line_height=&#8221;1.4em&#8221; subhead_text_shadow_style=&#8221;preset4&#8243; subhead_text_shadow_horizontal_length=&#8221;0.08em&#8221; background_image=&#8221;https:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2019\/04\/Screen-Shot-2019-04-04-at-12.39.09-PM.jpg&#8221; parallax=&#8221;on&#8221; custom_css_title=&#8221;width:800px;&#8221; custom_css_content=&#8221;width:800px;&#8221; custom_css_subtitle=&#8221;width:800px;&#8221;]<\/p>\n<p><strong>By Caroline Mercer and Raisa Patel <\/strong><\/p>\n<p>[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.21&#8243; custom_padding=&#8221;54px|0px|0|0px|false|false&#8221;][et_pb_row make_fullwidth=&#8221;on&#8221; custom_margin=&#8221;-40px||&#8221; _builder_version=&#8221;3.21&#8243; custom_padding=&#8221;27px|0px|26px|0px|false|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221; custom_margin=&#8221;-30px||&#8221;]<\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\">The File Hills Qu\u2019Appelle Tribal Council language apps were originally created to help share Indigenous languages. Here, common Cree phrases are displayed. [Photo \u00a9 Raisa Patel]<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.21&#8243; custom_padding=&#8221;63px|0px|63px|0px|true|false&#8221;][et_pb_row custom_padding=&#8221;27px|0px|7px|0px|false|false&#8221; custom_margin=&#8221;-40px||&#8221; _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221;]<\/p>\n<p><strong>Miyo-k\u012bsik\u0101w p\u0113t\u0101pan \u2014 good morning. The Cree greeting is read aloud by a language learning app developed by the File Hills Qu\u2019Appelle Tribal Council, a community of 11 First Nations in Saskatchewan. The sound recording is accompanied by a photo of a young girl smiling and waving her hand. <\/strong><\/p>\n<p><span style=\"font-weight: 400;\">When another phrase is tapped, a school-aged boy with his finger on his chin in contemplation appears. He\u2019s looking up at a speech bubble that contains Einstein\u2019s relativity equation, E = mc<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">. Ninisitoht\u0113n \u2014 I understand.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The app is replicated in four languages besides Cree: Nakota, Lakota, Dakota and Saulteaux. Instead of swiping through stock photos, the Council chose images of familiar faces from within First Nations communities where possible. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although they were designed to help First Nations peoples learn their languages, the apps could be useful to an aging Indigenous population \u2014 a group Statistics Canada predicts will more than double by 2036. That\u2019s why researchers at Morning Star Lodge, an Indigenous community-based research centre in Regina, teamed up with the Tribal Council to see whether regular use of the apps might reduce dementia progression in First Nations adults with the disease. The project was launched in March and was spurred by a recent rise in dementias affecting Indigenous Peoples \u2014 something researchers say communities are experiencing, but can\u2019t explain. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWe&#8217;ve never seen that rate, the increase,\u201d said Danette Starblanket, the project lead. \u201cIt&#8217;s pretty well unheard of, prior to 10 years ago. We need to know why there&#8217;s a spike.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.canada.ca\/en\/public-health\/services\/publications\/diseases-conditions\/dementia-highlights-canadian-chronic-disease-surveillance.html\"><span style=\"font-weight: 400;\">Public Health Agency of Canada<\/span><\/a><span style=\"font-weight: 400;\">, more than 7.1 per cent of Canadian seniors were living with dementia as of 2014. Dementias \u2014 a class of brain diseases that influence the way people think and recall information \u00a0\u2014 include symptoms ranging from memory loss to personality changes. The disease is caused by damage to nerve cells in the brain and can reveal itself in a number of forms, the most well-known of which is Alzheimer\u2019s disease. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">A 2018 <\/span><a href=\"https:\/\/www.ccnsa-nccah.ca\/docs\/emerging\/RPT-Alzheimer-Dementia-MacDonald-Ward-Halseth-EN.pdf\"><span style=\"font-weight: 400;\">literature review<\/span><\/a><span style=\"font-weight: 400;\"> from the National Collaborating Centre for Aboriginal Health reports that dementia rates will jump by 4.2 times for First Nations and 3.3 times for Inuit from 2006 to 2031. Another <\/span><a href=\"https:\/\/pdfs.semanticscholar.org\/8fcf\/2edb97bb733aa0b1bb4abc39eed98e5feda3.pdf\"><span style=\"font-weight: 400;\">study<\/span><\/a> <span style=\"font-weight: 400;\">on the emergence of dementia in First Nations communities also suggests the disease has an earlier age of onset in Indigenous peoples versus the general population. \u00a0Available evidence \u2014 which is limited and primarily focuses on First Nations as opposed to Inuit or M\u00e9tis populations \u2014 suggests that the incidence of dementia in First Nations populations is also rising at a faster rate compared to the general population.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Funded by Toronto\u2019s Centre for Brain Health and Innovation, the Morning Star project follows 10 participants and their caregivers from 11 First Nations in Saskatchewan for 15 months. Participants\u2019 stages of dementia range from early signs of the disease to patients who have been diagnosed for a number of years. <\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_code _builder_version=&#8221;3.21&#8243;]<center><\/p>\n<div class='tableauPlaceholder' id='viz1554406624729' style='position: relative'><noscript><a href='#'><img alt=' ' src='https:\/\/public.tableau.com\/static\/images\/Pr\/PrevalenceofAlzheimersdiseaseanddementiainAlberta\/Dashboard1\/1_rss.png' style='border: none' \/><\/a><\/noscript><object class='tableauViz'  style='display:none;'><param name='host_url' value='https%3A%2F%2Fpublic.tableau.com%2F' \/><param name='embed_code_version' value='3' \/><param name='site_root' value='' \/><param name='name' value='PrevalenceofAlzheimersdiseaseanddementiainAlberta\/Dashboard1' \/><param name='tabs' value='no' \/><param name='toolbar' value='yes' \/><param name='static_image' value='https:\/\/public.tableau.com\/static\/images\/Pr\/PrevalenceofAlzheimersdiseaseanddementiainAlberta\/Dashboard1\/1.png' \/><param name='animate_transition' value='yes' \/><param name='display_static_image' value='yes' \/><param name='display_spinner' value='yes' \/><param name='display_overlay' value='yes' \/><param name='display_count' value='yes' \/><param name='filter' value='publish=yes' \/><\/object><\/div>\n<p>                <script type='text\/javascript'>                    var divElement = document.getElementById('viz1554406624729');                    var vizElement = divElement.getElementsByTagName('object')[0];                    vizElement.style.width='950px';vizElement.style.height='827px';                    var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/center>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;0|0px|27px|0px|false|false&#8221; _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_3_font=&#8221;||||||||&#8221; header_3_text_color=&#8221;#d37400&#8243;]<\/p>\n<h3>Bringing back a protective factor<\/h3>\n<p><span style=\"font-weight: 400;\">Language is considered a protective factor against dementia, which means it can potentially counter the development of the disease. The hope is that practising First Nations languages might slow early-onset dementia and stimulate brain activity in patients who are experiencing the condition. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Language learning has been linked to dementia before. One research <\/span><a href=\"https:\/\/n.neurology.org\/content\/81\/22\/1938\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> from 2013 found that dementia onset was delayed by four and a half years in bilingual patients compared with patients who spoke only one language. A leading theory behind this finding is that switching between two languages and suppressing the other results in continuous brain training.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In Indigenous communities, the relationship between language and identity could introduce benefits that go beyond brain stimulation. Starblanket said language brings community members to \u201ca happy place&#8230;whether it be ceremony when they were children or whether it be their grandparents telling stories in that language.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Starblanket added that hearing First Nations languages could comfort agitated participants, calming feelings of frustration that are common with dementia patients. <\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_code _builder_version=&#8221;3.21&#8243;]<iframe loading=\"lazy\" width=\"510\" height=\"265\" src=\"https:\/\/www.youtube.com\/embed\/iAMmNVB1Ph0\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Historical policies \u2014 \u00a0including the residential school system \u2014 actively tried to stop Indigenous languages from being spoken. Today, just one in six Indigenous people can converse in an Indigenous language, according to <\/span><a href=\"https:\/\/www12.statcan.gc.ca\/nhs-enm\/2011\/as-sa\/99-011-x\/99-011-x2011003_1-eng.cfm\"><span style=\"font-weight: 400;\">Statistics Canada<\/span><\/a><span style=\"font-weight: 400;\">. Starblanket said that encouraging young people to use language is a secondary goal of the study.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Carrie Bourassa \u2014 another researcher leading the study and the scientific director at the Institute of Indigenous Peoples\u2019 Health in Saskatoon \u2014 said there is a sense among First Nations communities that the rise in dementia is linked to the disappearance of other cultural protective factors, like ceremony, beading and song. Bourassa cited knowledge keepers, healers and elders in the community who have retained these factors, passing them on to the younger generation in an attempt to ensure a protective effect \u201cgoing forward\u201d. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The legacy of residential schools, the removal of Indigenous children from their families during the Sixties Scoop, environmental degradation of traditional lands and inadequate nutrition may have led to the disappearance of protective factors which contribute to the emergence of dementia, Bourassa said. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201c[Community members] just feel like those protective factors were in place and then something happened, some kind of trigger happened, or there was some kind of wearing down of those protective factors over time,\u201d Bourassa said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Research has <\/span><a href=\"https:\/\/pdfs.semanticscholar.org\/8fcf\/2edb97bb733aa0b1bb4abc39eed98e5feda3.pdf\"><span style=\"font-weight: 400;\">suggested<\/span><\/a><span style=\"font-weight: 400;\"> that trauma caused by the residential school system could play a role because people with Post-Traumatic Stress Disorder are <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20863321\"><span style=\"font-weight: 400;\">more likely<\/span><\/a><span style=\"font-weight: 400;\"> to develop dementia.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_3_font=&#8221;||||||||&#8221; header_3_text_color=&#8221;#d37400&#8243;]<\/p>\n<h3>A second childhood<\/h3>\n<p><span>Growing dementia rates might simply reflect shifting attitudes towards the condition. Memory loss is considered a natural part of the life cycle in some Indigenous communities, often referred to as a \u201c<\/span><a href=\"https:\/\/womensbrainhealth.org\/helpful-thinking\/dementia-a-growing-health-concern-for-indigenous-people\"><span>second childhood<\/span><\/a><span>.\u201d <\/span><\/p>\n<p><span>But some First Nations and researchers argue dementia was not typically seen in these communities in the past at all. <\/span><\/p>\n<p><span>Jennifer Walker, Canada Research Chair in Indigenous Health at Laurentian University, said literature points to increased rates of dementia in Indigenous groups internationally. Walker also mentioned local communities have shared their own experiences with increasing dementia cases.<\/span><\/p>\n<p><span>The community on Manitoulin Island, for example, \u201chighlighted dementia as a priority ten or fifteen years ago, because they saw the rates increasing,\u201d Walker said.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;Georgia||||||||&#8221; text_font_size=&#8221;30px&#8221; text_line_height=&#8221;1.8em&#8221; header_font=&#8221;||||||||&#8221;]<\/p>\n<blockquote>\n<p><em>\u201c[Community members] just feel like those protective factors were in place and then something happened, some kind of trigger happened.&#8221; &#8211; Carrie Bourassa<\/em><\/p>\n<\/blockquote>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;5px|0px|27px|0px|false|false&#8221; _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221;]<\/p>\n<p><span style=\"font-size: 14px;\">Bourassa isn\u2019t sure whether dementia is truly a new phenomenon in Indigenous populations. However, she said that some community members believe that the disease really didn\u2019t exist until recently.<\/span><\/p>\n<p>Health factors could be partially responsible. Hypertension, heart disease, stroke and diabetes occur especially frequently in First Nations communities, conditions associated with an <a href=\"https:\/\/journals-scholarsportal-info.proxy.library.carleton.ca\/pdf\/15525260\/v03i0004\/341_grffdaser.xml\"><span style=\"font-weight: 400;\">increased likelihood<\/span><\/a><span style=\"font-weight: 400;\"> of developing dementia. The precise link between these conditions and dementia is <\/span><a href=\"https:\/\/journals-scholarsportal-info.proxy.library.carleton.ca\/pdf\/15525260\/v03i0004\/341_grffdaser.xml\"><span style=\"font-weight: 400;\">not fully understood<\/span><\/a><span style=\"font-weight: 400;\">, though research suggests disrupted blood flow to the brain could play a role in dementia development. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">But Bourassa cautions that research dominated by discussions of suffering takes away from the Indigenous community\u2019s resilience. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt marginalizes communities even more than they already are. To start doing asset-based, strength-based, resilience-focused research is essential.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This resiliency can be found deep within Indigenous culture, Bourassa said, but it\u2019s also found in those who practice it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWe ask [communities] a lot about their problems,\u201d Bourassa said. \u201cWe forget to ask them, \u2018What do you see as the solutions?\u2019 Because guess what? They know.\u201d<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_image src=&#8221;https:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2019\/04\/Morning-Star-Lodge_Team.jpg&#8221; _builder_version=&#8221;3.21&#8243;][\/et_pb_image][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Morning Star Lodge researchers and the File Hills Qu&#8217;Appelle Tribal Council Community Research Advisory Committee. [Photo courtesy of Morning Star Lodge]<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_3_font=&#8221;||||||||&#8221; header_3_text_color=&#8221;#d37400&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\"><span>It was the File Hills Qu\u2019Appelle Tribal Council that suggested creating the language apps, for example, and developed \u201cculturally safe\u201d activities like puzzles and colouring books for community members with dementia.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span>Morning Star Lodge\u2019s researchers also hope that technology like the apps might make it easier for older adults with dementia to age at home. This is important for Indigenous communities in remote locations, but it\u2019s also in keeping with cultural family values.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIndigenous knowledge systems are really broken when we remove our elders from [communities],\u201d Starblanket said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Indigenous families don\u2019t regularly put older adults in care homes, Starblanket explained. But even this, she said, is changing. Care homes are now being built in Indigenous communities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWe\u2019re becoming more and more mainstream all the time,\u201d Starblanket said. \u201cWe\u2019re acculturating to those systems.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h3>Starting a national conversation<\/h3>\n<p><span>The federal government is working towards a national dementia strategy to address rising incidence of the disease. In 2016, the Senate recommended that the Indigenous community be represented as the strategy takes shape.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.21&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.21&#8243;][et_pb_text _builder_version=&#8221;3.21&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_3_font=&#8221;||||||||&#8221; header_3_text_color=&#8221;#d37400&#8243;]<\/p>\n<p><span style=\"font-size: 14px;\">Walker, who is a member of the ministerial advisory board on dementia, said that the Public Health Agency of Canada is \u201creally trying to make space and listen to Indigenous perspectives.\u201d That said, Walker said the dementia strategy needs to be inclusive of Indigenous experiences when talking about risk and protective factors, beyond behavioural factors like smoking and exercise.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Colonization, the impacts of trauma and connection to the land need to be considered when talking about Indigenous-specific strategies to address dementia, Walker said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The federal dementia strategy is expected later this year with a more concrete action plan to follow. Walker said that the government will collaborate with Indigenous groups to develop the action plan. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">For Walker, helping Indigenous communities deal with dementia means more than just diagnosing people who have the disease; it means supporting people who are living with dementia, and making sure their communities have the resources to do that.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThat\u2019s what I would love to see, that a diagnosis of dementia doesn\u2019t mean that people have to leave their home,\u201d Walker said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Language learning apps could be a step in that direction.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In Saskatchewan, a First Nations-led study hopes to uncover a link between Indigenous language use and dementia progression \u2014 in an Indigenous population set to rapidly age.<\/p>\n","protected":false},"author":52,"featured_media":4324,"comment_status":"open","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<!-- wp:heading {\"level\":5} -->\n<h5>By Caroline Mercer and Raisa Patel <br><\/h5>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->","_et_gb_content_width":"","footnotes":""},"project_category":[135],"project_tag":[],"class_list":["post-4317","project","type-project","status-publish","has-post-thumbnail","hentry","project_category-feature"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Could language apps slow dementia progression in Indigenous communities? 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