Adherence to a lifestyle intervention - just a question of self-efficacy? Analysis of the AgeWell.de-intervention against cognitive decline
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Adherence to a lifestyle intervention - just a question of self-efficacy? Analysis of the AgeWell.de-intervention against cognitive decline. / 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.
In: ALZHEIMERS RES THER, Vol. 16, 22.06.2024, p. 133.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Adherence to a lifestyle intervention - just a question of self-efficacy? Analysis of the AgeWell.de-intervention against cognitive decline
AU - Wittmann, Felix G
AU - Pabst, Alexander
AU - Zülke, Andrea
AU - Luppa, Melanie
AU - Oey, Anke
AU - Boekholt, Melanie
AU - Weise, Solveig
AU - Fankhänel, Thomas
AU - Kosilek, Robert P
AU - Brettschneider, Christian
AU - Döhring, Juliane
AU - Lunden, Laura
AU - Wiese, Birgitt
AU - Hoffmann, Wolfgang
AU - Frese, Thomas
AU - Gensichen, Jochen
AU - König, Hans-Helmut
AU - Kaduszkiewicz, Hanna
AU - Thyrian, Jochen René
AU - Riedel-Heller, Steffi G
N1 - © 2024. The Author(s).
PY - 2024/6/22
Y1 - 2024/6/22
N2 - 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).
AB - 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).
KW - Humans
KW - Female
KW - Male
KW - Aged
KW - Cognitive Dysfunction/prevention & control
KW - Self Efficacy
KW - Life Style
KW - Patient Compliance/psychology
KW - Middle Aged
KW - Exercise/psychology
KW - Dementia/psychology
KW - Aged, 80 and over
U2 - 10.1186/s13195-024-01499-4
DO - 10.1186/s13195-024-01499-4
M3 - SCORING: Journal article
C2 - 38909256
VL - 16
SP - 133
JO - ALZHEIMERS RES THER
JF - ALZHEIMERS RES THER
SN - 1758-9193
ER -