1
|
Wittmann FG, Pabst A, Zülke A, Luppa M, Oey A, Boekholt M, Weise S, Fankhänel T, Kosilek RP, Brettschneider C, Döhring J, Lunden L, Wiese B, Hoffmann W, Frese T, Gensichen J, König HH, Kaduszkiewicz H, Thyrian JR, Riedel-Heller SG. Adherence to a lifestyle intervention - just a question of self-efficacy? Analysis of the AgeWell.de-intervention against cognitive decline. Alzheimers Res Ther 2024; 16:133. [PMID: 38909256 PMCID: PMC11193217 DOI: 10.1186/s13195-024-01499-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 06/12/2024] [Indexed: 06/24/2024]
Abstract
BACKGROUND Aim of this study was to detect predictors of better adherence to the AgeWell.de-intervention, a two-year randomized multi-domain lifestyle intervention against cognitive decline. METHODS Data of 317 intervention group-participants comprising a risk group for dementia (Cardiovascular Risk Factors, Ageing and Dementia (CAIDE) score of ≥ 9; mean age 68.9 years, 49.5% women) from the AgeWell.de intervention study were analysed. Regression models with four blocks of predictors (sociodemographic, cognitive and psychosocial, lifestyle factors and chronic conditions) were run on adherence to the components of nutrition, enhancement of social and physical activity and cognitive training. Adherence to each component was operationalised by assessing the degree of goal achievement per component at up to seven time points during the intervention period, measured using a 5-point Likert scale (mean score of goal achievement). RESULTS Increasing age was negatively associated with adherence, while higher education positively predicted adherence. Participants with better mental state (Montreal Cognitive Assessment (MoCA)-score > 25) at baseline and higher self-efficacy adhered better. Diabetes and cardiovascular conditions were not associated with adherence, whereas smoking negatively affected adherence. Highest education and quitting smoking in the past were the only predictors associated with all four intervention components. CONCLUSION Results identified predictors for better and worse adherence. Particularly self-efficacy seems to be of considerable influence on adherence. This should be considered when designing future intervention trials. TRIAL REGISTRATION German Clinical Trials Register (ref. number: DRKS00013555).
Collapse
Grants
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F Bundesministerium für Bildung und Forschung
- Universität Leipzig (1039)
Collapse
Affiliation(s)
- Felix G Wittmann
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Phillip-Rosenthal-Str. 55, 04103, Leipzig, Germany.
| | - Alexander Pabst
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Phillip-Rosenthal-Str. 55, 04103, Leipzig, Germany
| | - Andrea Zülke
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Phillip-Rosenthal-Str. 55, 04103, Leipzig, Germany
| | - Melanie Luppa
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Phillip-Rosenthal-Str. 55, 04103, Leipzig, Germany
| | - Anke Oey
- Institute for General Practice, Work Group Medical Statistics and IT-Infrastructure, Hannover Medical School, Hannover, Germany
| | - Melanie Boekholt
- Institute for Community Medicine, University Medicine Greifswald (UMG), Greifswald, Germany
| | - Solveig Weise
- Institute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Saale, Germany
| | - Thomas Fankhänel
- Institute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Saale, Germany
| | - Robert P Kosilek
- Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany
| | - Christian Brettschneider
- Department of Health Economics and Health Service Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany
| | - Juliane Döhring
- Institute of General Practice, University of Kiel, Kiel, Germany
| | - Laura Lunden
- Institute of General Practice, University of Kiel, Kiel, Germany
| | - Birgitt Wiese
- Institute for General Practice, Work Group Medical Statistics and IT-Infrastructure, Hannover Medical School, Hannover, Germany
| | - Wolfgang Hoffmann
- Institute for Community Medicine, University Medicine Greifswald (UMG), Greifswald, Germany
- German Centre for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, Greifswald, Germany
| | - Thomas Frese
- Institute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Saale, Germany
| | - Jochen Gensichen
- Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany
| | - Hans-Helmut König
- Department of Health Economics and Health Service Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany
| | | | - Jochen René Thyrian
- Institute for Community Medicine, University Medicine Greifswald (UMG), Greifswald, Germany
- German Centre for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, Greifswald, Germany
- Faculty V: School of Life Sciences, University of Siegen, Siegen, Germany
| | - Steffi G Riedel-Heller
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Phillip-Rosenthal-Str. 55, 04103, Leipzig, Germany
| |
Collapse
|
2
|
Wolski L, Bopp AK, Schwientek AK, Langer S, Dogan V, Grimmer T. [Brain check-up: a structured approach diagnosing mild cognitive impairment in the primary care setting]. Z Gerontol Geriatr 2024:10.1007/s00391-024-02319-y. [PMID: 38839657 DOI: 10.1007/s00391-024-02319-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Accepted: 05/13/2024] [Indexed: 06/07/2024]
Abstract
BACKGROUND The reason-related identification of mild cognitive impairment (MCI) in primary care is helpful to treat reversible causes or decelerate progression to dementia by optimal management of existing risk factors. In this process general practitioners are in a key position. The present feasibility study investigated the practicability of a diagnostic algorithm (brain check-up), comprising neuropsychological examinations, differential diagnoses and follow-up measures. METHOD By means of a standardized questionnaire, the utilization and practicability of the brain check-up was surveyed in n = 37 medical practices of general practitioners and internists in Germany. RESULTS The brain check-up was performed by n = 37 physicians in 389 patients (66%). The main barriers to implementation included patients' fear of facing the results, the professionals' lack of time, and costs. Overall, 73% of the participants agreed that the brain check-up was practical in everyday treatment. Long waiting times for an appointment with a neurological/psychiatric specialist were perceived as a barrier for optimal care. CONCLUSION The structured algorithm is convenient in physician's everyday practice and can contribute to identify patients with MCI more easily. Therefore, it appears to be a helpful tool in primary care. To achieve sustainability in everyday use, identified barriers need to be addressed during the implementation phase.
Collapse
Affiliation(s)
- Lucas Wolski
- Klinik für Psychiatrie und Psychotherapie, Zentrum für kognitive Störungen, Klinikum rechts der Isar, Technische Universität München, Möhlstraße 26, 81675, München, Deutschland.
| | | | - Ann-Kathrin Schwientek
- Klinik für Psychiatrie und Psychotherapie, Zentrum für kognitive Störungen, Klinikum rechts der Isar, Technische Universität München, Möhlstraße 26, 81675, München, Deutschland
| | | | - Vildan Dogan
- Klinik für Psychiatrie und Psychotherapie, Zentrum für kognitive Störungen, Klinikum rechts der Isar, Technische Universität München, Möhlstraße 26, 81675, München, Deutschland
| | - Timo Grimmer
- Klinik für Psychiatrie und Psychotherapie, Zentrum für kognitive Störungen, Klinikum rechts der Isar, Technische Universität München, Möhlstraße 26, 81675, München, Deutschland
| |
Collapse
|
3
|
Tsai YIP, Beh J, Ganderton C, Pranata A. Digital interventions for healthy ageing and cognitive health in older adults: a systematic review of mixed method studies and meta-analysis. BMC Geriatr 2024; 24:217. [PMID: 38438870 PMCID: PMC10910826 DOI: 10.1186/s12877-023-04617-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 12/17/2023] [Indexed: 03/06/2024] Open
Abstract
BACKGROUND Currently, there is no systematic review to investigate the effectiveness of digital interventions for healthy ageing and cognitive health of older adults. This study aimed to conduct a systematic review to evaluate the effectiveness of digital intervention studies for facilitating healthy ageing and cognitive health and further identify the considerations of its application to older adults. METHODS A systematic review and meta-analysis of literature were conducted across CINAHL, Medline, ProQuest, Cochrane, Scopus, and PubMed databases following the PRISMA guideline. All included studies were appraised using the Mixed Methods Appraisal Tool Checklist by independent reviewers. Meta-analyses were performed using JBI SUMARI software to compare quantitative studies. Thematic analyses were used for qualitative studies and synthesised into the emerging themes. RESULTS Thirteen studies were included. Quantitative results showed no statistically significant pooled effect between health knowledge and healthy behaviour (I2 =76, p=0.436, 95% CI [-0.32,0.74]), and between cardiovascular-related health risks and care dependency I2=0, p=0.426, 95% CI [0.90,1.29]). However, a statistically significant cognitive function preservation was found in older adults who had long-term use of laptop/cellphone devices and had engaged in the computer-based physical activity program (I2=0, p<0.001, 95% CI [0.01, 0.21]). Qualitative themes for the considerations of digital application to older adults were digital engagement, communication, independence, human connection, privacy, and cost. CONCLUSIONS Digital interventions used in older adults to facilitate healthy ageing were not always effective. Health knowledge improvement does not necessarily result in health risk reduction in that knowledge translation is key. Factors influencing knowledge translation (i.e., digital engagement, human coaching etc) were identified to determine the intervention effects. However, using digital devices appeared beneficial to maintain older adults' cognitive functions in the longer term. Therefore, the review findings suggest that the expanded meaning of a person-centred concept (i.e., from social, environmental, and healthcare system aspects) should be pursued in future practice. Privacy and cost concerns of technologies need ongoing scrutiny from policy bodies. Future research looking into the respective health benefits can provide more understanding of the current digital intervention applied to older adults. STUDY REGISTRATION PROSPERO record ID: CRD42023400707 https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=400707 .
Collapse
Affiliation(s)
- Yvette I-Pei Tsai
- School of Nursing & Midwifery, University of Newcastle, Callaghan, Australia.
| | - Jeanie Beh
- Centre for Design Innovation, Swinburne University of Technology, Melbourne, Australia
| | - Charlotte Ganderton
- School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia
| | - Adrian Pranata
- School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia
| |
Collapse
|
4
|
Baker LD, Snyder HM, Espeland MA, Whitmer RA, Kivipelto M, Woolard N, Katula J, Papp KV, Ventrelle J, Graef S, Hill MA, Rushing S, Spell J, Lovato L, Felton D, Williams BJ, Ghadimi Nouran M, Raman R, Ngandu T, Solomon A, Wilmoth S, Cleveland ML, Williamson JD, Lambert KL, Tomaszewski Farias S, Day CE, Tangney CC, Gitelman DR, Matongo O, Reynolds T, Pavlik VN, Yu MM, Alexander AS, Elbein R, McDonald AM, Salloway S, Wing RR, Antkowiak S, Morris MC, Carrillo MC. Study design and methods: U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER). Alzheimers Dement 2024; 20:769-782. [PMID: 37776210 PMCID: PMC10916955 DOI: 10.1002/alz.13365] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 05/30/2023] [Accepted: 06/02/2023] [Indexed: 10/02/2023]
Abstract
INTRODUCTION The U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER) is conducted to confirm and expand the results of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) in Americans. METHODS U.S. POINTER was planned as a 2-year randomized controlled trial of two lifestyle interventions in 2000 older adults at risk for dementia due to well-established factors. The primary outcome is a global cognition composite that permits harmonization with FINGER. RESULTS U.S. POINTER is centrally coordinated and conducted at five clinical sites (ClinicalTrials.gov: NCT03688126). Outcomes assessments are completed at baseline and every 6 months. Both interventions focus on exercise, diet, cognitive/social stimulation, and cardiovascular health, but differ in intensity and accountability. The study partners with a worldwide network of similar trials for harmonization of methods and data sharing. DISCUSSION U.S. POINTER is testing a potentially sustainable intervention to support brain health and Alzheimer's prevention for Americans. Impact is strengthened by the targeted participant diversity and expanded scientific scope through ancillary studies.
Collapse
Affiliation(s)
- Laura D. Baker
- Wake Forest University School of MedicineDepartment of Internal MedicineWinston SalemNorth CarolinaUSA
- Wake Forest University School of MedicineDivision of Public Health SciencesWinston SalemNorth CarolinaUSA
- Wake Forest University School of MedicineDepartment of NeurologyWinston SalemNorth CarolinaUSA
| | | | - Mark A. Espeland
- Wake Forest University School of MedicineDepartment of Internal MedicineWinston SalemNorth CarolinaUSA
- Wake Forest University School of MedicineDivision of Public Health SciencesWinston SalemNorth CarolinaUSA
| | - Rachel A. Whitmer
- University of California DavisDepartment of Public Health SciencesSacramentoCaliforniaUSA
| | - Miia Kivipelto
- Karolinska Institute, Division of Clinical GeriatricsCenter for Alzheimer ResearchStockholmSweden
- University of Eastern FinlandInstitute of Public Health and Clinical NutritionKuopioFinland
- Imperial College London, School of Public HealthAgeing Epidemiology Research UnitLondonUK
- FINGERS Brain Health InstituteStockholmSweden
| | - Nancy Woolard
- Wake Forest University School of MedicineDepartment of Internal MedicineWinston SalemNorth CarolinaUSA
| | - Jeffrey Katula
- Wake Forest UniversityDepartment of Health and Exercise ScienceWinston SalemNorth CarolinaUSA
| | - Kathryn V. Papp
- Brigham and Women's HospitalDepartment of NeurologyBostonMassachusettsUSA
- Massachusetts General HospitalDepartment of NeurologyBostonMassachusettsUSA
- Harvard Medical SchoolDepartment of NeurologyBostonMassachusettsUSA
| | - Jennifer Ventrelle
- Rush University Medical Center, Departments of Clinical Nutritionand Family and Preventive MedicineChicagoIllinoisUSA
| | - Sarah Graef
- Rush University Medical Center, Departments of Clinical Nutritionand Family and Preventive MedicineChicagoIllinoisUSA
| | - Marcus A. Hill
- Wake Forest University School of MedicineDepartment of Internal MedicineWinston SalemNorth CarolinaUSA
| | - Scott Rushing
- Wake Forest University School of MedicineDivision of Public Health SciencesWinston SalemNorth CarolinaUSA
| | - Julia Spell
- Wake Forest University School of MedicineDivision of Public Health SciencesWinston SalemNorth CarolinaUSA
| | - Laura Lovato
- Wake Forest University School of MedicineDivision of Public Health SciencesWinston SalemNorth CarolinaUSA
| | - Deborah Felton
- Wake Forest University School of MedicineDivision of Public Health SciencesWinston SalemNorth CarolinaUSA
| | - Benjamin J. Williams
- Wake Forest University School of MedicineDepartment of NeurologyWinston SalemNorth CarolinaUSA
| | - Mina Ghadimi Nouran
- Wake Forest University School of MedicineDepartment of Internal MedicineWinston SalemNorth CarolinaUSA
| | - Rema Raman
- University of Southern CaliforniaAlzheimer's Therapeutic Research InstituteSan DiegoCaliforniaUSA
| | - Tiia Ngandu
- Karolinska Institute, Division of Clinical GeriatricsCenter for Alzheimer ResearchStockholmSweden
- Finnish Institute for Health and WelfareDepartment of Public Health and WelfareHelsinkiFinland
| | - Alina Solomon
- Karolinska Institute, Division of Clinical GeriatricsCenter for Alzheimer ResearchStockholmSweden
- Imperial College London, School of Public HealthAgeing Epidemiology Research UnitLondonUK
- FINGERS Brain Health InstituteStockholmSweden
- University of Eastern FinlandInstitute of Clinical Medicine/NeurologyKuopioFinland
| | - Sharon Wilmoth
- Wake Forest University School of MedicineDepartment of Internal MedicineWinston SalemNorth CarolinaUSA
| | - Maryjo L. Cleveland
- Wake Forest University School of MedicineDepartment of Internal MedicineWinston SalemNorth CarolinaUSA
| | - Jeff D. Williamson
- Wake Forest University School of MedicineDepartment of Internal MedicineWinston SalemNorth CarolinaUSA
| | | | | | - Claire E. Day
- Alzheimer's AssociationNorthern California Northern Nevada ChapterSan JoseCaliforniaUSA
| | - Christy C. Tangney
- University of Southern CaliforniaAlzheimer's Therapeutic Research InstituteSan DiegoCaliforniaUSA
| | - Darren R. Gitelman
- Advocate Health CareDepartment of Behavioral NeurologyDowners GroveIllinoisUSA
| | - Olivia Matongo
- Alzheimer's AssociationIllinois ChapterChicagoIllinoisUSA
| | | | - Valory N. Pavlik
- Baylor College of MedicineDepartment of NeurologyHoustonTexasUSA
| | - Melissa M. Yu
- Baylor College of MedicineDepartment of NeurologyHoustonTexasUSA
| | | | - Richard Elbein
- Alzheimer's AssociationHouston & Southeast Texas ChapterHoustonTexasUSA
| | | | - Stephen Salloway
- Butler Hospital, Memory and Aging Programand Warren Alpert Medical School of Brown UniversityProvidenceRhode IslandUSA
| | - Rena R. Wing
- Brown University, Department of Psychiatry and Human BehaviorSchool of MedicineProvidenceRhode IslandUSA
| | - Susan Antkowiak
- Alzheimer's AssociationRhode Island ChapterProvidenceRhode IslandUSA
| | - Martha Clare Morris
- Rush University Medical Center, Departments of Clinical Nutritionand Family and Preventive MedicineChicagoIllinoisUSA
| | | | | |
Collapse
|
5
|
Riedel-Heller S, Jessen F. [Prevention of dementia]. DER NERVENARZT 2023; 94:373-374. [PMID: 37140599 DOI: 10.1007/s00115-023-01474-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/15/2023] [Indexed: 05/05/2023]
Affiliation(s)
- Steffi Riedel-Heller
- Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Universität Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Deutschland.
| | - Frank Jessen
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Uniklinik Köln, Köln, Deutschland
| |
Collapse
|
6
|
Düzel E, Thyrian JR. [Mobile everyday-life digital technologies for the prevention of Alzheimer's dementia: cognitive health and cognitive safety]. DER NERVENARZT 2023; 94:400-407. [PMID: 37115257 PMCID: PMC10160180 DOI: 10.1007/s00115-023-01478-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/17/2023] [Indexed: 04/29/2023]
Abstract
It is generally accepted that the treatment of Alzheimer's disease should be flanked by preventive measures for risk reduction in order to maintain cognitive functions for as long as possible; however, the research and development of treatment concepts are both faced with challenges. The preventive risk reduction necessitates a high level of coordination of neurology and psychiatry with other disciplines. Also, patients must develop a high level of health competence and summon up self-motivation and adherence. This concept article deals with the question of how mobile everyday-life digital technologies can help to address these challenges. The core prerequisite is the interdisciplinary coordinated structuring of prevention with the focus on cognitive health and cognitive safety. Cognitive health relates to a reduction of risk factors associated with lifestyle. Cognitive safety concerns the avoidance of iatrogenic side effects on cognitive functions. Digital technologies that are relevant in this context are mobile apps based on smartphones or tablets for everyday-life and high-frequency recording of cognitive functions, apps that can coach the implementation of lifestyle changes as companion technologies, apps that can assist in the reduction of iatrogenic risks and those that can improve the health competence of patients and relatives. The state of development of such medical products is at different stages of progress. Therefore, this concept article does not provide a review of existing products but rather deals with the fundamental interplay of potential solutions in the prevention of Alzheimer dementia in the areas of cognitive health and cognitive safety.
Collapse
Affiliation(s)
- Emrah Düzel
- Institut für Kognitive Neurologie und Demenzforschung, Medizinische Fakultät, Universität Magdeburg, Leipziger Str 44, 39120, Magdeburg, Deutschland.
| | - Jochen René Thyrian
- Deutsches Zentrum für Neurodegenerative Erkrankungen, Standort Greifswald, Greifswald, Deutschland
- Lebenswissenschaftliche Fakultät (LWF), Universität Siegen, Siegen, Deutschland
| |
Collapse
|
7
|
Riedel-Heller SG, Reininghaus U, Schomerus G. [Public mental health: Core component or side issue of public health?]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2023; 66:356-362. [PMID: 36867193 PMCID: PMC9983529 DOI: 10.1007/s00103-023-03670-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 02/01/2023] [Indexed: 03/04/2023]
Abstract
This article provides an overview of the self-conception, research, and fields of action of public mental health. It is becoming clear that mental health is a central element of public health and that a relevant knowledge base exists on this topic. In addition, lines of development of this field, which is gaining in importance in Germany, are shown. Although there are important current initiatives in the field of public mental health, such as the establishment of a Mental Health Surveillance (MHS) and the Mental Health Offensive, the positioning in the field does not correspond to the relevance of mental illness in population medicine.
Collapse
Affiliation(s)
- Steffi G. Riedel-Heller
- grid.9647.c0000 0004 7669 9786Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Deutschland
| | - Ulrich Reininghaus
- grid.7700.00000 0001 2190 4373Abteilung Public Mental Health, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland ,grid.13097.3c0000 0001 2322 6764Centre for Epidemiology and Public Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, Großbritannien ,grid.13097.3c0000 0001 2322 6764ESRC Centre for Society and Mental Health, King’s College London, London, Großbritannien
| | - Georg Schomerus
- grid.9647.c0000 0004 7669 9786Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universität Leipzig, Leipzig, Deutschland
| |
Collapse
|
8
|
Cognitive aging and dementia prevention: the time for psychology? Aging (Albany NY) 2023; 15:889-891. [PMID: 36849139 PMCID: PMC10008504 DOI: 10.18632/aging.204562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 02/20/2023] [Indexed: 03/01/2023]
|
9
|
Wittmann FG, Zülke A, Schultz A, Claus M, Röhr S, Luppa M, Riedel-Heller SG. Beneficial and Impeding Factors for the Implementation of Health-Promoting Lifestyle Interventions-A Gender-Specific Focus Group Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3520. [PMID: 36834215 PMCID: PMC9967898 DOI: 10.3390/ijerph20043520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 02/14/2023] [Accepted: 02/15/2023] [Indexed: 06/18/2023]
Abstract
(1) Background: The prevalence of dementia increases and so does the number of interventions that address modifiable risk factors for dementia. Recent evidence suggests that there are gender differences in the prevalence of those lifestyle factors as well as in the effectiveness of interventions. This study aims to identify differences in factors that benefit or hinder the effectiveness of interventions since a target group's perspective gets more relevant. (2) Methods: Two focus groups, a female (n = 11) and a male (n = 8) group, were interviewed, audio recorded and transcribed. Qualitative analyses were performed and main- and subcategories were identified. (3) Results: Main differences were observed including aspects of lifestyle changes (e.g., respective diet and importance of an active lifestyle) and gender-typical behavior and perception by relevant healthcare actors. (4) Conclusions: Identified differences might help to address and raise the efficiency of lifestyle interventions. Further, the importance of social aspects and retirement as an auspicious moment to start interventions were identified as relevant by study participants.
Collapse
Affiliation(s)
- Felix G. Wittmann
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Andrea Zülke
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Adrian Schultz
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Mandy Claus
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Susanne Röhr
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
- Health and Ageing Research Team (HART), School of Psychology, Manawatū Campus, Massey University, Palmerston North 4474, New Zealand
| | - Melanie Luppa
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Steffi G. Riedel-Heller
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| |
Collapse
|
10
|
Manera V, Rovini E, Wais P. Editorial: Early detection of neurodegenerative disorders using behavioral markers and new technologies: New methods and perspectives. Front Aging Neurosci 2023; 15:1149886. [PMID: 36926633 PMCID: PMC10013194 DOI: 10.3389/fnagi.2023.1149886] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 02/16/2023] [Indexed: 03/04/2023] Open
Affiliation(s)
- Valeria Manera
- CoBTeK Lab, Department of Speech Therapy, Université Cote d'Azur, Nice, France
| | - Erika Rovini
- Department of Industrial Engineering, University of Florence, Florence, Italy
| | - Peter Wais
- Department of Neurology, Neuroscape and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, United States
| |
Collapse
|