Abstract Background and Objectives Despite increasing evidence of the critical impact of modifiable lifestyle factors and cognitive self-efficacy in healthy aging, programs to address these components have been limited for rural-dwelling adults. Therefore, this study aimed to develop and test BrainHealth 360, a co-created multi-component healthy aging protocol, via a community-based transcreation framework within a rural context. Research Design and Methods Following iterative co-creation, implementation outcomes and preliminary efficacy data for BrainHealth 360 were gathered using a mixed-methods convergent design with 40 older adults. Results High levels of intervention acceptability and appropriateness were tied to themes (self-efficacy, social connection, and applicability) in the context of individualized instruction. Identified barriers included accessibility challenges and aging-related fear. Participants reported increased memory self-efficacy and implementation of selected lifestyle changes and cognitive strategies. No change was detected on an objective measure of cognitive function nor in participants’ self-perceptions of the aging process. Discussion and Implications These results provide preliminary support for the co-design approach to develop context-specific educational interventions for the promotion of brain health among older adults, with future testing warranted to confirm the efficacy of the resulting intervention.
Mayer et al. (Fri,) studied this question.
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