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Research is what makes the difference between facts and opinions. Facts are observable realities, and opinions are personal judgments, conclusions, or attitudes that may or may not be accurate. In the scientific community, facts can be established only using evidence collected through empirical research.
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"BrainHeart": Pilot Study on a Novel Application for Elderly Well-Being Based on Mindfulness Acceptance and

Roberta Bruschetta1, Desiree Latella2, Caterina Formica2

  • 1National Research Council of Italy, Institute for Biomedical Research and Innovation, C/O via Leanza, Istituto Marino, Mortelle, 98164 Messina, Italy.

Bioengineering (Basel, Switzerland)
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The BrainHeart App, using mindfulness and acceptance commitment therapy (ACT), significantly improved mental and cognitive well-being in older adults. This mobile intervention shows promise for accessible remote mental healthcare for seniors.

Keywords:
mental healthmindfulness acceptance and commitment therapy (ACT)mobile applicationusabilitywell-being in seniors

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Area of Science:

  • Gerontology
  • Mental Health Technology
  • Psychological Interventions

Background:

  • Global mental health systems are strained by rising mental illness, disproportionately affecting older adults with declining physical health and quality of life.
  • Limited access to traditional services hinders the delivery of crucial psychological interventions like Mindfulness Acceptance and Commitment Therapy (ACT) for seniors.
  • Mobile applications offer a promising avenue for remote delivery of mental well-being programs to the elderly.

Purpose of the Study:

  • To introduce the BrainHeart App (v.1.1.8), a mobile application designed to enhance the physical and mental well-being of older adults.
  • To evaluate the efficacy of a 10-day mobile-delivered ACT program on psychological flexibility, cognitive function, and mindfulness in seniors.
  • To assess the usability and impact of the app on physiological markers such as heart rate.

Main Methods:

  • A pilot study involving twenty older adult participants who used the BrainHeart App daily for a 10-day ACT program.
  • Clinical evaluations included assessments of psychological flexibility, cognitive profile, mindfulness, cognitive fusion, and heart rate (Polar H10) at baseline (T0) and one month post-intervention (T1).
  • Usability was measured using the System Usability Scale (SUS).

Main Results:

  • Significant improvements were observed in almost all neuropsychological scores post-intervention.
  • The app demonstrated high usability, with an average SUS score of 82.3 ± 9.31.
  • A negative correlation between usability and experiential avoidance (r = -0.51; p = 0.026) and a notable difference in heart rate between baseline and post-intervention (F-value = 3.06; p-value = 0.09) were found.

Conclusions:

  • Mindfulness-ACT exercises delivered via the BrainHeart App are effective in enhancing the well-being of elderly individuals.
  • The findings underscore the potential of mobile health interventions for improving mental health outcomes in the senior population.
  • High app usability is associated with reduced experiential avoidance, suggesting a positive user experience enhances therapeutic benefits.