title: Can older "at risk" adults benefit from psychoeducation targeting healthy brain aging?
abstract: BACKGROUND
  Multifactorial strategies that prevent or delay the onset or progress of cognitive decline and dementia are needed, and should include education regarding recognized risk factors. The current study sought to investigate whether older adults "at risk" of cognitive decline benefit from psychoeducation targeting healthy brain aging.
  
  
  METHODS
  65 participants (mean age 64.8 years, SD 9.6) with a lifetime history of major depression; vascular risk as evidenced by at least one vascular risk factor; and/or subjective or objective memory impairment were allocated to weekly psychoeducation sessions or a waitlist control group. The small group sessions were conducted over ten weeks by a team of medical and allied health professionals with expertise in late-life depression and cognition. Sessions focused on modifiable risk factors for cognitive decline including vascular risk, diet, exercise, depression, anxiety and sleep disturbance, as well as providing practical strategies for memory and cognition. Both the psychoeducation and waitlist group completed a 20-item knowledge test at baseline and follow-up. Participants in the psychoeducation group were asked to complete follow-up self-report satisfaction questionnaires.
  
  
  RESULTS
  Repeated measures ANOVA showed a significant interaction effect depicting improvements in knowledge associated with psychoeducation, corresponding to an improvement of 15% from baseline. Satisfaction data additionally showed that 92.3% of participants rated the program as "good" to "excellent", and over 90% suggested they would recommend it to others.
  
  
  CONCLUSIONS
  A group-based psychoeducation program targeting healthy brain aging is effective in improving knowledge. Additionally, it is acceptable and rated highly by participants.
authors.affiliation: Ageing Brain Centre, Brain and Mind Research Institute, University of Sydney, NSW, Australia. lnorrie@med.usyd.edu.au
authors.forename: Louisa M
authors.initials: LM
authors.lastname: Norrie
authors.forename: Keri
authors.initials: K
authors.lastname: Diamond
authors.forename: Ian B
authors.initials: IB
authors.lastname: Hickie
authors.forename: Naomi L
authors.initials: NL
authors.lastname: Rogers
authors.forename: Samantha
authors.initials: S
authors.lastname: Fearns
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Naismith
mesh_terms: D000375:Aging / Q000523:psychology; D001921:Brain / Q000254:growth & development; D003072:Cognition Disorders / Q000517:prevention & control; D003704:Dementia / Q000517:prevention & control*; D003866:Depressive Disorder / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008569:Memory Disorders / Q000517:prevention & control; D009483:Neuropsychological Tests; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D012307:Risk Factors; D011795:Surveys and Questionnaires