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Introducing the Adherence Promotion with Person-centered Technology (APPT) trial: Rationale, methods, and baseline

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A smart reminder system improved adherence to home-based cognitive training for older adults. Personalized, adaptive messages delivered at optimal times boosted engagement in cognitive health programs.

Keywords:
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Area of Science:

  • Gerontology
  • Cognitive Neuroscience
  • Human-Computer Interaction

Background:

  • Home-based cognitive training shows potential for mitigating age-related cognitive decline.
  • Low adherence rates hinder the effectiveness of digital cognitive interventions.
  • Personalized, adaptive technology may enhance engagement in health programs.

Purpose of the Study:

  • To evaluate the efficacy of a person-centered smart reminder system in improving adherence to cognitive training.
  • To compare adherence rates between a smart reminder system and a control group receiving generic messages.
  • To explore the potential of technology-mediated systems for supporting health behaviors in older adults.

Main Methods:

  • A randomized controlled trial with 199 cognitively normal older adults (aged 62-88).
  • Participants were assigned to a smart reminder system or a control group for 18 weeks.
  • The smart system delivered personalized, adaptive motivational messages at predicted optimal times.

Main Results:

  • Adherence rate is the primary outcome measure, to be compared between the smart reminder and control conditions.
  • Baseline data collected from participants in both groups.
  • The study is designed to provide statistically significant comparisons of adherence.

Conclusions:

  • The smart reminder system has the potential to significantly improve adherence to cognitive training programs.
  • Findings may inform the design of technology-mediated interventions for various health behaviors.
  • Enhanced adherence can lead to improved health outcomes and well-being for older adults.