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Facilitating Delivery and Remote Monitoring of Behaviour Change Interventions to Reduce Risk of Developing Alzheimer’s Disease: The Gray Matters Study

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Inclusive Smart Cities and e-Health (ICOST 2015)

Abstract

Alzheimer’s disease (AD) is a recognised global health concern, with currently no cure. Research is now focusing on risk factors and prevention methods associated with AD. Many of these risk factors can be attributed to lifestyle choices and environmental factors. In this paper, we present a smartphone app designed to facilitate, encourage and monitor behaviour change as part of a 6-month randomized control trial with 146 participants. The app provided a convenient, scalable and cost effective method of allowing participants to monitor and review behaviour change data. 94.5% of users entered, and 91.8% reviewed, their performance daily. Over 141,800 individual behaviour logs were submitted across the six-month trial. Analysis of these logs has shown positive trends in behavioural change across all domains, with particular emphasis on efforts to decrease stress, higher sleep promotion and increased social engagement. Respondents’ rating of the app’s effect on their health improvement: 31% reported “a great deal of effect”, 48% reported somewhat of an effect, and 3% said the app was the key factor.

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References

  1. Smith, D., Yaffe, K.: Dementia (including Alzheimer’s disease) can be prevented: statement supported by international experts. J. Alzheimers. Dis. 38, 699–703 (2014)

    Google Scholar 

  2. Justin, B.N., Turek, M., Hakim, A.M.: Heart disease as a risk factor for dementia. Clin. Epidemiol. 5, 135–145 (2013)

    Google Scholar 

  3. Morris, M.C.: Nutritional determinants of cognitive aging and dementia. Proc. Nutr. Soc. 71, 1–13 (2012)

    Article  Google Scholar 

  4. Wang, H.-X., Jin, Y., Hendrie, H.C., Liang, C., Yang, L., Cheng, Y., Unverzagt, F.W., Ma, F., Hall, K.S., Murrell, J.R., Li, P., Bian, J., Pei, J.-J., Gao, S.: Late life leisure activities and risk of cognitive decline. J. Gerontol. A. Biol. Sci. Med. Sci. 68, 205–213 (2013)

    Article  Google Scholar 

  5. Wadden, T.A., Webb, V.L., Moran, C.H., Bailer, B.A.: Lifestyle modification for obesity: New developments in diet, physical activity, and behavior therapy. Circulation 125, 1157–1170 (2012)

    Article  Google Scholar 

  6. Spring, B., Moller, A.C., Colangelo, L.A., Siddique, J., Roehrig, M., Daviglus, M.L., Polak, J.F., Reis, J.P., Sidney, S., Liu, K.: Healthy lifestyle change and subclinical atherosclerosis in young adults: Coronary artery risk development in young adults (CARDIA) study. Circulation 130, 10–17 (2014)

    Article  Google Scholar 

  7. Solomon, A., Mangialasche, F., Richard, E., Andrieu, S., Bennett, D.A., Breteler, M., Fratiglioni, L., Hooshmand, B., Khachaturian, A.S., Schneider, L.S., Skoog, I., Kivipelto, M.: Advances in the prevention of Alzheimer’s disease and dementia. J. Intern. Med. 275, 229–250 (2014)

    Article  Google Scholar 

  8. Ridge, P.G., Mukherjee, S., Crane, P.K., Kauwe, J.S.K.: Alzheimer’s disease: analyzing the missing heritability. PLoS One 8, e79771 (2013)

    Article  Google Scholar 

  9. Mangialasche, F., Kivipelto, M., Solomon, A., Fratiglioni, L.: Dementia prevention: current epidemiological evidence and future perspective. Alzheimers. Res. Ther. 4, 6 (2012)

    Article  Google Scholar 

  10. PEW Research Center Mobile Technology Fact Sheet. http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet/, March 15, 2015

  11. Buhi, E.R., Trudnak, T.E., Martinasek, M.P., Oberne, A.B., Fuhrmann, H.J., McDermott, R.J.: Mobile phone-based behavioural interventions for health: A systematic review. Health Educ. J. 72, 564–583 (2012)

    Article  Google Scholar 

  12. Hartin, P.J., Nugent, C.D., McClean, S.I., Cleland, I., Tschanz, J., Clark, C., Norton, M.C.: Encouraging behavioral change via everyday technologies to reduce risk of developing Alzheimer’s disease. In: Pecchia, L., Chen, L.L., Nugent, C., Bravo, J. (eds.) IWAAL 2014. LNCS, vol. 8868, pp. 51–58. Springer, Heidelberg (2014)

    Chapter  Google Scholar 

  13. Norton, M., Clark, C., Tschanz, J., Hartin, P., Fauth, E., Gast, J., Dorsch, T.E., Wengreen, H., Nugent, C., Robinson, D., Lefevre, M., McClean, S., Cleland, I., Schaeffer, S., Aguilar, S.: A multi-domain lifestyle intervention to lower Alzheimer’s disease risk in middle-aged persons: the Gray Matters randomized trial. Alzheimer’s Dement. Transl. Res. Clin. Interv. (2015) (manuscript in review)

    Google Scholar 

  14. Schueller, S.M.: Behavioral intervention technologies for positive psychology: Introduction to the special issue. J. Posit. Psychol. 9, 475–476 (2014)

    Article  Google Scholar 

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Correspondence to Phillip J. Hartin .

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Hartin, P.J. et al. (2015). Facilitating Delivery and Remote Monitoring of Behaviour Change Interventions to Reduce Risk of Developing Alzheimer’s Disease: The Gray Matters Study. In: Geissbühler, A., Demongeot, J., Mokhtari, M., Abdulrazak, B., Aloulou, H. (eds) Inclusive Smart Cities and e-Health. ICOST 2015. Lecture Notes in Computer Science(), vol 9102. Springer, Cham. https://doi.org/10.1007/978-3-319-19312-0_32

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  • DOI: https://doi.org/10.1007/978-3-319-19312-0_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19311-3

  • Online ISBN: 978-3-319-19312-0

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