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The effect of a digital health coaching and health education protocol on cognition in adults at-risk for Alzheimer’s
Several modifiable lifestyle factors have been linked to cognitive ability and the risk of developing Alzheimer’s disease and related dementias (ADRD). Health coaching (HC) is an intervention that addresses lifestyle factors associated with cognition. The effectiveness of an HC protocol was evaluate...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886777/ https://www.ncbi.nlm.nih.gov/pubmed/36527582 http://dx.doi.org/10.1007/s11357-022-00711-3 |
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author | Campitelli, Anthony Gills, Joshua L. Jones, Megan D. Paulson, Sally Myers, Jennifer Bryk, Kelsey Madero, Erica N. Glenn, Jordan M. Rodgers, Charlie H. Kempkes, Jenova A. Gray, Michelle |
author_facet | Campitelli, Anthony Gills, Joshua L. Jones, Megan D. Paulson, Sally Myers, Jennifer Bryk, Kelsey Madero, Erica N. Glenn, Jordan M. Rodgers, Charlie H. Kempkes, Jenova A. Gray, Michelle |
author_sort | Campitelli, Anthony |
collection | PubMed |
description | Several modifiable lifestyle factors have been linked to cognitive ability and the risk of developing Alzheimer’s disease and related dementias (ADRD). Health coaching (HC) is an intervention that addresses lifestyle factors associated with cognition. The effectiveness of an HC protocol was evaluated and compared with a health education (HE) intervention, representing the current standard of care, in a sample of 216 adults between the ages of 45 and 75 years who were at-risk for developing ADRD. Outcomes examined were global cognition, neuropsychological cognition, and Alzheimer’s risk. HC participants received personalized coaching from a health coach focusing on nutrition, physical activity, sleep, stress, social engagement, and cognitive activity. HE participants received biweekly education materials focusing on the same modifiable lifestyle factors addressed by HC. Participants were assessed at baseline and again 4 months later. Self-reported global cognition scores improved only in the HC group (16.18 to 15.52, p = .03) and neuropsychological cognitive ability improved in the HE group (104.48 to 108.76, p < .001). When non-adherence in the HC group was accounted for, however, the mean change in neuropsychological score was similar between groups (p > .05), self-reported global cognition demonstrated an even larger mean improvement in the HC group (16.20 to 15.41, p = .01), and the HC group saw an improvement in ADRD protective risk score (− 10.39 to − 11.45, p = .007). These results indicate that HC and HE can both improve cognition, but HC may be more effective and may yield increased protection against ADRD risk. |
format | Online Article Text |
id | pubmed-9886777 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-98867772023-02-01 The effect of a digital health coaching and health education protocol on cognition in adults at-risk for Alzheimer’s Campitelli, Anthony Gills, Joshua L. Jones, Megan D. Paulson, Sally Myers, Jennifer Bryk, Kelsey Madero, Erica N. Glenn, Jordan M. Rodgers, Charlie H. Kempkes, Jenova A. Gray, Michelle GeroScience Original Article Several modifiable lifestyle factors have been linked to cognitive ability and the risk of developing Alzheimer’s disease and related dementias (ADRD). Health coaching (HC) is an intervention that addresses lifestyle factors associated with cognition. The effectiveness of an HC protocol was evaluated and compared with a health education (HE) intervention, representing the current standard of care, in a sample of 216 adults between the ages of 45 and 75 years who were at-risk for developing ADRD. Outcomes examined were global cognition, neuropsychological cognition, and Alzheimer’s risk. HC participants received personalized coaching from a health coach focusing on nutrition, physical activity, sleep, stress, social engagement, and cognitive activity. HE participants received biweekly education materials focusing on the same modifiable lifestyle factors addressed by HC. Participants were assessed at baseline and again 4 months later. Self-reported global cognition scores improved only in the HC group (16.18 to 15.52, p = .03) and neuropsychological cognitive ability improved in the HE group (104.48 to 108.76, p < .001). When non-adherence in the HC group was accounted for, however, the mean change in neuropsychological score was similar between groups (p > .05), self-reported global cognition demonstrated an even larger mean improvement in the HC group (16.20 to 15.41, p = .01), and the HC group saw an improvement in ADRD protective risk score (− 10.39 to − 11.45, p = .007). These results indicate that HC and HE can both improve cognition, but HC may be more effective and may yield increased protection against ADRD risk. Springer International Publishing 2022-12-17 /pmc/articles/PMC9886777/ /pubmed/36527582 http://dx.doi.org/10.1007/s11357-022-00711-3 Text en © The Author(s) 2022 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/) . |
spellingShingle | Original Article Campitelli, Anthony Gills, Joshua L. Jones, Megan D. Paulson, Sally Myers, Jennifer Bryk, Kelsey Madero, Erica N. Glenn, Jordan M. Rodgers, Charlie H. Kempkes, Jenova A. Gray, Michelle The effect of a digital health coaching and health education protocol on cognition in adults at-risk for Alzheimer’s |
title | The effect of a digital health coaching and health education protocol on cognition in adults at-risk for Alzheimer’s |
title_full | The effect of a digital health coaching and health education protocol on cognition in adults at-risk for Alzheimer’s |
title_fullStr | The effect of a digital health coaching and health education protocol on cognition in adults at-risk for Alzheimer’s |
title_full_unstemmed | The effect of a digital health coaching and health education protocol on cognition in adults at-risk for Alzheimer’s |
title_short | The effect of a digital health coaching and health education protocol on cognition in adults at-risk for Alzheimer’s |
title_sort | effect of a digital health coaching and health education protocol on cognition in adults at-risk for alzheimer’s |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886777/ https://www.ncbi.nlm.nih.gov/pubmed/36527582 http://dx.doi.org/10.1007/s11357-022-00711-3 |
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