Wiese LK, et al. - Researchers undertook a descriptive analysis to gauge Appalachian stakeholder attitudes toward routine memory screening and compare outcomes from a similar study that included an ethnically diverse rural Florida cohort. Participants included 22 FL and 21 WV rural stakeholders (residents, health providers, and administrators), who were examined using a parallel mixed method design of semi-structured interviews, measurements of health literacy (REALM-SF), sociodemographics, and cognitive screening perceptions (PRISM-PC). Across both cohorts, earlier dementia detection via routine screening was highly supported by > 90% participants, irrespective of sample features. However, doubt about the adequacy of provider care or assistance for this terminal illness was shown by half of those interviewed. Rural providers were prompted to offer education to patients and community members about Alzheimer disease and provide routine cognitive screening and follow-through despite prior concerns of the stigma related to an Alzheimer disease diagnosis.