Ontology highlight
ABSTRACT: Introduction
Converging evidence suggests that increasing healthy behaviors may slow or prevent cognitive decline.Methods
We piloted a six-month, randomized, controlled investigation of 40 patients with mild dementia, mild cognitive impairment, or subjective cognitive decline. The intervention consisted of weekly motivational interviewing phone calls and three visits with a "Brain Health Champion" health coach, who guided participants to achieve personalized goals. Changes in behavior were measured using validated questionnaires.Results
Compared with the standard-of-care control group, Brain Health Champion participants had statistically significant and clinically meaningful increases in physical activity (Cohen's d = 1.37, P < .001), adherence to the Mediterranean diet (Cohen's d = 0.87, P = .016), cognitive/social activity (Cohen's d = 1.09, P = .003), and quality of life (Cohen's d = 1.23, P < .001). The magnitude of behavior change strongly predicted improvement in quality of life.Discussion
Our results demonstrate the feasibility and potential efficacy of a health coaching approach in changing health behaviors in cognitively impaired and at-risk patients.
SUBMITTER: Schwartz HEM
PROVIDER: S-EPMC6861624 | biostudies-literature | 2019
REPOSITORIES: biostudies-literature
Schwartz Hope E M HEM Bay Camden P CP McFeeley Brittany M BM Krivanek Taylor J TJ Daffner Kirk R KR Gale Seth A SA
Alzheimer's & dementia (New York, N. Y.) 20191112
<h4>Introduction</h4>Converging evidence suggests that increasing healthy behaviors may slow or prevent cognitive decline.<h4>Methods</h4>We piloted a six-month, randomized, controlled investigation of 40 patients with mild dementia, mild cognitive impairment, or subjective cognitive decline. The intervention consisted of weekly motivational interviewing phone calls and three visits with a "Brain Health Champion" health coach, who guided participants to achieve personalized goals. Changes in beh ...[more]