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Brain Health Lifestyle Study Team

Brain Health Lifestyle Study Team. Jack Burt - Lead Study Coordinator Assistant Executive Director, Summerville at Farm Pond Maria Hanley - Activities Coordinator Business Office Director, Summerville at Farm Pond Mike Dee - Nutrition & Dietary Coordinator

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Brain Health Lifestyle Study Team

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  1. Brain Health Lifestyle Study Team • Jack Burt - Lead Study Coordinator • Assistant Executive Director, Summerville at Farm Pond • Maria Hanley - Activities Coordinator • Business Office Director, Summerville at Farm Pond • Mike Dee - Nutrition & Dietary Coordinator • Dining Services Director, Summerville at Farm Pond • Kelly Scott - Study Advisor • Program Specialist, Emeritus Senior Living • Chris Guay - Study Advisor • N.E. Vice President of Operations, Emeritus Senior Living • Dr. Paul Nussbaum - Principle Investigator and Consultant to Emeritus

  2. Rationale for Pilot Study • Brain Health is a major focus of interest. • NO STUDY has looked at a proactive-comprehensive lifestyle approach to brain health. • First empirical investigation of Dr. Nussbaum’s Four Factor Brain Health Lifestyle on Cognition, Mood, Medical Measures, and Quality of Life. • Emeritus and Dr. Nussbaum hope to refine the Brain Health Lifestyle Program and replicate it across the entire company.

  3. Methods of Pilot Study • 16 randomly selected subjects in brain health study group • 10 randomly selected subjects in control group • 5 subjects dropped out (4 in Brain Health Group and 1 in Control Group) • 6 WEEK STUDY – Brain Health subjects engaged in one daily activity for each of the five factors of the Brain Health Lifestyle. • The Brain Health Group also consumed a special diet. • The Control Group was not involved in any of the Brain Health program.

  4. Measures Used in Study • Demographics • Age • Education • Marital Status • Gender • Measures of Cognition -Pre and Post • Folstein Mini Mental State Exam • Hopkins Verbal Learning Test • Measures of Mood -Pre and Post • Geriatric Depression Scale • Medical Measures -Pre and Post • Total Cholesterol • LDL and HDL • Total Cholesterol / HDL Ratio • Blood Pressure • Weight • Blood Glucose • Quality of Life -self & staff ratings Post only • Knowledge of Brain Health Scale -Pre and Post

  5. Content of Brain Health Lifestyle • Five factors from Dr. Nussbaum • Socialization • Mental Stimulation • Physical Activity • Spirituality • Nutrition • Each program activity was selected based on research findings and its fit within one of the five factors of brain health.

  6. So, what did the participants do? • Each and every day throughout the six week study the subjects would complete between three and five hours of various activities. These activities included: • Tai Chi (Physical) • Mind & Body Relaxation (Spiritual) • Creative Visualization (Social, Spiritual, & Mental) • Journaling & Creative Writing (Mental) • Group Exercise (Physical) • Basic Portuguese (Mental) • Sign Language (Mental) • Yoga (Physical & Spiritual) • Meditation (Spiritual) • Group Socials (Social) • Word puzzles (Mental)

  7. So, what did the participants do? • The subjects also ate a controlled diet consisting of foods that are outlined as “Brain Healthy Foods” in the lifestyle program. This was the case for all three meals a day, seven days a week, for the entire six week program.

  8. Results DEMOGRAPHICS

  9. Demographics

  10. COMPLETERS vs. NON COMPLETERS DEMOGRAPHICS

  11. Demographics

  12. Pre Study Completers vs. Non-Completers

  13. Completers vs Non Completers

  14. Cognitive Measures Within Study Group

  15. Hopkins Verbal Learning Test

  16. Knowledge of Brain Health

  17. Medical Measures Within Study Group

  18. Medical Measures

  19. Medical Data Ranges • Cholesterol • Desirable: Below 200 mg/dL • Borderline: 200-239 mg/dL • High: 240 mg/dL and above • HDL • High: 60 mg/dL and above • Low: 40 mg/dL and below • LDL • Desirable: 129 mg/dL and below • Borderline: 130-159 mg/dL • High: 160-189 mg/dL • Very High: 190 mg/dL and above

  20. Staff Perception Scale

  21. Staff Perception Scale

  22. Staff Perception Scale

  23. Staff Perception Scale

  24. Staff Perception Scale

  25. Staff Perception Scale

  26. Staff Perception Scale

  27. Staff Perception Scale

  28. Staff Perception Scale

  29. Quality of Life Scale 1. Prior to this study my knowledge of the brain or brain health was: 3. My participation in this study has helped me feel better about myself: 4. My participation in this study has provided me a new motivation to engage in a lifestyle that may promote my brain health: 2. As a result of my participation in this study my knowledge of my brain and brain health has:

  30. Quality of Life Scale 5. My greatest strength of the Brain Health Pie prior to starting the study was: 7. My participation in this study has changed my quality of life: 6. As a result of this study I now recognize my weakest area of the Brain Health Pie is: 8. My participation in this study has changed my ability to think and remember:

  31. Quality of Life Scale 9. I have noticed improved daily functioning after this study: 11. I now know more about the basics of my brain and how to keep it healthy: 10. My mood has changed after my participation in this study: 12. I have a more positive overall sense of esteem and well being after the study:

  32. Quality of Life Scale 13. I am a more confident person after the study: 14. I am motivated to continue my Brain Health Lifestyle: 15. I believe the Brain Health Lifestyle I learned can help other people:

  33. Summary • First Empirical Measure (to our knowledge) of effects of comprehensive lifestyle approach on measures of Brain Health. • Lifestyle has positive effects on Delayed Recall, knowledge of Brain Health and Quality of Life Measures. • Brain Health diet needs to be refined for next step in development of the program. • Residents report enthusiasm for their participation and desire to remain involved. • Emeritus and Dr. Nussbaum will now: • Implement a similar program with a larger sample. • Customize the program for Assisted Living and Dementia Care. • Open the program for residents. • Continue to refine and lead the Brain Health Lifestyle Approach.

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