A Multidomain Intervention for Modifying Lifestyle Habits Reduces the Dementia Risk in Community-Dwelling Older Adults: A Single-Blinded Randomized Controlled Pilot Study

Park, Jee Eun; Jeon, So Yeon; Kim, Se An; Kim, Jin Ha; Kim, Seon Hwa; Lee, Kyungwon; Hwang, Yun Jung; Jung, Gijung; Suk, Hye Won; Park, Saejong; Lee, Dong Hoon

doi:10.3233/jad-190016

Cited by 13 publications

(13 citation statements)

References 25 publications

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“…Park et al. (2019) reported that the baseline ANU‐ADRI risk score for the active control group was 17.6 (7.7) and the protective factor score was −8.3 (3.2). In a study examining the effect of an intervention study to prevent cognitive behaviours conducted in Finland, ANU‐ADRI risk, protective and total scores were found to be 14.8 (8.2), −8.9 (2.6) and 5.9 (8.7), respectively, in the control group at baseline (Hall et al., 2024).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, each additional risk point on the ANU-ADRI was associated with an 8% increase in the risk of developing MCI/dementia over a 12-year follow-up (Cherbuin et al, 2019). The ANU-ADRI has also been used in studies to evaluate the efficacy of interventions to reduce lifestyle risk factors for AD (McMaster et al, 2018(McMaster et al, , 2020Park et al, 2019), and it has been shown to be a valid and reliable tool in randomised…”

Section: Introductionmentioning

confidence: 99%

“…Reducing the risk of dementia in cognitively normal individuals is possible with primary prevention (Barnes & Yaffe, 2011;Norton et al, 2014). Identifying high-risk individuals who are beginning to experience subjective cognitive decline (SCD) or mild cognitive impairment (MCI) can be achieved through secondary prevention (Shokouhi & Albert, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Adaptation of the Australian National University Alzheimer's Disease Risk Index‐Short Form (ANU‐ADRI‐SF) into Turkish

Bayram,

Akkaş

2024

Int J Older People Nursing

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BackgroundThe ‘Australian National University Alzheimer's Disease Risk Index’ (ANU‐ADRI) assesses the risk of developing Alzheimer's disease (AD) and is a potential tool for its prevention.ObjectivesThe aim of this study is to adapt the ANU‐ADRI‐SF (the short version of ANU‐ADRI) into the Turkish language and Turkish cultural context.MethodsThe study was methodological and involved the translation and intercultural adaptation of the ANU‐ADRI‐SF into the Turkish language. The study included 384 community‐based participants from a province in the Western Black Sea Region of Türkiye. Data was collected via an online form prepared using Google Forms.ResultsThe index was translated from its original language, English, into Turkish and then retranslated to English by bilingual translators. It was then reviewed and evaluated for possible issues related to translation and degrees of equivalence. When TR‐ANU‐ADRI‐SF levels were compared according to sex, the mean risk scores were found to be 11.25 ± 7.02 for males and 11.69 ± 7.99 for females. After cross‐cultural adaptation, the TR‐ANU‐ADRI‐SF was conceptually intelligible to Turkish adults.ConclusionsThe TR‐ANU‐ADRI‐SF is a valid and reliable AD risk assessment tool.Implications for practiceGiven the increase in AD and its impact on people's health, there is a great need for strategies to be implemented by health professionals to improve the lifestyle of the adult population. For use in conjunction with these strategies, a localised AD risk assessment tool that can be applied by clinicians or by individual patients has been adapted and introduced to the Turkish literature.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adaptation of the Australian National University Alzheimer's Disease Risk Index‐Short Form (ANU‐ADRI‐SF) into Turkish

Bayram,

Akkaş

2024

Int J Older People Nursing

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“…Therefore, the results suggest the effectiveness of MDSCEP for the improvement of healthy behaviours in older Iranian's lifestyle. Previous studies in other populations have shown that educational interventions based on Pender's HPM for older adults can be effective for lifestyle changes, including awareness and promotion of self‐care activities, and improvements in mental and physical health (Ilgaz & Gözüm, 2019; Park et al, 2019). This study demonstrates the program's effectiveness with Iranian community‐based older adults.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a self‐care education program for older adults in Iran using a lifestyle improvement model

Oskuei

Atri

Davoodi

et al. 2021

Int J Older People Nursing

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Background Older adults and their caregivers often believe it is either too late or too difficult to make health‐focused lifestyle changes. However, this is inaccurate, as older adults can make health promotion focused lifestyle changes thereby improving their health. This study developed and evaluated a self‐care education program using Pender's Health Promotion Model and its influence on health‐focused behaviour changes among older Iranians. Method This was a quasi‐experimental study with a convenience sample of 136 community‐living older adults from Tabriz, Iran. The participants were randomly assigned to either an intervention (n = 69) or control (n = 67) group. Chi‐square test, independent t tests and Analysis of covariance (ANCOVA) statistical methods were used to compare pre‐ and post‐intervention data, control and intervention groups and changes over time. The intervention was an eight‐week educational program with pre‐ and post‐intervention data collected using the Health Promoting Lifestyle Profile II (HPLP II) questionnaire. Results The mean difference and confidence limits of the older adults' health behaviours pre‐ and post‐intervention scores were 2.228 (−5.450 – 9.916) and ‐ 35.820 (−32.051 – 39.588). The covariance analysis adjusting for the baseline values showed significant differences post‐intervention (p<0.0001) in the areas of interpersonal communication, physical activity, nutrition, stress management and spiritual growth. Conclusion The health promotion education intervention illustrated that older Iranians could improve their health outcomes in several areas. Thus, culturally tailored intervention programs can be successful in challenging the opinion that older adults cannot make behaviour changes supporting their health.

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“…The ANU-ADRI was used as a surrogate outcome measure in a multidomain risk reduction trial of middle-aged adults because it was not reasonable to expect significant cognitive change over 6 months in this age-group ( 71 ). It was also used as an outcome measure in a pilot multidomain dementia risk reduction trial in older community dwelling adults ( 72 ) and a multidomain trial in middle-aged adults in primary care ( 73 ). The ANU-ADRI was used as a secondary outcome in a multi-domain trial for participants with subjective cognitive decline or MCI ( 74 ) and in an ongoing large primary prevention internet based trial ( 75 ).…”

Section: Examples Of Dementia Risk Scores and Their Usementioning

confidence: 99%

Dementia Risk Scores and Their Role in the Implementation of Risk Reduction Guidelines

et al. 2022

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Dementia prevention is a global health priority. In 2019, the World Health Organisation published its first evidence-based guidelines on dementia risk reduction. We are now at the stage where we need effective tools and resources to assess dementia risk and implement these guidelines into policy and practice. In this paper we review dementia risk scores as a means to facilitate this process. Specifically, we (a) discuss the rationale for dementia risk assessment, (b) outline some conceptual and methodological issues to consider when reviewing risk scores, (c) evaluate some dementia risk scores that are currently in use, and (d) provide some comments about future directions. A dementia risk score is a weighted composite of risk factors that reflects the likelihood of an individual developing dementia. In general, dementia risks scores have a wide range of implementations and benefits including providing early identification of individuals at high risk, improving risk perception for patients and physicians, and helping health professionals recommend targeted interventions to improve lifestyle habits to decrease dementia risk. A number of risk scores for dementia have been published, and some are widely used in research and clinical trials e.g., CAIDE, ANU-ADRI, and LIBRA. However, there are some methodological concerns and limitations associated with the use of these risk scores and more research is needed to increase their effectiveness and applicability. Overall, we conclude that, while further refinement of risk scores is underway, there is adequate evidence to use these assessments to implement guidelines on dementia risk reduction.

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A Multidomain Intervention for Modifying Lifestyle Habits Reduces the Dementia Risk in Community-Dwelling Older Adults: A Single-Blinded Randomized Controlled Pilot Study

Cited by 13 publications

References 25 publications

Adaptation of the Australian National University Alzheimer's Disease Risk Index‐Short Form (ANU‐ADRI‐SF) into Turkish

Adaptation of the Australian National University Alzheimer's Disease Risk Index‐Short Form (ANU‐ADRI‐SF) into Turkish

Evaluation of a self‐care education program for older adults in Iran using a lifestyle improvement model

Dementia Risk Scores and Their Role in the Implementation of Risk Reduction Guidelines

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