Return to Everyday Activities in the Community and Home (REACH) is a lifestyle intervention model for middle-aged and older adults. The goal of REACH is to reduce sedentary behaviour, increase physical activity, and increase adoption of strength and balance exercises. In this feasibility study we completed a formative evaluation to assess the effectiveness, impact and reception of the REACH instructor training course. Our aim was to summarise perceptions of the model and identify gaps in curriculum delivery. The REACH Instructor training course occurred over four sessions, each of two hour duration. The training methods included didactic and participatory elements, plus a comprehensive instructors' manual and handouts. The participants were provided with foundational knowledge, including principles of behaviour change theory. Participants also practiced teaching components of the program to their peers. We conducted semi-structured interviews at the end of the training session, and administered a Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) and session feedback forms. There were three participants who completed the study; all were community-based exercise physiologists with an average of 17 (8) years of experience. Emerging themes from participants' feedback included: credentials required, how to best prepare instructors for teaching REACH, the ideal learning setting and linking the instructor manual to presentation slides. The PEMAT-P scores for the instructor manual were 98 (0.03) % for understandability, and 100% for actionability. Each session was rated very good or excellent for presentation style and overall rating. We applied participant feedback to the existing instructor curriculum. ASSOCIATION OF SELF-RATED HEALTH IN COMMUNITY-DWELLING ELDERLY PEOPLE OF JAPANJapan is known for its population longevity, however, people should be aware that longevity with health is better than a longer life in bad health. This study made analysis of socio-economic backgrounds, sleep, depression, chronic disease, long-term care and lifestyle factors related to self-rated health (SRH) in community-dwelling elderly people in Japan.Cross-sectional research of community-dwelling elderly people was carried out in Mibu-town in Eastern Japan in 2015. 665 residents aged over 60 years old, participated in the study and completed a questionnaire. The results from SRH using a four-step scale were later categorized into two groups "Good and Poor" Health. Binary logistic regression was used to identify the factors associated with "Good" SRH.The average age of the participants was 71.3 years old (SD 6.5, range 60-98). 50.2% of those were female and 84.5% of them answered that they were healthy. The characteristics of "Good" in SRH were non long-term care, a feeling of satisfaction with life, nondepression, without cardiovascular or orthopedic disorders, without medication, having a regular exercise regime and keeping an active lifestyle.People subjectively felt that "Good" for their SRH was closely rela...

Background: Subjective memory complaints (SMCs) are associated with increased risk of dementia in older adults, but the role of comorbidities in modifying this risk is unknown. Objectives: To assess whether comorbidities modify estimated dementia risk based on SMCs. Design: The Prevention of Alzheimer’s Disease with Vitamin E and Selenium Study (PREADVISE) was designed as an ancillary study to the Selenium and Vitamin E Cancer Prevention Trial (SELECT), a randomized, multi-center prostate cancer prevention trial with sites in the Unites States, Puerto Rico, and Canada. In 2009, PREADVISE and SELECT were changed into cohort studies. Setting: Secondary analysis of PREADVISE data. Participants: PREADVISE recruited 7,540 non-demented male volunteers from participating SELECT sites from 2002 to 2009. SMCs, demographics, and comorbidities including hypertension, diabetes, coronary artery bypass graft (CABG), stroke, sleep apnea, and head injury were ascertained by participant interview. Measurements: Cox models were used to investigate whether baseline comorbidities modified hazard ratios (HR) for SMC-associated dementia risk using two methods: (1) we included one interaction term between SMC and a comorbidity in the model at a time, and (2) we included all two-way interactions between SMC and covariates of interest and reduced the model by “backward” selection. SMC was operationalized as any complaint vs. no complaint. Results: Baseline SMCs were common (23.6%). In the first analyses, with the exception of stroke, presence of self-reported comorbidities was associated with lower estimated HR for dementia based on SMC status (complaint vs. no complaint), but this difference was only significant for diabetes. In the second analysis, the two-way interactions between SMC and race as well as SMC and diabetes were significant. Here, black men without diabetes who reported SMC had the highest estimated dementia risk (HR=5.05, 95% CI 2.55-10.00), while non-black men with diabetes who reported SMC had the lowest estimated risk (HR=0.71, 95% CI 0.35-1.41). Conclusions: SMCs were more common among men with comorbidities, but these complaints appeared to be less predictive of dementia risk than those originating from men without comorbidities, suggesting that medical conditions such as diabetes may explain SMCs that are unrelated to an underlying neurodegenerative process.