Developing the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia program
Abstract INTRODUCTION With Alzheimer's disease and related dementias (ADRD) representing an enormous public health challenge, there is a need to support individuals in learning about and addressing their modifiable risk factors (e.g., diet, sleep, and physical activity) to prevent or delay deme...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/trc2.12457 |
| _version_ | 1797242851566813184 |
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| author | Sara Moukarzel Zvinka Z. Zlatar Sheri J. Hartman Derek Lomas Howard H. Feldman Sarah J. Banks HALT‐AD Study Group |
| author_facet | Sara Moukarzel Zvinka Z. Zlatar Sheri J. Hartman Derek Lomas Howard H. Feldman Sarah J. Banks HALT‐AD Study Group |
| author_sort | Sara Moukarzel |
| collection | DOAJ |
| description | Abstract INTRODUCTION With Alzheimer's disease and related dementias (ADRD) representing an enormous public health challenge, there is a need to support individuals in learning about and addressing their modifiable risk factors (e.g., diet, sleep, and physical activity) to prevent or delay dementia onset. However, there is limited availability for evidence‐informed tools that deliver both quality education and support for positive behavior change such as by increasing self‐efficacy and personalizing goal setting. Tools that address the needs of Latino/a, at higher risk for ADRD, are even more scarce. METHODS We established a multidisciplinary team to develop the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia (HALT‐AD) program, a bilingual online personalized platform to educate and motivate participants to modify their risk factors for dementia. Grounded in social cognitive theory and following a cultural adaptation framework with guidance from a community advisory board, we developed HALT‐AD iteratively through several cycles of rapid prototype development, user‐centered evaluation through pilot testing and community feedback, and refinement. RESULTS Using this iterative approach allowed for more than 100 improvements in the content, features, and design of HALT‐AD to improve the program's usability and alignment with the interests and educational/behavior change support needs of its target audience. Illustrative examples of how pilot data and community feedback informed improvements are provided. DISCUSSION Developing HALT‐AD iteratively required learning through trial and error and flexibility in workflows, contrary to traditional program development methods that rely on rigid, pre‐set requirements. In addition to efficacy trials, studies are needed to identify mechanisms for effective behavior change, which might be culturally specific. Flexible and personalized educational offerings are likely to be important in modifying risk trajectories in ADRD. |
| first_indexed | 2024-04-24T18:45:47Z |
| format | Article |
| id | doaj.art-dd5ab4174ccc463bb76476c25578ba85 |
| institution | Directory Open Access Journal |
| issn | 2352-8737 |
| language | English |
| last_indexed | 2024-04-24T18:45:47Z |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| spelling | doaj.art-dd5ab4174ccc463bb76476c25578ba852024-03-27T07:00:57ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372024-01-01101n/an/a10.1002/trc2.12457Developing the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia programSara Moukarzel0Zvinka Z. Zlatar1Sheri J. Hartman2Derek Lomas3Howard H. Feldman4Sarah J. Banks5HALT‐AD Study GroupDepartment of Neurosciences University of California San Diego San Diego California USADepartment of Psychiatry University of California San Diego San Diego California USAHerbert Wertheim School of Public Health University of California San Diego San Diego California USAFaculty of Industrial Design Engineering University of Delft Delft The NetherlandsDepartment of Neurosciences University of California San Diego San Diego California USADepartment of Neurosciences University of California San Diego San Diego California USAAbstract INTRODUCTION With Alzheimer's disease and related dementias (ADRD) representing an enormous public health challenge, there is a need to support individuals in learning about and addressing their modifiable risk factors (e.g., diet, sleep, and physical activity) to prevent or delay dementia onset. However, there is limited availability for evidence‐informed tools that deliver both quality education and support for positive behavior change such as by increasing self‐efficacy and personalizing goal setting. Tools that address the needs of Latino/a, at higher risk for ADRD, are even more scarce. METHODS We established a multidisciplinary team to develop the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia (HALT‐AD) program, a bilingual online personalized platform to educate and motivate participants to modify their risk factors for dementia. Grounded in social cognitive theory and following a cultural adaptation framework with guidance from a community advisory board, we developed HALT‐AD iteratively through several cycles of rapid prototype development, user‐centered evaluation through pilot testing and community feedback, and refinement. RESULTS Using this iterative approach allowed for more than 100 improvements in the content, features, and design of HALT‐AD to improve the program's usability and alignment with the interests and educational/behavior change support needs of its target audience. Illustrative examples of how pilot data and community feedback informed improvements are provided. DISCUSSION Developing HALT‐AD iteratively required learning through trial and error and flexibility in workflows, contrary to traditional program development methods that rely on rigid, pre‐set requirements. In addition to efficacy trials, studies are needed to identify mechanisms for effective behavior change, which might be culturally specific. Flexible and personalized educational offerings are likely to be important in modifying risk trajectories in ADRD.https://doi.org/10.1002/trc2.12457behavior changedementiadigital learningeducationhealth equityLatinX |
| spellingShingle | Sara Moukarzel Zvinka Z. Zlatar Sheri J. Hartman Derek Lomas Howard H. Feldman Sarah J. Banks HALT‐AD Study Group Developing the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia program Alzheimer’s & Dementia: Translational Research & Clinical Interventions behavior change dementia digital learning education health equity LatinX |
| title | Developing the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia program |
| title_full | Developing the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia program |
| title_fullStr | Developing the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia program |
| title_full_unstemmed | Developing the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia program |
| title_short | Developing the Healthy Actions and Lifestyles to Avoid Dementia or Hispanos y el ALTo a la Demencia program |
| title_sort | developing the healthy actions and lifestyles to avoid dementia or hispanos y el alto a la demencia program |
| topic | behavior change dementia digital learning education health equity LatinX |
| url | https://doi.org/10.1002/trc2.12457 |
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