Academic Journal
Adherence to a lifestyle intervention – just a question of self-efficacy? Analysis of the AgeWell.de-intervention against cognitive decline
| Title: | Adherence to a lifestyle intervention – just a question of self-efficacy? Analysis of the AgeWell.de-intervention against cognitive decline |
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| Authors: | Wittmann, Felix G., Pabst, Alexander, Zülke, Andrea, Luppa, Melanie, Oey, Anke, Boekholt, Melanie, Weise, Solveig, Fankhänel, Thomas, Kosilek, Robert P., Brettschneider, Christian, Döhring, Juliane, Lunden, Laura, Wiese, Birgitt, Hoffmann, Wolfgang, Frese, Thomas, Gensichen, Jochen, König, Hans-Helmut, Kaduszkiewicz, Hanna, Thyrian, Jochen René, Riedel-Heller, Steffi G. |
| Source: | Alzheimers Res Ther Alzheimer’s Research & Therapy, Vol 16, Iss 1, Pp 1-9 (2024) Alzheimer's research & therapy 16(1), 133 (2024). doi:10.1186/s13195-024-01499-4 |
| Publisher Information: | Springer Science and Business Media LLC, 2024. |
| Publication Year: | 2024 |
| Subject Terms: | Male, psychology [Dementia], Intervention, Neurosciences. Biological psychiatry. Neuropsychiatry, epidemiology [Dementia], Humans, Cognitive Dysfunction, ddc:610, RC346-429, Life Style, Exercise, Aged, Aged, 80 and over, Predictors, Prevention, Research, Middle Aged, prevention & control [Dementia], Lifestyle, 16. Peace & justice, psychology [Exercise], Self Efficacy, 3. Good health, psychology [Patient Compliance], Adherence, Dementia, Female [MeSH], Aged, 80 and over [MeSH], Aged [MeSH], Humans [MeSH], Self Efficacy [MeSH], Life Style [MeSH], Patient Compliance/psychology [MeSH], Middle Aged [MeSH], Dementia/prevention, Cognitive Dysfunction/psychology [MeSH], Dementia/psychology [MeSH], Cognitive Dysfunction/prevention, Male [MeSH], Exercise/psychology [MeSH], Dementia/epidemiology [MeSH], prevention & control [Cognitive Dysfunction], Patient Compliance, Female, psychology [Cognitive Dysfunction], Neurology. Diseases of the nervous system, RC321-571 |
| Description: | Background Aim of this study was to detect predictors of better adherence to the AgeWell.de-intervention, a two-year randomized multi-domain lifestyle intervention against cognitive decline. Methods Data of 317 intervention group-participants comprising a risk group for dementia (Cardiovascular Risk Factors, Ageing and Dementia (CAIDE) score of ≥ 9; mean age 68.9 years, 49.5% women) from the AgeWell.de intervention study were analysed. Regression models with four blocks of predictors (sociodemographic, cognitive and psychosocial, lifestyle factors and chronic conditions) were run on adherence to the components of nutrition, enhancement of social and physical activity and cognitive training. Adherence to each component was operationalised by assessing the degree of goal achievement per component at up to seven time points during the intervention period, measured using a 5-point Likert scale (mean score of goal achievement). Results Increasing age was negatively associated with adherence, while higher education positively predicted adherence. Participants with better mental state (Montreal Cognitive Assessment (MoCA)-score > 25) at baseline and higher self-efficacy adhered better. Diabetes and cardiovascular conditions were not associated with adherence, whereas smoking negatively affected adherence. Highest education and quitting smoking in the past were the only predictors associated with all four intervention components. Conclusion Results identified predictors for better and worse adherence. Particularly self-efficacy seems to be of considerable influence on adherence. This should be considered when designing future intervention trials. Trial registration German Clinical Trials Register (ref. number: DRKS00013555). |
| Document Type: | Article Other literature type |
| Language: | English |
| ISSN: | 1758-9193 |
| DOI: | 10.1186/s13195-024-01499-4 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/38909256 https://doaj.org/article/0d3e3d16f8654272bf142ffdabb5756f https://repository.publisso.de/resource/frl:6523148 |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (http://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| Accession Number: | edsair.doi.dedup.....8d3e9eecdfca96042c253da3aa9a36be |
| Database: | OpenAIRE |
| ISSN: | 17589193 |
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| DOI: | 10.1186/s13195-024-01499-4 |