Esmé Eggink (Netherlands)
Amsterdam UMC Department of General PracticeAuthor Of 2 Presentations
PREVENTION OF DEMENTIA USING MOBILE PHONE APPLICATIONS (PRODEMOS): AN INTERNATIONAL RANDOMISED CONTROLLED TRIAL
Abstract
Abstract Body
Background and purpose Up to 40% of dementia cases may be attributable to potentially modifiable risk factors, suggesting dementia may be delayed or prevented by adequately acting these risk factors. Mobile Health (mHealth) may improve accessibility to prevention strategies in hard-to-reach populations, where the expected rise of dementia prevalence is largest. We will investigate the effectiveness and implementation of a coach-supported mHealth intervention to reduce the risk of dementia by targeting dementia risk factors.
Methods The PRODEMOS RCT has an effectiveness-implementation hybrid design, taking place in the United Kingdom (UK) and China. Eligibility criteria are: 55-75 years, low SES (UK) or from the general population (China), ≥2 dementia risk factors, own a smartphone. Overall, 2400 participants will be randomised to either a coach-supported, interactive mHealth platform, facilitating self-management of dementia risk factors, or to a static control platform. The intervention and follow-up period are 18 months. The primary effectiveness outcome is change on the CAIDE dementia risk score. Implementation outcomes include acceptability, adoption, feasibility, and sustainability of the intervention.
Results The design of the mHealth platform has been informed by qualitative studies with the target population in the UK and China, existing literature, and the concepts of the Healthy Ageing Through Internet Counseling in the Elderly (HATICE) platform, and has been tested in a pilot study in both countries.
Conclusions The current study, targeting populations with a high dementia risk and poor access to preventive care, will provide insight in the implementation potential and effectiveness of a coach-supported mHealth intervention to reduce the risk of dementia.
NEEDS AND VIEWS OF CHINESE OLDER ADULTS ON HEALTHY LIFESTYLES FOR THE PREVENTION OF DEMENTIA: A QUALITATIVE STUDY.
Abstract
Abstract Body
Background and purpose China is expected to face an enormous increase of people with dementia. Approximately 40% of all dementia cases might be attributable to potentially modifiable risk factors, suggesting the potential to delay or prevent dementia when targeting these risk factors. In this qualitative study, we aim to explore the experiences, needs and views of older Chinese adults regarding healthy lifestyles for the prevention of dementia, facilitating development of a coach-supported mobile health (mHealth) platform in the Prevention of Dementia using Mobile Phone Applications (PRODEMOS)-study.
Methods Eligibility criteria were an age >55, increased dementia risk without a diagnosis of dementia, and possession of a smartphone. Semi-structured interviews were performed by nine Chinese researchers. Data were analysed through thematic analysis.
Results We performed 26 interviews with participants from Beijing and Tai’an, aged 55-86 years. We identified three main themes: ‘valuing a healthy lifestyle’, ‘sociocultural expectations’, and ‘need for guidance’. First, a healthy lifestyle was deemed important. Participants had tried to change their behaviour using both generic and specific Chinese approaches. Second, an important motive to stay healthy was to limit the burden put on family members. Paradoxically, time-consuming family and other social obligations could also impede healthy behaviours. Finally, participants expressed a need for reliable and personalised lifestyle support from a health professional.
Conclusions In spite of their clear appreciation of healthy lifestyles, Chinese older adults express a need for personalised lifestyle support. The PRODEMOS mHealth platform was adapted to meet these needs. Efficacy and implementation will be tested in a trial that is currently ongoing.
Presenter of 2 Presentations
PREVENTION OF DEMENTIA USING MOBILE PHONE APPLICATIONS (PRODEMOS): AN INTERNATIONAL RANDOMISED CONTROLLED TRIAL
Abstract
Abstract Body
Background and purpose Up to 40% of dementia cases may be attributable to potentially modifiable risk factors, suggesting dementia may be delayed or prevented by adequately acting these risk factors. Mobile Health (mHealth) may improve accessibility to prevention strategies in hard-to-reach populations, where the expected rise of dementia prevalence is largest. We will investigate the effectiveness and implementation of a coach-supported mHealth intervention to reduce the risk of dementia by targeting dementia risk factors.
Methods The PRODEMOS RCT has an effectiveness-implementation hybrid design, taking place in the United Kingdom (UK) and China. Eligibility criteria are: 55-75 years, low SES (UK) or from the general population (China), ≥2 dementia risk factors, own a smartphone. Overall, 2400 participants will be randomised to either a coach-supported, interactive mHealth platform, facilitating self-management of dementia risk factors, or to a static control platform. The intervention and follow-up period are 18 months. The primary effectiveness outcome is change on the CAIDE dementia risk score. Implementation outcomes include acceptability, adoption, feasibility, and sustainability of the intervention.
Results The design of the mHealth platform has been informed by qualitative studies with the target population in the UK and China, existing literature, and the concepts of the Healthy Ageing Through Internet Counseling in the Elderly (HATICE) platform, and has been tested in a pilot study in both countries.
Conclusions The current study, targeting populations with a high dementia risk and poor access to preventive care, will provide insight in the implementation potential and effectiveness of a coach-supported mHealth intervention to reduce the risk of dementia.
NEEDS AND VIEWS OF CHINESE OLDER ADULTS ON HEALTHY LIFESTYLES FOR THE PREVENTION OF DEMENTIA: A QUALITATIVE STUDY.
Abstract
Abstract Body
Background and purpose China is expected to face an enormous increase of people with dementia. Approximately 40% of all dementia cases might be attributable to potentially modifiable risk factors, suggesting the potential to delay or prevent dementia when targeting these risk factors. In this qualitative study, we aim to explore the experiences, needs and views of older Chinese adults regarding healthy lifestyles for the prevention of dementia, facilitating development of a coach-supported mobile health (mHealth) platform in the Prevention of Dementia using Mobile Phone Applications (PRODEMOS)-study.
Methods Eligibility criteria were an age >55, increased dementia risk without a diagnosis of dementia, and possession of a smartphone. Semi-structured interviews were performed by nine Chinese researchers. Data were analysed through thematic analysis.
Results We performed 26 interviews with participants from Beijing and Tai’an, aged 55-86 years. We identified three main themes: ‘valuing a healthy lifestyle’, ‘sociocultural expectations’, and ‘need for guidance’. First, a healthy lifestyle was deemed important. Participants had tried to change their behaviour using both generic and specific Chinese approaches. Second, an important motive to stay healthy was to limit the burden put on family members. Paradoxically, time-consuming family and other social obligations could also impede healthy behaviours. Finally, participants expressed a need for reliable and personalised lifestyle support from a health professional.
Conclusions In spite of their clear appreciation of healthy lifestyles, Chinese older adults express a need for personalised lifestyle support. The PRODEMOS mHealth platform was adapted to meet these needs. Efficacy and implementation will be tested in a trial that is currently ongoing.