A clinician implementation protocol for BetterBrains: An online, person-centred risk factor management program to prevent cognitive decline

IF 1.4 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing Pub Date : 2025-02-24 DOI:10.1111/ajag.70005

Stephanie Pirotta, Anna Barker, Renata Morello, Emily Rosenich, Stephanie Perin, Samantha De Araugo, Yen Ying Lim, Darshini Ayton

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引用次数: 0

Abstract

Objective

Modifiable risk factors, particularly those in midlife, can contribute to cognitive decline and dementia. Despite this, the ‘how’ of dementia risk reduction, including the application of interventional and care frameworks to deliver such a program is lacking. Our aim was to describe the ‘how’ in clinical delivery of a dementia risk reduction program called BetterBrains.

Methods

BetterBrains is an online, person-centred risk factor management program designed to prevent or delay cognitive decline in cognitively unimpaired community-dwelling, middle-aged adults with a family history of dementia. This protocol describes the delivery and implementation of BetterBrains using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework.

Results

Procedures for risk factor assessment and tailored management pathways using motivational interviewing, nationwide community linkage mapping and community referral pathways using digital delivery are outlined. Coach training and competency checks for program fidelity measures are also described.

Conclusion

Complex, multi-component programs require detailed implementation processes. Clinicians delivering BetterBrains may be better supported through standardised operating procedures, training and monitoring of competencies and implementation fidelity.

Abstract Image

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BetterBrains的临床医生实施方案：一个在线的，以人为中心的风险因素管理程序，以防止认知能力下降

可改变的危险因素，尤其是中年人，可能导致认知能力下降和痴呆。尽管如此，如何减少痴呆症风险，包括应用干预和护理框架来实施这一规划，仍是缺乏的。我们的目的是描述一个名为BetterBrains的痴呆症风险降低项目的临床实施过程。方法BetterBrains是一个以人为中心的在线风险因素管理项目，旨在预防或延缓有痴呆家族史的无认知障碍社区中年人的认知能力下降。本协议描述了使用探索、准备、实施、维持（EPIS）框架的BetterBrains的交付和实施。结果概述了使用动机性访谈的风险因素评估程序和量身定制的管理途径，全国社区联系地图和使用数字交付的社区转诊途径。还描述了教练培训和程序保真度措施的能力检查。复杂的、多组件的程序需要详细的实施过程。提供BetterBrains的临床医生可以通过标准化的操作程序、培训和能力监测以及实施保真度得到更好的支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Journal on Ageing 医学-老年医学

CiteScore

3.10

自引率

6.20%

发文量

114

审稿时长

>12 weeks

期刊介绍： Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.