Cogstim:支持老年人大脑健康的共享决策模型。

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY Current Alzheimer research Pub Date : 2023-01-01 DOI:10.2174/1567205020666230525110814
Raymond L Ownby, Drenna Waldrop
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引用次数: 1

摘要

由于缺乏针对老年人认知能力下降的有效治疗方法,人们开始关注生活方式干预是否有助于预防心理功能的变化,并降低患痴呆症的风险。多种生活方式因素与衰退风险有关,多组分干预研究表明,改变老年人的行为可以对他们的认知产生积极影响。然而,如何将这些发现转化为老年人临床应用的实际模型尚不清楚。在这篇评论中,我们提出了一个共同的决策模型,以支持临床医生努力促进老年人的大脑健康。该模型根据其作用机制将风险和保护因素分为三大类,并为老年人提供基本信息,使他们能够根据证据和偏好选择有效的大脑健康计划目标。最后一个组成部分包括行为改变策略的基本指导,如目标设定、自我监控和问题解决。该模型的实施将支持老年人努力发展一种与个人相关和有效的大脑健康生活方式,这可能有助于减少他们认知能力下降的风险。
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Cogstim: A Shared Decision-making Model to Support Older Adults' Brain Health.

The lack of effective treatments for cognitive decline in older adults has led to an interest in the possibility that lifestyle interventions can help to prevent changes in mental functioning and reduce the risk for dementia. Multiple lifestyle factors have been related to risk for decline, and multicomponent intervention studies suggest that changing older adults' behaviors can have a positive impact on their cognition. How to translate these findings into a practical model for clinical use with older adults, however, is not clear. In this Commentary, we propose a shared decision-making model to support clinicians' efforts to promote brain health in older persons. The model organizes risk and protective factors into three broad groups based on their mechanism of action and provides older persons with basic information to allow them to make evidence- and preference-based choices in choosing goals for effective brain health programs. A final component includes basic instruction in behavior change strategies such as goal setting, self-monitoring, and problem-solving. The implementation of the model will support older persons' efforts to develop a personally relevant and effective brainhealthy lifestyle that may help to reduce their risk for cognitive decline.

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来源期刊
Current Alzheimer research
Current Alzheimer research 医学-神经科学
CiteScore
4.00
自引率
4.80%
发文量
64
审稿时长
4-8 weeks
期刊介绍: Current Alzheimer Research publishes peer-reviewed frontier review, research, drug clinical trial studies and letter articles on all areas of Alzheimer’s disease. This multidisciplinary journal will help in understanding the neurobiology, genetics, pathogenesis, and treatment strategies of Alzheimer’s disease. The journal publishes objective reviews written by experts and leaders actively engaged in research using cellular, molecular, and animal models. The journal also covers original articles on recent research in fast emerging areas of molecular diagnostics, brain imaging, drug development and discovery, and clinical aspects of Alzheimer’s disease. Manuscripts are encouraged that relate to the synergistic mechanism of Alzheimer''s disease with other dementia and neurodegenerative disorders. Book reviews, meeting reports and letters-to-the-editor are also published. The journal is essential reading for researchers, educators and physicians with interest in age-related dementia and Alzheimer’s disease. Current Alzheimer Research provides a comprehensive ''bird''s-eye view'' of the current state of Alzheimer''s research for neuroscientists, clinicians, health science planners, granting, caregivers and families of this devastating disease.
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