Evidence map›Paper›PMID 40313911›Full record

ArticleFrontiers in digital health2025

Telehealth coaching in older adults, behavior change, and impacts of the COVID-19 pandemic: analyses from The Brain Health Champion Study.

Brittany McFeeley, Casey Nicastri, Taylor Krivanek, Kirk R Daffner, Seth A Gale

Abstract read
In one paragraph

Article in Frontiers in digital health, 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

5 authors.

Brittany McFeeleyBrigham and Women's Hospital, Department of Neurology, Boston, MA, United States.
Casey NicastriBrigham and Women's Hospital, Department of Neurology, Boston, MA, United States.
Taylor KrivanekBrigham and Women's Hospital, Department of Neurology, Boston, MA, United States.
Kirk R DaffnerBrigham and Women's Hospital, Department of Neurology, Boston, MA, United States.
Seth A GaleBrigham and Women's Hospital, Department of Neurology, Boston, MA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: When COVID-19 containment strategies were imposed in March 2020, we became interested in how these restrictions might interfere with brain-healthy behaviors of older adults who were either actively participating in or who had recently completed our telehealth behavior change intervention. Telehealth interventions have emerged as important tools for supporting brain health behaviors remotely, particularly among older adults. The objective of the current study was to assess how older adults with and without cognitive impairment were affected by COVID-19 restrictions and whether they were affected differently based on their active participation or recent completion of our Brain Health Champion (BHC) study and their cognitive status. Methods: BHC study 1.0 and 2.0 participants and their study partners were emailed in April and May of 2020 a link to five electronic surveys to collect qualitative and quantitative data on various health factors, including self-reports of pre-pandemic and current brain health behaviors (e.g., physical activity, Mediterranean diet adherence, social engagement, and cognitive stimulation), anxiety, sleep, and depression. The fifth survey was distributed to collect study feedback. Results: Ten out of 11 participants from Study 2.0 and 15 out of 30 participants from Study 1.0 completed the surveys. Results demonstrated that early pandemic restrictions negatively impacted all participants in physical activity ( Discussion: Our findings suggest that pandemic restrictions significantly impacted activities typically done outside the home (social and physical activity), while those feasibly achieved at home were less affected (Mediterranean diet adherence and cognitive activity). Additionally, the intervention augmented by digital health components likely exerted some protective effects against the impact of COVID-19 containment strategies. Digitally-facilitated research and clinical telehealth programs are well-positioned to offer some protection to vulnerable individuals from disruptive events that could impede adoption or maintenance of healthy lifestyle changes.

Indexed as

Alzheimer's disease and related dementias (ADRDs)behavior change interventionsbrain healthCOVID-19digital/mobile healthhealth coachingMCI (mild cognitive impairment)older adults

Identifiers

PMID40313911
PMCPMC12043590

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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.