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dc.contributor.authorRobertson, Ianen
dc.contributor.authorKenny, Roseen
dc.date.accessioned2022-05-19T12:30:14Z
dc.date.available2022-05-19T12:30:14Z
dc.date.issued2021en
dc.date.submitted2021en
dc.identifier.citationChapman, S.B. and Fratantoni, J.M. and Robertson, I.H. and D'Esposito, M. and Ling, G.S.F. and Zientz, J. and Vernon, S. and Venza, E. and Cook, L.G. and Tate, A. and Spence, J.S., A Novel BrainHealth Index Prototype Improved by Telehealth-Delivered Training During COVID-19, Frontiers in Public Health, 9, 641754, 2021en
dc.identifier.otherYen
dc.identifier.urihttp://hdl.handle.net/2262/98631
dc.descriptionPUBLISHEDen
dc.descriptioncited By 2en
dc.description.abstractIntroduction: Brain health is neglected in public health, receiving attention after something goes wrong. Neuroplasticity research illustrates that preventive steps strengthen the brain's component systems; however, this information is not widely known. Actionable steps are needed to scale proven population-level interventions. Objectives: This pilot tested two main objectives: (1) the feasibility/ease of use of an online platform to measure brain health, deliver training, and offer virtual coaching to healthy adults and (2) to develop a data driven index of brain health. Methods: 180 participants, ages 18–87, enrolled in this 12-week pilot. Participants took a BrainHealth Index™ (BHI), a composite of assessments encompassing cognition, well-being, daily-life and social, pre-post training. Participants engaged in online training with three coaching sessions. We assessed changes in BHI, effects of training utilization and demographics, contributions of sub-domain measures to the BHI and development of a factor analytic structure of latent BrainHealth constructs. Results: The results indicated that 75% of participants showed at least a 5-point gain on their BHI which did not depend on age, education, or gender. The contribution to these gains were from all sub-domains, including stress, anxiety and resilience, even though training focused largely on cognition. Some individuals improved due to increased resilience and decreased anxiety, whereas others improved due to increased innovation and social engagement. Larger gains depended on module utilization, especially strategy training. An exploratory factor analytic solution to the correlation matrix of online assessments identified three latent constructs. Discussion/Conclusion: This pilot study demonstrated the efficacy of an online platform to assess changes on a composite BrainHealth Index and efficacy in delivering training modules and coaching. We found that adults, college age to late life, were motivated to learn about their brain and engage in virtual-training with coaching to improve their brain health. This effort intends to scale up to thousands, thus the pilot data, tested by an impending imaging pilot, will be utilized in ongoing machine learning (ML) algorithms to develop a precision brain health model. This pilot is a first step in scaling evidence-based brain health protocols to reach individuals and positively affect public health globally.en
dc.language.isoenen
dc.relation.ispartofseriesFrontiers in Public Healthen
dc.relation.ispartofseries9en
dc.relation.ispartofseries641754en
dc.rightsYen
dc.subjectNeuroplasticityen
dc.subjectBrain healthen
dc.subjectonline platform to measure brain healthen
dc.subjectResilienceen
dc.subjectPreventionen
dc.subjectPersonalized careen
dc.subjectPandemicen
dc.subjectMental healthen
dc.subjectDigital healthen
dc.titleA Novel BrainHealth Index Prototype Improved by Telehealth-Delivered Training During COVID-19en
dc.typeJournal Articleen
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/irobertsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/rkennyen
dc.identifier.rssinternalid243307en
dc.identifier.doihttp://dx.doi.org/10.3389/fpubh.2021.641754en
dc.rights.ecaccessrightsopenAccess
dc.identifier.orcid_id0000-0001-8637-561Xen


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