The Brain Health Champion study: Health coaching changes behaviors in patients with cognitive impairment

Alzheimer's and Dementia: Translational Research and Clinical Interventions - Tập 5 - Trang 771-779 - 2019
Hope E.M. Schwartz1, Camden P. Bay2, Brittany M. McFeeley1, Taylor J. Krivanek1, Kirk R. Daffner1, Seth A. Gale1
1Department of Neurology, Center for Brain/Mind Medicine, Brigham and Women's Hospital, Harvard Medical School, Hale Building for Transformative Medicine, Boston, MA, USA
2Center for Clinical Investigation, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Tóm tắt

AbstractIntroductionConverging evidence suggests that increasing healthy behaviors may slow or prevent cognitive decline.MethodsWe piloted a six‐month, randomized, controlled investigation of 40 patients with mild dementia, mild cognitive impairment, or subjective cognitive decline. The intervention consisted of weekly motivational interviewing phone calls and three visits with a “Brain Health Champion” health coach, who guided participants to achieve personalized goals. Changes in behavior were measured using validated questionnaires.ResultsCompared with the standard‐of‐care control group, Brain Health Champion participants had statistically significant and clinically meaningful increases in physical activity (Cohen's d = 1.37, P < .001), adherence to the Mediterranean diet (Cohen's d = 0.87, P = .016), cognitive/social activity (Cohen's d = 1.09, P = .003), and quality of life (Cohen's d = 1.23, P < .001). The magnitude of behavior change strongly predicted improvement in quality of life.DiscussionOur results demonstrate the feasibility and potential efficacy of a health coaching approach in changing health behaviors in cognitively impaired and at‐risk patients.

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10.1007/s10433-016-0378-z 10.1002/gps.1686 10.1017/S1041610217001636 10.1093/geronb/gbx100 10.1016/j.jamda.2014.12.018 10.1016/j.jalz.2019.01.010 10.1016/j.dadm.2016.11.005 10.1002/gps.4222 10.1016/j.jalz.2016.08.009 10.1515/fhep-2014-0013 10.1016/S0140-6736(17)31363-6 Leshner A.I., 2017, Preventing Cognitive Decline and Dementia: A way forward, 10.17226/24782 10.1161/STR.0000000000000148 10.1016/j.jalz.2008.07.002 10.1093/aje/155.12.1081 Tan ZS, 2017, Physical activity, brain volume, and dementia risk: the Framingham Study, J Gerontol A Biol Sci Med Sci, 72, 789 10.1212/WNL.0000000000000884 10.1001/archneurol.2008.536 10.1001/jama.287.6.742 10.3233/JAD-180455 10.1001/jamainternmed.2015.1668 10.1001/archneurol.2009.307 10.1186/1471-244X-14-129 10.1001/jamaneurol.2018.2513 10.1016/S0140-6736(15)60461-5 10.1161/CIR.0000000000000442 10.5055/jom.2014.0204 10.1016/j.amjmed.2017.10.019 10.1002/oby.22258 10.1016/j.jalz.2011.03.008 10.1016/j.jalz.2011.03.005 10.1016/j.jalz.2016.09.012 Centers for Disease Control and Prevention Prevention, 2011, Secondary The CDC Healthy Brain Initiative: Progress 2006‐2011 10.1016/j.pec.2013.07.012 10.1016/j.cpr.2010.04.001 10.1249/01.MSS.0000078924.61453.FB 10.1038/sj.ejcn.1602647 10.1017/S1355617705050125 Schinka J.A., 2010, Cross‐validation of the Florida Cognitive Activities Scale (FCAS) in an Alzheimer's disease research center sample, J Geriatr Psychiatry Neurol, 23, 9, 10.1177/0891988709342724 10.1186/1477-7525-1-59 10.1016/0022-3956(75)90026-6 10.1016/j.ypmed.2008.02.001 10.1097/NNR.0b013e3182741948 10.1177/0049124104268644 10.1186/s12874-017-0442-1 10.22237/jmasm/1257035100 Seifan A., 2015, The Alzheimer's Prevention Clinic at Weill Cornell Medical College/New York ‐ Presbyterian Hospital: risk stratification and personalized early intervention, J Prev Alzheimers Dis, 2, 254 Alzheimer's Association.U.S. POINTER. Secondary U.S. POINTER.https://www.alz.org/us‐pointer/overview.asp 2019 Accessed August 6 2019 10.1016/j.jalz.2009.10.002 10.1111/acps.12336
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Alzheimer's and Dementia: Translational Research and Clinical Interventions

Tập 5

771-779

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