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Published on: September 20, 2020
BrainHealth 360: cognitive intervention for older adults designed using a participatory framework
Jamie F Mayer1, Ryanne C Anderson1, Jamie Ward1
1College of Health and Human Sciences, Northern Illinois University, DeKalb, Illinois, United States.
This study developed BrainHealth 360, a healthy aging program for rural older adults. While it improved memory self-efficacy and lifestyle changes, cognitive function did not change, indicating a need for further testing.
Area of Science:
- Gerontology
- Cognitive Science
- Public Health
Background:
- Healthy aging is influenced by lifestyle and self-efficacy, yet programs for rural older adults are scarce.
- Rural populations face unique challenges in accessing healthy aging interventions.
- The BrainHealth 360 protocol was developed to address these gaps.
Purpose of the Study:
- To co-create and test the BrainHealth 360 protocol for healthy aging in a rural context.
- To evaluate the acceptability, appropriateness, and preliminary efficacy of the intervention.
- To identify barriers and facilitators to program implementation.
Main Methods:
- A community-based transcreation framework was used for co-creation.
- A mixed-methods convergent design was employed with 40 older adults.
- Iterative co-creation informed implementation outcomes and efficacy data collection.
Main Results:
- The intervention showed high acceptability and appropriateness, linked to self-efficacy and social connection.
- Participants reported increased memory self-efficacy and adopted lifestyle/cognitive strategies.
- No significant changes were observed in objective cognitive function or self-perceived aging.
Conclusions:
- Co-design is a viable approach for developing context-specific brain health interventions for older adults.
- The BrainHealth 360 protocol shows promise but requires further testing to confirm efficacy.
- Addressing accessibility and fear of aging is crucial for future interventions.
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