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Planning and optimising a digital intervention to protect older adults’ cognitive health
BACKGROUND: By 2050, worldwide dementia prevalence is expected to triple. Affordable, scalable interventions are required to support protective behaviours such as physical activity, cognitive training and healthy eating. This paper outlines the theory-, evidence- and person-based development of ‘Act...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371874/ https://www.ncbi.nlm.nih.gov/pubmed/34407886 http://dx.doi.org/10.1186/s40814-021-00884-2 |
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author | Essery, Rosie Pollet, Sebastien Smith, Kirsten A. Mowbray, Fiona Slodkowska-Barabasz, Joanna Denison-Day, James Hayter, Victoria Bradbury, Katherine Grey, Elisabeth Western, Max J. Milton, Alexander Hunter, Cheryl Ferrey, Anne E. Müller, Andre Matthias Stuart, Beth Mutrie, Nanette Griffin, Simon Kendrick, Tony Brooker, Helen Gudgin, Bernard Phillips, Rosemary Stokes, Tom Niven, John Little, Paul Yardley, Lucy |
author_facet | Essery, Rosie Pollet, Sebastien Smith, Kirsten A. Mowbray, Fiona Slodkowska-Barabasz, Joanna Denison-Day, James Hayter, Victoria Bradbury, Katherine Grey, Elisabeth Western, Max J. Milton, Alexander Hunter, Cheryl Ferrey, Anne E. Müller, Andre Matthias Stuart, Beth Mutrie, Nanette Griffin, Simon Kendrick, Tony Brooker, Helen Gudgin, Bernard Phillips, Rosemary Stokes, Tom Niven, John Little, Paul Yardley, Lucy |
author_sort | Essery, Rosie |
collection | PubMed |
description | BACKGROUND: By 2050, worldwide dementia prevalence is expected to triple. Affordable, scalable interventions are required to support protective behaviours such as physical activity, cognitive training and healthy eating. This paper outlines the theory-, evidence- and person-based development of ‘Active Brains’: a multi-domain digital behaviour change intervention to reduce cognitive decline amongst older adults. METHODS: During the initial planning phase, scoping reviews, consultation with PPI contributors and expert co-investigators and behavioural analysis collated and recorded evidence that was triangulated to inform provisional ‘guiding principles’ and an intervention logic model. The following optimisation phase involved qualitative think aloud and semi-structured interviews with 52 older adults with higher and lower cognitive performance scores. Data were analysed thematically and informed changes and additions to guiding principles, the behavioural analysis and the logic model which, in turn, informed changes to intervention content. RESULTS: Scoping reviews and qualitative interviews suggested that the same intervention content may be suitable for individuals with higher and lower cognitive performance. Qualitative findings revealed that maintaining independence and enjoyment motivated engagement in intervention-targeted behaviours, whereas managing ill health was a potential barrier. Social support for engaging in such activities could provide motivation, but was not desirable for all. These findings informed development of intervention content and functionality that appeared highly acceptable amongst a sample of target users. CONCLUSIONS: A digitally delivered intervention with minimal support appears acceptable and potentially engaging to older adults with higher and lower levels of cognitive performance. As well as informing our own intervention development, insights obtained through this process may be useful for others working with, and developing interventions for, older adults and/or those with cognitive impairment. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40814-021-00884-2. |
format | Online Article Text |
id | pubmed-8371874 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-83718742021-08-19 Planning and optimising a digital intervention to protect older adults’ cognitive health Essery, Rosie Pollet, Sebastien Smith, Kirsten A. Mowbray, Fiona Slodkowska-Barabasz, Joanna Denison-Day, James Hayter, Victoria Bradbury, Katherine Grey, Elisabeth Western, Max J. Milton, Alexander Hunter, Cheryl Ferrey, Anne E. Müller, Andre Matthias Stuart, Beth Mutrie, Nanette Griffin, Simon Kendrick, Tony Brooker, Helen Gudgin, Bernard Phillips, Rosemary Stokes, Tom Niven, John Little, Paul Yardley, Lucy Pilot Feasibility Stud Research BACKGROUND: By 2050, worldwide dementia prevalence is expected to triple. Affordable, scalable interventions are required to support protective behaviours such as physical activity, cognitive training and healthy eating. This paper outlines the theory-, evidence- and person-based development of ‘Active Brains’: a multi-domain digital behaviour change intervention to reduce cognitive decline amongst older adults. METHODS: During the initial planning phase, scoping reviews, consultation with PPI contributors and expert co-investigators and behavioural analysis collated and recorded evidence that was triangulated to inform provisional ‘guiding principles’ and an intervention logic model. The following optimisation phase involved qualitative think aloud and semi-structured interviews with 52 older adults with higher and lower cognitive performance scores. Data were analysed thematically and informed changes and additions to guiding principles, the behavioural analysis and the logic model which, in turn, informed changes to intervention content. RESULTS: Scoping reviews and qualitative interviews suggested that the same intervention content may be suitable for individuals with higher and lower cognitive performance. Qualitative findings revealed that maintaining independence and enjoyment motivated engagement in intervention-targeted behaviours, whereas managing ill health was a potential barrier. Social support for engaging in such activities could provide motivation, but was not desirable for all. These findings informed development of intervention content and functionality that appeared highly acceptable amongst a sample of target users. CONCLUSIONS: A digitally delivered intervention with minimal support appears acceptable and potentially engaging to older adults with higher and lower levels of cognitive performance. As well as informing our own intervention development, insights obtained through this process may be useful for others working with, and developing interventions for, older adults and/or those with cognitive impairment. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40814-021-00884-2. BioMed Central 2021-08-18 /pmc/articles/PMC8371874/ /pubmed/34407886 http://dx.doi.org/10.1186/s40814-021-00884-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Essery, Rosie Pollet, Sebastien Smith, Kirsten A. Mowbray, Fiona Slodkowska-Barabasz, Joanna Denison-Day, James Hayter, Victoria Bradbury, Katherine Grey, Elisabeth Western, Max J. Milton, Alexander Hunter, Cheryl Ferrey, Anne E. Müller, Andre Matthias Stuart, Beth Mutrie, Nanette Griffin, Simon Kendrick, Tony Brooker, Helen Gudgin, Bernard Phillips, Rosemary Stokes, Tom Niven, John Little, Paul Yardley, Lucy Planning and optimising a digital intervention to protect older adults’ cognitive health |
title | Planning and optimising a digital intervention to protect older adults’ cognitive health |
title_full | Planning and optimising a digital intervention to protect older adults’ cognitive health |
title_fullStr | Planning and optimising a digital intervention to protect older adults’ cognitive health |
title_full_unstemmed | Planning and optimising a digital intervention to protect older adults’ cognitive health |
title_short | Planning and optimising a digital intervention to protect older adults’ cognitive health |
title_sort | planning and optimising a digital intervention to protect older adults’ cognitive health |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371874/ https://www.ncbi.nlm.nih.gov/pubmed/34407886 http://dx.doi.org/10.1186/s40814-021-00884-2 |
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