Neighborhood-based Physical and Social Activity for Older Black Caregivers and People Living With Dementia

Inclusion Criteria:

1. Self-identified African American (caregiver and PWD)

2. Caregivers and PWD Age > 55 years old; caregiver support person aged >18 years old

3. Caregiver and PWD reside or resided for >10 years in Portland's historically Blackneighborhoods (to be familiar with Memory Markers about this area)

4. Able to ambulate independently for at least 45 minutes without the use of mobilityaids

5. Meeting Cognition Criteria a. Participants with MCI or early-stage/mild dementia will meet criteria consistentwith those defined by Jak et al. and with the criteria outlined by theNIA-Alzheimer's Association workgroup

6. Cognitive function allows independent (or minimally assisted) travel to and fromwalk locations

7. Caregivers must have in-home reliable broadband internet (for weekly onlinesurveys).

8. Ability to read, speak, and understand English - all participants

9. In general good health for their age (e.g., stable cardiovascular disease, stablediabetes mellitus, no significant nervous system disease).

10. Subject must have adequate vision, hearing and language abilities to completeassessments.

Exclusion Criteria:

1. Self-reported or clinically diagnosed late-stage dementia

2. Significant disease of the central nervous system

3. Severely depressed (CES-D score > 16), significantly symptomatic psychiatricdisorder

4. Advanced cardiovascular disease that would make walking difficult, including historyof congestive heart failure

5. Unstable insulin-dependent diabetes mellitus, received diagnosis Type 1 Diabetes,started insulin within past 3 months, hospitalized for hypoglycemia within past 6months.