Lay summary
The ageing demographic means prevention of dementia is an international and national priority. People with mild cognitive impairment (MCI), an early (prodromal) stage of dementia, are also at high risk of falls. Cognitively stimulating exercise may both prevent dementia and falls (must not cause falls). In people with MCI we aim to use Randomised Controlled Trial and cost effectiveness methods to test a model of care for dementia prevention. The Ronnie Gardiner Method (RGM) is compared with a falls prevention programme (SAYGO). RGM is a cognitively challenging music and movement activity programme where trained practitioners use rhythmical movement to music for neurological rehabilitation. Up to 190 people with MCI will be invited through the Dementia Prevention Research Clinics, in three sites. A Māori substudy will redevelop RGM by Māori, for Māori to test feasibility. Improved cognition and fewer falls will prolong independence and enhance the silver economy.