Title:Cogstim: A Shared Decision-making Model to Support Older Adults’
Brain Health
Volume: 20
Issue: 3
关键词:
痴呆症,认知老化,预防,运动,饮食,基于计算机的认知训练,阿尔茨海默病。
摘要: The lack of effective treatments for cognitive decline in older adults has led to an interest
in the possibility that lifestyle interventions can help to prevent changes in mental functioning and
reduce the risk for dementia. Multiple lifestyle factors have been related to risk for decline, and multicomponent
intervention studies suggest that changing older adults’ behaviors can have a positive
impact on their cognition. How to translate these findings into a practical model for clinical use with
older adults, however, is not clear. In this Commentary, we propose a shared decision-making model
to support clinicians’ efforts to promote brain health in older persons. The model organizes risk and
protective factors into three broad groups based on their mechanism of action and provides older persons
with basic information to allow them to make evidence- and preference-based choices in choosing
goals for effective brain health programs. A final component includes basic instruction in behavior
change strategies such as goal setting, self-monitoring, and problem-solving. The implementation
of the model will support older persons’ efforts to develop a personally relevant and effective brainhealthy
lifestyle that may help to reduce their risk for cognitive decline.
