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How to implement brain-healthy behaviour in clinical practice


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Conference
AAN 2019
Neurologists often advise patients to adopt healthy lifestyles (e.g. physical exercise, Mediterranean diet, cognitively/socially stimulating activities), but often focus on more immediate medical issues during follow-up visits. Closing the gap between consensus recommendations for lifestyle changes and their implementation in clinical practice remains a huge challenge. Utilising relatively low-cost college graduates as 'brain health champions' (BHCs) showed promising results in a pilot study [1]. The BHC program is an inexpensive, interactive, multi-modal health coaching approach, that assists patients in adopting consensus-based brain health recommendations. It was tested in a 6-month, single-centre, randomised controlled trial of 40 patients with dementia, MCI, or subjective cognitive decline. In the active intervention arm, a BHC was added to the clinical team who made weekly motivational phone call interviews and additional in-person visits every 6 wee...


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