Evidence map›Paper›PMID 34407886›Full record

ArticlePilot and feasibility studies2021

Planning and optimising a digital intervention to protect older adults' cognitive health.

Rosie Essery, Sebastien Pollet, Kirsten A Smith, Fiona Mowbray, Joanna Slodkowska-Barabasz, James Denison-Day, Victoria Hayter, Katherine Bradbury, Elisabeth Grey, Max J Western and 15 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  14. Supporting patients to prepare for total knee replacement: Evidence-, theory- and person-based development of a 'Virtual Knee School' digital intervention.Health expectations : an international journal of public participation in health care and health policy · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 9 institutions in 3 countries.

Rosie EsseryCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK. r.a.essery@soton.ac.uk.ORCID http://orcid.org/0000-0002-2702-6951
Sebastien PolletCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.
Kirsten A SmithCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.
Fiona MowbrayCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.
Joanna Slodkowska-BarabaszCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.
James Denison-DayCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.
Victoria HayterCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.
Katherine BradburyCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.
Elisabeth GreyDepartment for Health, University of Bath, Bath, UK.
Max J WesternDepartment for Health, University of Bath, Bath, UK.
Alexander MiltonSchool of Psychological Science, University of Bristol, Bristol, UK.
Cheryl HunterUniversity Hospitals Plymouth NHS Trust, Plymouth, UK.
Anne E FerreyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Andre Matthias MüllerSaw Swee Hock School of Public Health, National University of Singapore, Singapore, 117549, Singapore.
Beth StuartPrimary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
Nanette MutriePhysical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK.
Simon GriffinDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Tony KendrickPrimary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
Helen BrookerUniversity of Exeter Medical School, Exeter, UK.
Bernard GudginPublic and Patient Involvement (PPI) representative, Southampton, UK.
Rosemary PhillipsPublic and Patient Involvement (PPI) representative, Southampton, UK.
Tom StokesPublic and Patient Involvement (PPI) representative, Southampton, UK.
John NivenPublic and Patient Involvement (PPI) representative, Southampton, UK.
Paul LittlePrimary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
Lucy YardleyCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK. lucy.yardley@bristol.ac.uk.
University of Southampton · GBUniversity of Bath · GBUniversity of Bristol · GBNational University of Singapore · SGUniversity Hospitals Plymouth NHS Trust · GBUniversity of Cambridge · GBUniversity of Edinburgh · GBUniversity of Exeter · GBUniversity of Oxford · GB

Funding

Medical Research Council MC_UU_00006/6Programme Grants for Applied Research RP-PG-0615-20014
6 · The paper itself

Abstract

backgroundBy 2050, worldwide dementia prevalence is expected to triple. Affordable, scalable interventions are required to support protective behaviours such as physical activity, cognitive training and healthy eating. This paper outlines the theory-, evidence- and person-based development of 'Active Brains': a multi-domain digital behaviour change intervention to reduce cognitive decline amongst older adults.

methodsDuring the initial planning phase, scoping reviews, consultation with PPI contributors and expert co-investigators and behavioural analysis collated and recorded evidence that was triangulated to inform provisional 'guiding principles' and an intervention logic model. The following optimisation phase involved qualitative think aloud and semi-structured interviews with 52 older adults with higher and lower cognitive performance scores. Data were analysed thematically and informed changes and additions to guiding principles, the behavioural analysis and the logic model which, in turn, informed changes to intervention content.

resultsScoping reviews and qualitative interviews suggested that the same intervention content may be suitable for individuals with higher and lower cognitive performance. Qualitative findings revealed that maintaining independence and enjoyment motivated engagement in intervention-targeted behaviours, whereas managing ill health was a potential barrier. Social support for engaging in such activities could provide motivation, but was not desirable for all. These findings informed development of intervention content and functionality that appeared highly acceptable amongst a sample of target users.

conclusionsA digitally delivered intervention with minimal support appears acceptable and potentially engaging to older adults with higher and lower levels of cognitive performance. As well as informing our own intervention development, insights obtained through this process may be useful for others working with, and developing interventions for, older adults and/or those with cognitive impairment.

Indexed as

Behaviour-changeCognitive-healthDementiaDigital-interventionPhysical activityPrevention

Identifiers

PMID34407886
PMCPMC8371874
OpenAlexW3121248417

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.