B-Fit Intervention to Improve Brain Health
Status: | Recruiting |
---|---|
Conditions: | Healthy Studies, Healthy Studies |
Therapuetic Areas: | Other |
Healthy: | No |
Age Range: | 40 - Any |
Updated: | 10/10/2018 |
Start Date: | February 15, 2018 |
End Date: | December 30, 2022 |
Contact: | Maureen Schmitter-Edgecombe, Ph.D. |
Email: | schmitter-e@wsu.edu |
Phone: | 5093350170 |
B-Fit Intervention to Improve Engagement in Healthy Brain Aging Activities in Middle-aged and Older Adults
An accumulating body of research indicates that activities such as exercise, active cognitive
and social engagement, good sleep hygiene, stress reduction and proper nutrition are
associated with the maintenance of cognitive health. Emerging data also suggests that healthy
lifestyle behaviors may promote brain plasticity. Despite nationwide efforts to raise public
awareness about brain health, there remains a gap concerning how to best promote behavioral
change and help at-risk middle-aged and older adults adopt effective, evidence-based brain
health behaviors into their everyday lives to maximize cognitive health. The objective of
this study is to evaluate the efficacy of a 7-week group brain fitness intervention (B-Fit)
for increasing preventative brain health behaviors and enhancing cognitive health in
participants at-risk for cognitive impairment. We will also examine mechanisms of action of
the B-Fit intervention through tracking of behavioral responses in the real-world environment
using wearable sensors.
and social engagement, good sleep hygiene, stress reduction and proper nutrition are
associated with the maintenance of cognitive health. Emerging data also suggests that healthy
lifestyle behaviors may promote brain plasticity. Despite nationwide efforts to raise public
awareness about brain health, there remains a gap concerning how to best promote behavioral
change and help at-risk middle-aged and older adults adopt effective, evidence-based brain
health behaviors into their everyday lives to maximize cognitive health. The objective of
this study is to evaluate the efficacy of a 7-week group brain fitness intervention (B-Fit)
for increasing preventative brain health behaviors and enhancing cognitive health in
participants at-risk for cognitive impairment. We will also examine mechanisms of action of
the B-Fit intervention through tracking of behavioral responses in the real-world environment
using wearable sensors.
Participants will be middle-aged and older adults. Participants will be randomized to one of
three conditions (B-fit, education only, wait-list). Outcome measures will be administered at
baseline, post-treatment and at a one-year follow-up. Participants will also be asked to wear
an actigraph for 7 days at baseline, post intervention and follow-up. One or two clinicians
will lead the intervention groups, which will each have 8-12 group members. Both the B-Fit
and education control conditions will meet 2 hours per week for 7 weeks. Participants in both
conditions will receive identical educational materials provided in the form of weekly
learning packets and presented to the group by the study clinician(s). At the first meeting,
group members will be presented with an overview of the brain, cognitive aging, mild
cognitive impairment, and dementia. Each subsequent group meeting will cover a specific
topic. The topics will be presented to all groups in the following order: cognitive
engagement, exercise and cardiovascular risk factors, nutrition, social engagement, sleep and
stress reduction, and compensatory strategy use. The control condition will include
presentation of the educational materials followed by expanded discussion about the materials
among group members. In contrast, each meeting of the B-Fit intervention will follow a highly
structured format. The format is designed to aid participants in identifying and setting
realistic and valuable individualized brain health goals and in obtaining group support
through problem-solving, modeling and encouragement.
three conditions (B-fit, education only, wait-list). Outcome measures will be administered at
baseline, post-treatment and at a one-year follow-up. Participants will also be asked to wear
an actigraph for 7 days at baseline, post intervention and follow-up. One or two clinicians
will lead the intervention groups, which will each have 8-12 group members. Both the B-Fit
and education control conditions will meet 2 hours per week for 7 weeks. Participants in both
conditions will receive identical educational materials provided in the form of weekly
learning packets and presented to the group by the study clinician(s). At the first meeting,
group members will be presented with an overview of the brain, cognitive aging, mild
cognitive impairment, and dementia. Each subsequent group meeting will cover a specific
topic. The topics will be presented to all groups in the following order: cognitive
engagement, exercise and cardiovascular risk factors, nutrition, social engagement, sleep and
stress reduction, and compensatory strategy use. The control condition will include
presentation of the educational materials followed by expanded discussion about the materials
among group members. In contrast, each meeting of the B-Fit intervention will follow a highly
structured format. The format is designed to aid participants in identifying and setting
realistic and valuable individualized brain health goals and in obtaining group support
through problem-solving, modeling and encouragement.
Inclusion Criteria:
- Age 40+ (midlife and older adults)
Exclusion Criteria:
- Adults under the age of 40
- Adults who meet criteria for dementia
- Adults who cannot provide own informed consent
- Adults who cannot complete assessments or participate in the intervention protocols
due to vision, hearing, communication or other difficulties
- Adults unable to read and comprehend information in English.
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