Neurocognitive Effects of an Online Brain Health Program and Weekly Telehealth Support Group in Older Adults with Subjective Memory Loss: A Pilot Study.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Geriatrics Pub Date : 2024-03-14 DOI:10.3390/geriatrics9020037
Ryan M Glatt, Amylee Amos, David A Merrill, John F Hodes, Claudia L Wong, Karen J Miller, Prabha Siddarth
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Abstract

Introduction: Adopting healthy lifestyle behaviors has the potential to slow cognitive decline in older adults by reducing risks associated with dementia. Curriculum-based group health coaching may aid in establishing behavior change centered for dementia risk factors.

Methods: In this pilot clinical care patient group study (n = 6), we examined the effects of a six-month online Cognitive Health Program combined with a weekly telehealth support group led by the course creator, and personalized health optimization by a collaborating physician, in older adults with subjective cognitive decline. Cognition was assessed at baseline and post-intervention using a computerized battery.

Results: Cognitive changes were estimated with nonparametric tests and effect sizes (Cohen's d). Results showed significant improvements in global cognition (p < 0.03, d = 1.6), spatial planning (p < 0.01, d = 2.3), and visuospatial processing (p < 0.05, d = 1.1) compared to baseline. Participants reported high levels of satisfaction with the virtual group format and online curriculum.

Conclusions: This small pilot study suggests that a virtual six-month personalized health coaching group with self-paced online health education is feasible and potentially efficacious for improving cognition in participants with subjective cognitive complaints. This format may facilitate behavior change to slow cognitive decline. Future studies should include a control group, a larger, more diverse sample as well as assessing mood and other subjective measures.

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在线脑健康计划和每周远程健康支持小组对主观记忆丧失老年人的神经认知影响:一项试点研究。
前言采取健康的生活方式可以降低痴呆症的相关风险,从而减缓老年人认知能力的衰退。以课程为基础的团体健康指导可能有助于建立以痴呆症风险因素为中心的行为改变:在这项试点临床护理患者小组研究(n = 6)中,我们考察了为期 6 个月的在线认知健康课程与由课程创建者领导的每周远程健康支持小组以及由合作医生提供的个性化健康优化相结合对主观认知能力下降的老年人的影响。使用计算机化电池对基线和干预后的认知能力进行评估:使用非参数检验和效应大小(Cohen's d)估算认知变化。结果显示,与基线相比,参与者的整体认知能力(p < 0.03,d = 1.6)、空间规划能力(p < 0.01,d = 2.3)和视觉空间处理能力(p < 0.05,d = 1.1)均有明显改善。参与者对虚拟小组形式和在线课程的满意度很高:这项小型试点研究表明,为期 6 个月的虚拟个性化健康指导小组和自定进度的在线健康教育对于改善有主观认知问题的参与者的认知能力是可行和有效的。这种形式可能会促进行为改变,从而减缓认知能力下降。今后的研究应包括对照组、更大、更多样化的样本,以及评估情绪和其他主观指标。
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来源期刊
Geriatrics
Geriatrics 医学-老年医学
CiteScore
3.30
自引率
0.00%
发文量
115
审稿时长
20.03 days
期刊介绍: • Geriatric biology • Geriatric health services research • Geriatric medicine research • Geriatric neurology, stroke, cognition and oncology • Geriatric surgery • Geriatric physical functioning, physical health and activity • Geriatric psychiatry and psychology • Geriatric nutrition • Geriatric epidemiology • Geriatric rehabilitation
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