O3‐12‐02: Feedback from middle‐aged participants in a multi‐domain lifestyle intervention for Alzheimer's prevention: The gray matters study

Clark, Christine; Dorsch, Travis E.; Gast, Julie; Robinson, Dave; Fauth, Elizabeth B.; Hartin, Phillip J.; Cleland, Ian; Nugent, Christopher; McClean, Sally; Scotney, Bryan; Norton, Maria C.

doi:10.1016/j.jalz.2015.07.304

Cited by 2 publications

(4 citation statements)

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“…For 8 programs (8/14, 57%), 10 studies [29,32,35,36, 48,49,53,54,62,63] reported user evaluations: all 10 reported results on usability and 7 (7/14, 50%) also reported results on usefulness and usability (for evaluations see Table 5). The methods to evaluate user experiences, usefulness, and usability were qualitative debriefing, a survey, Likert scales ranging from 0 to 10 for specific topics (eg, satisfaction and simplicity), and the percentage of participants that reported the program to be usable and user-friendly.…”

Section: Resultsmentioning

confidence: 99%

“…The other 5 programs described results of user evaluations using a variety of methods: a few representative findings are presented here. Participants of Gray Matters [32,35] used the app regularly, with on average 3 app launches per week, and ranked 6 behavioral domains in order of importance: physical activity, cognitive stimulation, healthy food choices, stress management, sleep quality, and social engagement. Participants of HATICE [36,49] provided input on the password difficulty and deemed an instruction video necessary.…”

Section: Resultsmentioning

confidence: 99%

“…However, the descriptions of user evaluations were often unclear, with an incomplete or lacking description of methods or lack of specification regarding which questions were asked to evaluate usability, usefulness, and user experience. In the studies that included user evaluations, facilitators for the use of the program were mentioned [29,32,35,48,62,63], such as a program being easy to understand, easy to navigate, and containing interesting content. Barriers that were most often mentioned were of a technical nature [36,49,53,54].…”

Section: Discussionmentioning

confidence: 99%

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Web-Based Multidomain Lifestyle Programs for Brain Health: Comprehensive Overview and Meta-Analysis

Wesselman¹,

Hooghiemstra²,

Schoonmade³

et al. 2019

JMIR Ment Health

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Background The number of people living with dementia is increasing worldwide, mainly because of aging of the population. To date, there is no pharmaceutical intervention to delay or treat cognitive decline or dementia. As an estimated one-third of dementia cases might be attributable to modifiable lifestyle factors (such as cognitive and physical activity), multidomain lifestyle interventions are a promising way to maintain or improve brain health. Offering programs online would enable large-scale implementation. An overview of multidomain Web-based lifestyle programs for brain health would facilitate comparison and improvement of such programs to develop effective and sustainable interventions. Objective This study aimed to (1) provide a comprehensive overview of Web-based multidomain lifestyle programs aimed at optimizing brain health in healthy adult populations and (2) describe the programs and targeted lifestyle factors, availability, and evaluation of adherence and user experience. In addition, a meta-analysis was performed to evaluate the effectiveness of these programs. Methods Electronic databases (PubMed, EMBASE, and PsycINFO) were searched for Web-based lifestyle programs that were included when the program (1) aimed to optimize brain health, (2) focused on multiple lifestyle factors, (3) was completely Web-based (website, Web application or mobile app), (4) consisted of multiple sessions, and (5) focused on a healthy adult population. Program characteristics (target population, duration, frequency, tailoring, platform, and availability) and results of program evaluations (effectiveness, user evaluations, and adherence) were extracted and compared. Studies using a controlled design were included in a random-effects meta-analysis on the effectiveness on brain health outcomes. Study quality was assessed using the physiotherapy evidence database (PEDro) scale. Results The electronic searches yielded 44 documents describing 14 Web-based lifestyle programs; physical and cognitive activities were targeted in all programs. Four programs (4/14, 29%) were publicly available and free of charge, whereas others were restricted to research settings (5/14, 36%), available after payment (1/14, 7%), or not available at all (2/14, 14%). User evaluations were reported for 8 (57%) of the 14 programs. Reported dropout of the intervention groups ranged from 2% to 52%. Overall, 3 studies evaluated the effectiveness of a program using a controlled design and were included in the meta-analysis (moderate-to-high quality). Pooled results showed a significant small-to-medium effect of the Web-based multidomain lifestyle interventions on outcome measures for brain health (global cognition score, subjective cognitive score, and lifestyle risk score; standard mean difference=0.45; 95% CI 0.12-0.78), with a high degree heterogeneity across studies (I2=75%; P=.02). Conclusions In total, 14 Web-based multidomain lifestyle programs aimed at optimizing brain health were found. The programs showed heterogeneity in both characteristics and effectiveness evaluation. Despite this heterogeneity, this meta-analysis suggests that Web-based lifestyle programs can positively influence brain health outcomes and have the potential to contribute to the prevention of dementia.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Web-Based Multidomain Lifestyle Programs for Brain Health: Comprehensive Overview and Meta-Analysis

Wesselman¹,

Hooghiemstra²,

Schoonmade³

et al. 2019

JMIR Ment Health

View full text Add to dashboard Cite

show abstract

“…Data extraction was undertaken using a descriptive‐narrative approach . There were 35 selected articles . Tables were used to collate and summarise the data, and these data were shared within the research team.…”

Section: Methodsmentioning

confidence: 99%

Climate change and the health of older people in Australia: A scoping review on the role of mobile applications (apps) in ameliorating impact

2018

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O3‐12‐02: Feedback from middle‐aged participants in a multi‐domain lifestyle intervention for Alzheimer's prevention: The gray matters study

Cited by 2 publications

References 0 publications

Web-Based Multidomain Lifestyle Programs for Brain Health: Comprehensive Overview and Meta-Analysis

Web-Based Multidomain Lifestyle Programs for Brain Health: Comprehensive Overview and Meta-Analysis

Climate change and the health of older people in Australia: A scoping review on the role of mobile applications (apps) in ameliorating impact

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