Alzheimer Centrum Limburg, School for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands.
Department of Health Promotion, CAPHRI Care and Public Health Research Institute Maastricht, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
J Alzheimers Dis. 2023;94(3):935-948. doi: 10.3233/JAD-230225.
Health- and lifestyle factors account for a substantial part of all dementia cases, which opens the opportunity for primary prevention. However, the required behavioral change is complex and involves targeting multiple risk factors. mHealth interventions can potentially contribute to improving motivation in a low-cost and scalable way.
To explore usage patterns, appreciation, and beliefs and attitudes regarding dementia risk reduction during the use of the MyBraincoach mobile app.
Participants were community-dwelling middle-aged adults from the Netherlands and used either the standard (education) or extended (education+motivational triggers) app version for three months. Two panel studies were combined in this paper. Chi-square tests, t-tests and linear mixed models were used, adjusted for age, sex, and education.
Of all participants (n = 299, 50.2% male), 167 (55.9%) had installed the app. The most reported reason for non-use was technical problems (47%). Those who used the app were at baseline already more positive about dementia risk reduction than those who did not use the app. Of all users who completed the evaluation (n = 102), 78.4% (n = 80) stated that the app provided a positive approach towards brain health and 80.4% (n = 82) felt better informed. Younger (<60y) and lower educated participants evaluated the app most positively.
Usage of the app was low, but users showed more positive beliefs and attitudes regarding dementia risk reduction. Most users evaluated the app positively and stated to have gained knowledge on the topic. Improving the use of the app must keep high priority in future studies.
健康和生活方式因素在所有痴呆病例中占很大比例，这为初级预防提供了机会。然而，所需的行为改变是复杂的，涉及到针对多个风险因素。移动健康干预有可能以低成本和可扩展的方式为提高动机做出贡献。
探索在使用 MyBraincoach 移动应用程序期间，关于减少痴呆风险的使用模式、欣赏程度、信念和态度。
参与者是来自荷兰的社区居住的中年成年人，他们使用标准（教育）或扩展（教育+激励触发器）应用程序版本三个月。本文结合了两项面板研究。使用卡方检验、t 检验和线性混合模型进行分析，调整了年龄、性别和教育因素。
在所有参与者（n=299，50.2%为男性）中，有 167 人（55.9%）安装了该应用程序。未使用该应用程序的最主要原因是技术问题（47%）。与未使用该应用程序的人相比，使用该应用程序的人在基线时对减少痴呆风险的态度更为积极。在所有完成评估的用户中（n=102），78.4%（n=80）表示该应用程序提供了一种积极的大脑健康方法，80.4%（n=82）表示感觉信息更丰富。年龄较小（<60 岁）和受教育程度较低的参与者对该应用程序的评价最为积极。
该应用程序的使用率较低，但用户对减少痴呆风险的信念和态度更为积极。大多数用户对该应用程序评价积极，并表示在该主题上获得了知识。在未来的研究中，必须高度重视提高该应用程序的使用率。
