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Initial Perspectives From Rural-Residing Adults on a Digital Cognitive Health Coaching Intervention: Exploratory

Jennifer Rae Myers¹, Kelsey N Bryk¹, Erica N Madero¹

¹Neurotrack Technologies, Redwood City, CA, United States.

JMIR Formative Research

|July 22, 2024

Summary

Digital health coaching shows promise for dementia prevention, with participants valuing lifestyle changes and coach support. Most participants found the intervention acceptable, highlighting its potential for long-term engagement in cognitive health.

Keywords:

Alzheimer disease behavioral change coach support cognition countryside dementia diabetes diabetes mellitus digital cognitive health coaching digital health elder elderly geriatric geriatrics health informatics healthy lifestyle intervention mHealth mental health prevention qualitative study rural rural issues self-awareness telehealth thematic analysis

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Area of Science:

Gerontology
Digital Health
Preventive Medicine

Background:

Lifestyle interventions are crucial for dementia prevention, with health coaching linked to reduced Alzheimer's disease (AD) comorbidities.
Research on digital health coaching for AD risk reduction is limited, yet understanding participant perception is key for adherence.
Digital health coaching offers a scalable approach to support lifestyle changes for cognitive health.

Purpose of the Study:

To explore rural, at-risk participants' initial attitudes towards a digital health coaching intervention for cognitive decline prevention.
To gather preliminary data on the acceptability and perceived benefits of digital health coaching in a dementia prevention context.

Main Methods:

An exploratory qualitative study involving 80 participants from the DC-MARVel randomized control trial.
Participants received 1-2 weekly asynchronous messages and monthly videoconference/phone sessions with a health coach over 4 months.
Thematic analysis of open-ended feedback on participants' key takeaways and suggestions for improvement.

Main Results:

Four themes emerged: healthy lifestyle changes, increased self-awareness, value of coach support, and suggestions for program format adjustments.
A significant majority (93%) of participants found the intervention acceptable with no necessary changes.
Participants reported valuing goal-setting strategies and coach-provided support for behavioral modifications.

Conclusions:

The digital health coaching intervention was well-received by participants, who reported benefits in lifestyle changes and self-reflection.
The coach-participant relationship appears vital for intervention success and adherence.
Further research is needed to fully understand the long-term acceptability and impact of digital health coaching for dementia risk reduction.