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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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.

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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.