Wishes and preferences for an online lifestyle program for brain health—A mixed methods study

Alzheimer's and Dementia: Translational Research and Clinical Interventions - Tập 4 - Trang 141-149 - 2018
Linda M.P. Wesselman1, Ann-Katrin Schild2, Nina Coll-Padros3, Wieke E. van der Borg4, Judith H.P. Meurs1, Astrid M. Hooghiemstra1, Rosalinde E.R. Slot1, Lena Sannemann2, Lorena Rami3, José Luis Molinuevo3,5, Femke H. Bouwman1, Frank Jessen2,6, Wiesje M. van der Flier1,7, Sietske A.M. Sikkes1,7
1Alzheimer Center, Department of Neurology, VU University Medical Center, Amsterdam Neuroscience, Amsterdam, The Netherlands
2Medical Faculty, Department of Psychiatry, University Hospital Cologne, Cologne, Germany
3Alzheimer's Disease and Other Cognitive Disorders Unit, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
4Department of Medical Humanities, VU University Medical Center/EMGO+, Amsterdam, The Netherlands
5Barcelona Beta Brain Research Center, Pasqual Maragall Foundation, Barcelona, Spain
6German Center for Neurodegenerative Disorders (DZNE), Bonn-Cologne, Germany
7department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands

Tóm tắt

AbstractIntroductionIndividuals with subjective cognitive decline (SCD) are at increased risk of Alzheimer's disease and could benefit from a prevention strategy targeting lifestyle factors. Making a program available through the Internet gives a widespread reach at low cost, but suboptimal adherence is a major threat to effectiveness. As a first step in developing an online lifestyle program (OLP), we aimed to identify factors that are barriers and/or facilitators for the use of an OLP in individuals with SCD in three European countries.MethodsAs part of the Euro‐SCD project, SCD subjects were recruited at memory clinics in the Netherlands, Germany, and Spain. We combined quantitative and qualitative methods, using a mixed methods approach. We conducted an online 18‐item survey on the preferences of SCD patients for an OLP (N = 238). In addition, we held semi‐structured interviews (N = 22) to gain in‐depth understanding of factors acting as a facilitator and/or barrier for intended use of an OLP. Audio recordings were transcribed verbatim. Content analysis was performed.ResultsOne hundred seventy‐six individuals completed the survey (response rate 74%). Almost all participants regularly use the Internet (97%). Participants reported trustworthiness (93%), user‐friendliness (91%), and up‐to‐date information (88%) as main facilitators, whereas having contact with other users (26%), needing an account (21%), and assignments (16%) were reported as barriers. Barriers differed slightly between countries, but facilitators were largely similar. In‐depth interviews revealed that both program characteristics (e.g., trustworthiness, user‐friendliness, and personalization) and personal factors (e.g., expectancy to receive negative feedback) are likely to influence the intended use of an OLP.DiscussionInvolving users provided in‐depth understanding of factors associated with the intended use of an OLP for brain health. Both program characteristics and personal factors are likely to influence the use of an OLP. Based on this input from the end‐users, we will develop an OLP for individuals with SCD.

Tài liệu tham khảo

Prince M., 2015, World Alzheimer Report 2015: The Global Impact of Dementia: An Analysis of Prevalence, Incidence, Cost and Trends 10.1146/annurev-med-042915-103753 10.1001/jama.2015.4668 10.1016/S0140-6736(17)31363-6 10.1016/S1474-4422(11)70072-2 Bruijn R.F.A.G., 2014, Cardiovascluar risk factors and future risk of Alzheimer's disease, BMC Med, 12, 130, 10.1186/s12916-014-0130-5 10.2196/jmir.8.2.e10 10.1016/j.ypmed.2010.06.004 10.1016/j.ypmed.2008.02.014 10.1186/s40814-015-0035-x 10.1186/1745-6215-14-60 10.2196/jmir.1624 10.2196/jmir.1640 10.2196/jmir.1194 Coley N., 2017, Adherence to Multidomain Interventions for the Prevention of Alzheimer's Disease: Data from the MAPT and FINGER Trials 10.1080/01449290301782 10.1016/S0140-6736(03)14546-1 10.2196/resprot.3695 10.2196/jmir.5970 10.1186/s13012-016-0510-7 10.2196/jmir.1350 10.2196/jmir.1672 10.1016/j.jalz.2014.01.001 10.1016/j.jalz.2011.03.003 10.1016/j.jalz.2009.10.002 10.1111/acps.12336 10.3233/JAD-132306 Castillo‐Page L., 2012, AM last page: Understanding qualitative and quantitative research paradigms in academic medicine, Acad Med, 87, 386, 10.1097/ACM.0b013e318247c660 Dutch Personal Data Protection Act July 6th 2000. (Bwb‐ID [database]: BWBR0011468 [Dutch]). Available at:http://wetten.overheid.nl/BWBR0011468/2017‐07‐01. 10.1177/1525822X05279903 10.5014/ajot.45.3.214 IBM, 2011, IBM SPSS Statistics for Windows. Version 22.0 Glaser B., 1967, The Discovery of Grounded Theory: Strategies for Qualitative Research 10.1017/CBO9780511557842 Boyatzis R.E., 1998, Transforming Qualitative Information: Thematic Analysis and Code Development 10.3233/JAD-160650 10.2196/jmir.7579 Coley N., 2017, Accept–Hatice: A Mixed Methods Study of Facilitators and Barriers to Participation in an Internet‐Based Multidomain Trial for the Prevention of Cardiovascular Disease and Cognitive Decline in Older European Adults 10.1080/02602930701293231 10.1016/0147-1767(85)90062-8 Frambach J.M., 2013, AM last page: Quality criteria in qualitative and quantitative research, Acad Med, 88, 552
Thông tin
Thông tin xuất bản

Alzheimer's and Dementia: Translational Research and Clinical Interventions

Tập 4

141-149

Thông tin tác giả