Fig. 1

Our two trials are highly pragmatic as indicated by scores of 4 and 5 (‘most pragmatic’) in the PRECIS-2 summary wheel depicted here. The diverse primary care settings, minimal inclusion/exclusion criteria, highly relevant clinical outcomes to patients and providers, close EHR-based data follow-up, and expertise in developing scalable low-cost cognitive assessments results in a very pragmatic design. We have strong partnerships with local primary care clinics. Patient input was received in designing QDRS and study flow. Other pragmatic elements include not asking clinicians to deny patients any routine procedures such as cognitive tests and using a variety of patient identification methods