Evidence map›Paper›PMID 39992859›Full record

ArticleAustralasian journal on ageing2025

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

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

Abstract read
In one paragraph

Article in Australasian journal on ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Stephanie PirottaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-8966-0296
Anna BarkerSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Renata MorelloSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Emily RosenichTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.
Stephanie PerinTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.
Samantha De AraugoSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Yen Ying LimTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.
Darshini AytonSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-2754-2024

Funding

Alzheimer's AssociationNational Health and Medical Research Council
6 · The paper itself

Abstract

objectiveModifiable 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.

methodsBetterBrains 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.

resultsProcedures 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.

conclusionComplex, 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.

Indexed as

CognitionCognitive DysfunctionDementiaInternet-Based InterventionRisk Reduction BehaviorFemaleHumansMaleMiddle AgedMotivational InterviewingRisk AssessmentRisk FactorsAlzheimer's diseasecognitive dysfunctiondementiarisk reduction behaviour

Identifiers

PMID39992859
PMCPMC11849804

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.