Wishes and preferences for an online lifestyle program for brain health—A mixed methods study

Wesselman, Linda M.P.; Schild, Ann‐Katrin; Coll-Padrós, Nina; Borg, Wieke E. van der; Meurs, Judith H.P.; Hooghiemstra, Astrid M.; Slot, Rosalinde E.R.; Sannemann, Lena; Rami, Lorena; Molinuevo, José Luís; Bouwman, Femke H.; Jessen, Frank; Flier, Wiesje M. van der; Sikkes, Sietske A.M.

doi:10.1016/j.trci.2018.03.003

Cited by 14 publications

(20 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Fitting the intervention to the needs of the user and making the intervention accessible could improve adherence rates and contribute to this sustainability. Therefore, it is recommended to involve users during every step of the developmental process [90,91]. Feedback from users helps to elucidate what a user experiences, which elements are appreciated, and/or to impose a boundary to participate.…”

Section: Discussionmentioning

confidence: 99%

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

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

“…There is no literature available on the relationship between nutrition and cognition in subjects with SCD, as current literature on the relation between nutrition and cognitive decline invariably resulted from population-based studies [39]. Individuals with SCD presenting at the memory clinic are eager to learn about the relevance of nutrition and lifestyle to promote their own brain health [22]. From an ongoing multi-domain lifestyle intervention in older adults at risk of dementia, we know that diet improves after nutritional advice, resulting in beneficial effects on cognitive function [40,41].…”

Section: Discussionmentioning

confidence: 99%

“…These studies suggest that lifestyle interventions are particularly effective in individuals at risk for cognitive decline. In the memory clinic, we observe individuals with SCD being eager to know what they can do to maintain their brain health, with a major interest in nutrition [22]. However, little is known about the dietary quality of individuals with SCD and targeted nutritional prevention programs are not available [23].…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns Are Related to Clinical Characteristics in Memory Clinic Patients with Subjective Cognitive Decline: The SCIENCe Project

et al. 2019

View full text Add to dashboard Cite

As nutrition is one of the modifiable risk factors for cognitive decline, we studied the relationship between dietary quality and clinical characteristics in cognitively normal individuals with subjective cognitive decline (SCD). We included 165 SCD subjects (age: 64 ± 8 years; 45% female) from the SCIENCe project, a prospective memory clinic based cohort study on SCD. The Dutch Healthy Diet Food Frequency Questionnaire (DHD-FFQ) was used to assess adherence to Dutch guidelines on vegetable, fruit, fibers, fish, saturated fat, trans fatty acids, salt and alcohol intake (item score 0–10, higher score indicating better adherence). We measured global cognition (Mini Mental State Examination), cognitive complaints (Cognitive Change Index self-report; CCI) and depressive symptoms (Center for Epidemiologic Studies Depression Scale; CES-D). Using principal component analysis, we identified dietary components and investigated their relation to clinical characteristics using linear regression models adjusted for age, sex and education. We identified three dietary patterns: (i) “low-Fat-low-Salt”, (ii) “high-Veggy”, and (iii) “low-Alcohol-low-Fish”. Individuals with lower adherence on “low-Fat-low-Salt” had more depressive symptoms (β −0.18 (−2.27–−0.16)). Higher adherence to “high-Veggy” was associated with higher MMSE scores (β 0.30 (0.21–0.64)). No associations were found with the low-Alcohol-low-Fish component. We showed that in SCD subjects, dietary quality was related to clinically relevant outcomes. These findings could be useful to identify individuals that might benefit most from nutritional prevention strategies to optimize brain health.

show abstract

“…Sometimes the respondents provided information on new areas and these were included in subsequent interviews. This process enables the researcher to gain insight deeper into the data, while continuing data collection [ 30 ]. Data were collected until no more new themes emerged from the data and the interviewer became confident that data saturation had been achieved [ 31 – 33 ].…”

Section: Methodsmentioning

confidence: 99%

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

et al. 2020

View full text Add to dashboard Cite

Background: The petrochemical industry is hazardous, in part because of the inherently dangerous nature of the work conducted, and incidents frequently result in significant financial and social losses. The most common immediate cause of incidents and injuries in this industry is unsafe worker behaviour. Identifying the factors encouraging unsafe work behaviours is the first step in taking action to discourage them. The aim of this study was to (a) explore workers', supervisors' and safety managers' attitudes and perceptions of safety in a petrochemical company in Iran, and (b) identify the factors that discourage safe work behaviours. Methods: A qualitative study was conducted by applying the steps described by Graneheim and Lundman (2004). Twenty participants were recruited from an Iranian petrochemical company using a multi-stage approach, with initial purposive sampling followed by snowball sampling to enhance recruitment. Individual face-to-face and semistructured interviews were conducted to gain an in-depth understanding of factors acting as barriers to safe behaviour. The interviews were recorded and transcribed in Persian and then translated into English. Conventional content analysis was performed. Results: The main themes emerging from the interviews were: (i) poor direct safety management and supervision; (ii) unsafe workplace conditions; (iii) workers' perceptions, skills and training; and (iv) broader organisational factors. Conclusions: The findings give insights into practical organisational measures that can be implemented by management to promote workers' commitment to safety and engage in safe behaviours in their workplace. Trial registration: Iranian Registry of Clinical Trials: IRCT20170515033981N2. Retrospectively registered 19 June 2018.

show abstract

Wishes and preferences for an online lifestyle program for brain health—A mixed methods study

Cited by 14 publications

References 37 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

Dietary Patterns Are Related to Clinical Characteristics in Memory Clinic Patients with Subjective Cognitive Decline: The SCIENCe Project

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

Contact Info

Product

Resources

About