“Thanks to the passion of our teams, TBH has not only educated residents about brain health but also sparked purpose and connection in their daily lives. Together, we are proving that brain health programming can truly be life changing.”

Jayne Sallerson, President and COO, Charter Senior Living

Brain health is a top three health concern of older adults. More than ever, community residents expect you to offer enriched cognitive fitness programs that gives them the chance to stay sharp and connected and reflects a commitment to help them age with vibrance.

It stands to reason therefore that offering meaningful brain wellness training should be a “no brainer” for senior living companies. However, the challenge of launching a new initiative across multiple locations, each with their own strengths and challenges, can be daunting. What does it take to add cognitive training to your wellness programs in a way that is inclusive of your team, engages residents, and meets your goals for success?

Charter Senior Living’s recent brain fitness initiative is a case book study for how companies can bring better cognitive health to their communities. Their recent launch across 65 communities met with outstanding results. Survey results from over 300 residents showed that:

• 94% were overall satisfied with the TBH programs
• 87% said they increased their knowledge about brain health
• 95% discovered new opportunities to socialize and engage with their peers
• 86% tried new brain-healthy activities as a result of the program
• 100% expressed interest in continuing with another TBH course

Charter’s grand slam rollout has set a new standard here at TBH, and one we are proud to share as a best practices case study as you add cognitive fitness to your offerings.

What is the secret sauce to Charter’s success? Here are some of the steps that really made their launch shine.

Take Training Seriously

Charter made a clear commitment to making sure their team was prepared to lead the TBH courses, with an upfront goal of 100% TBH trainer certification within the first month of launch. Strategic decisions setting aside time for staff training, regular TBH support calls, as well as personalized support for team members who needed additional help. These steps underscored leadership’s seriousness about trainer preparation and helped them meet their training goals with great success. Leadership then took the extra step of collaborating with TBH to create a training manual for their team, simplifying team members’ access to support and program resources post-training.

Integration is Essential

A well-planned integration of the new brain health program into STRIVE, Charter’s existing wellness initiative, eased program adoption across the communities. Amber Dahle, Charter’s VP of Memory Care and Resident Programming, worked closely with TBH to create a company-wide TBH class schedule that seamlessly wove the program into STRIVE’S trimester plan, giving trainers clear directions for class promotion, scheduling and engaging residents. This uniform TBH timeline made it easier for trainers to focus on teaching and celebrating residents’ success. In addition, leadership introduced Total Brain Health to other departments, with high touch introductions to national and community level leadership, including marketing. As Dahle shared, “(T)ying TBH into our SPARK program has also been a highlight, allowing us to involve prospects, partner with marketing, and shine a spotlight on brain health and healthy aging.”

Lead the Way

Perhaps most critical to the success of Charter’s brain fitness initiative launch was leadership’s visible investment in the success of the TBH programs across their communities. Corporate wellness leaders guided their direct service team with a winning combination of high expectations and generous support. This ensured team members understood both the high organizational value of the program and their access to resources they needed to meet those goals, including ready assistance from leadership, TBH, as well as experienced peers when needed. Leadership’s commitment showed in ways that were both overt, such as the dedication of time and resources to the new program, as well as more subtly, for example completing the trainer certificate training along with their team. As a result, team members were well prepared and enthusiastic as they engaged residents in the program, sharing feedback such as “(I)t has been a fantastic class – they can’t wait for the next one!”

Celebrate Success

Charter’s best practices model is completed by their emphasis on celebrating the success of the TBH programs to residents, trainers, families and the greater community. The highly social, interactive nature of the TBH programs provided wonderful opportunities to showcase these new, fun engagement workouts using social media, with many communities posting detailed descriptions and photographs visible to residents, families, the TBH audience, and other followers. Results of student surveys were shared with all team members and corporate leadership, resulting in even greater buy-in and enthusiasm for the new program. Finally, and perhaps most importantly, residents celebrated their own personal successes, sharing feedback such as “(T)his class has given me hope, the sense to move forward in my life.”

For more information on the Total Brain Health programs to support brain wellness with guided, group-based holistic training for older adults, contact us at info@totalbrainhealth.com. 

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 Engage everyone with these quick-thinking cognitive workouts!

December marks the senior living season of chock-filled calendars, bringing joy but perhaps a bit of frantic overload to all of us working to make the holidays happy and engaging for our residents. Some holiday traditions may not make our healthiest choice list (egg nog or holiday cookies, anyone?). However, there are many that offer us a great way to engage residents in workouts that support better cognitive performance, with intellectual stimulation, social connection, and opportunities to boost everyone’s spirits. 

Here are 3 innovative, brain boosting workouts you can easily fit into the calendar to help make this holiday season more memory-able for all – happy holidays from our TBH team to yours!

Compliments Claus

This no-prep, fast social workout is sure to boost everyone’s spirits, as well as their speedy thinking, nimbleness, and verbal skills.

• Have students break into pairs. 

• Have them take 1 minute each complimenting their partner on one thing, such as their smile, their holiday sweater, etc. 

• When time is up, have students switch to new partners and repeat the workout. 

• Continue until students have all partnered with each other or time is up. 

Winter Wonders

Nourish those neurons with this fun, creative group poetry workout – perfect to share with family and the greater community once you are done! Trains attention, speedy thinking, nimbleness, verbal skills, memory, and executive control.

• Write one of the Winter Wonders poetry prompts on a white board or flip chart.

• Have students take turns adding a line, word, or motion to the poem. 

• Keep going until your group agrees the poem is completed.

• Have fun reciting your Winter Wonders poem together!

• If time allows, use additional prompts to create more Winter Wonders poems.

Winter Wonders Poetry Prompts

The cardinal, so red against the falling snow …

A path appeared across the snowy field, leading …

The pine-scented boughs lined the …

The holiday lights glimmered across the …

Holiday Ho-Ho-Hos

Offer a bit of respite from the holiday high jinks with a break for some deep breathing and relaxation. Great for boosting perception, attention, coordination and emotional balance.

• Have students sit comfortably, with their feet on the floor and hands resting in their laps. Invite them to close their eyes.

• Invite students to take several deep breaths, slowing the rhythm of their breathing with each breath.

• After a few rounds, invite students to add to their breathing by gently verbalizing “ho-ho-ho” as they exhale. 

• Do this for a few minutes together.

• Option to continue with additional verbal prompts as they exhale, such as “he-he-he” and “ha-ha-ha.” You can alternate between the verbal prompts for each exhale round as well. 

• Continue for as long as time allows. If desired, check in on how folks feel before and after the deep breathing workout to encourage them to continue using it on their own as a way to de-stress during the holiday season.

For more information on the Total Brain Health programs to support brain wellness with guided, group-based holistic training for older adults, contact us at info@totalbrainhealth.com. 

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What Every Senior Living Professional Should Know

This past month, the highly esteemed Lancet Commission on Dementia Prevention, Intervention, and Care released updated guidelines, the group’s 3rd report since 2017. 

The news is hopeful. Through systematic reviews and meta-analyses from different studies, the commission identified 14 modifiable risk factors that could hold the key to preventing nearly half of dementia cases, up from 12 factors in their previous release. 

As senior care professionals, the Lancet Commission findings are an invaluable resource for sharing the clear value of our wellness programs to promote cognitive health and successful aging for our residents. Understanding and addressing the now 14 lifestyle factors identified by this new report is crucial as we plan our interventions and services to help residents and community members live healthier, and more fulfilling lives. 

A Lifelong Approach to Enrichment and Risk Reduction

One of the key takeaways from the 2024 report is that it’s never too late to take action. While addressing risk factors early in life is ideal, the report highlights that interventions at any age can still yield benefits. By providing programs and activities that focus on cognitive stimulation, social engagement, physical exercise, and other key areas, we can help reduce risk of dementia regardless of our residents’ stage of life. 

Practical Strategies to Incorporate into Life Enrichment Program

The 2024 update outlines specific actions to address the 14 dementia risk factors, many of which can be directly integrated into the activities we plan and lead in communities. They include: 

Cognitive Stimulation: Offer educational workshops, brain workouts, and mentally engaging activities to keep residents cognitively sharp.

• Hearing Health: Ensure that residents have access to hearing screenings and hearing aids.

• Social Engagement: Create opportunities for social interaction, whether through group activities, volunteer programs, or peer mentoring.

• Physical Activity: Promote regular exercise classes, walking clubs, or other physical activities.

• Mental Health Support: Offer access to mental health resources and activities that combat depression and provide opportunities for community support.

• Safety: Encourage safe practices such as using seat belts, wearing helmets, and reducing fall risks. 

• Nutrition and Wellness: Provide heart-healthy meal options and educate residents on the importance of managing high blood pressure and cholesterol levels.

• Smoking Cessation: Educate residents about the risks of smoking and provide support for those who want to quit.

• Vision Care: Arrange regular vision screenings and ensure that residents have access to corrective lenses or other vision aids.

• Environmental Awareness: Work with your facility to reduce exposure to air pollution and create age-friendly, supportive environments that promote healthy living.

• Alcohol Moderation: Promote awareness of the risks of excessive alcohol consumption and provide education on moderate drinking.

Supporting Residents Beyond Prevention

Even for residents who may already be experiencing cognitive decline, our role in providing supportive, enriching activities is vital. The Lancet Commission recommends interventions that help people live well with dementia, such as planning for the future, maintaining social connections, and providing appropriate care. By fostering an environment where all residents feel engaged and valued, we can improve their overall well-being. 

Bringing It All Together: A Proactive Approach

With this research we are better positioned to make a lasting impact on the cognitive health of our residents. The evidence-based programs and activities you provide are not just about keeping residents busy—they are about empowering them to live vitally, with better brain health and more years of active living. By being ambitious about dementia prevention and integrating these new insights into our everyday work, we help to create a brighter, healthier lifestyle for everyone in our care. The power of 14 is in our hands—let’s use it to make a lasting difference.

For more information on the Total Brain Health programs to support brain wellness with guided, group-based holistic training for older adults, contact us at info@totalbrainhealth.com. 

Reference article: The Lancet Commissions Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission 

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Can Social-Based Brain Training Help Residents with Brain Fog?

 We all know the struggle: a resident expresses frustration about forgetfulness and a lack of mental clarity. They describe it as “brain fog” – that pesky feeling of muddled thinking and difficulty focusing. As activity leaders, we can offer solutions! New research suggests that brain training programs that incorporate social interaction might be just the tool to sharpen residents’ cognitive edge.

Brain Fog: Beyond a Senior Moment

Brain fog isn’t a specific diagnosis, but a collection of symptoms like forgetfulness, confusion, and concentration issues. It can be caused by various factors like stress, sleep deprivation, or even dehydration. While these “senior moments” are common, they can be a source of frustration for residents.

The Power of Social Connections

Here’s the exciting part: studies show staying socially connected significantly improves cognitive function and even reduces the risk of dementia. Research has found that social interaction stimulates the brain in unique ways compared to solo activities. This social stimulation strengthens existing neural pathways and creates new ones, leading to sharper thinking and improved memory.

Social-Based Brain Training: More Than Puzzles

Many brain training programs exist, but some stand out for their social focus. Consider TBH (Total Brain Health) classes as an example. These classes move beyond brain teasers and memory games. They create a space for residents to learn and socialize together. This social interaction is key – it provides cognitive stimulation while combating loneliness, a major risk factor for cognitive decline.

The Benefits of Experiential Learning

TBH classes are also experiential, meaning residents actively engage in the learning process. This hands-on approach makes learning fun and engaging, and research shows it improves information retention.

Empowering Residents with Memory Strategies

TBH classes go beyond just brain stimulation. They also teach practical memory strategies to help residents manage everyday forgetfulness. From organization tips to mnemonic devices, these strategies empower residents to manage their brain health and reduce those frustrating “senior moments.”

Building a Strong Brain Training Program

When designing or selecting a brain training program for your community, consider these key points:

• Science-backed: Is the program based on research and proven to improve cognitive function?

• Social Interaction: Does it encourage interaction and connection with others?

• Educational Empowerment: Does it teach residents strategies to manage their brain health outside of class?

• Experiential Learning: Is it hands-on and engaging, or just passive learning?

By prioritizing these aspects, you can create a program that combats brain fog, fosters social connection, empowers residents, and makes learning a joy!

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Is COGNITIVE DECLINE AVOIDABLE? What Everyone Should Know About the Latest Brain Health Science

BY CYNTHIA R. GREEN, PH.D.

What if you could reduce the risk of cognitive decline for those you serve? Memory loss is a top concern of your residents and their families. And dementia care carries an associated burden increase for your communities. No doubt therefore you would be excited to take a very close look at what you could do to help clients preserve their thinking and avoid cognitive change.

Get ready to look at cognitive wellness training.

A Rush University study published last month underscores once again that lifestyle interventions are perhaps our most powerful tool in addressing cognitive decline. Using longitudinal data from the Rush Memory and Aging Project, researchers studied the role healthy lifestyle played in modifying dementia. Their findings, based on 24+ years of data from 754 subjects with an average age at death of 90.9 years, confirmed the critical role behavioral choice makes in dementia risk.

A brain healthy lifestyle is linked to better cognitive performance at the end of life.

Using self-report data, the Rush team developed a lifestyle scale score based on 5 factors: Noncurrent smoking, 150+ minutes of physical activity/week, limited alcohol consumption, adherence to a brain healthy diet (MIND diet), and a high degree of cognitive activity. They then compared subjects based on their lifestyle score, cognitive test scores proximal to death, and neuropathology at autopsy. Study outcomes showed that a higher lifestyle score was significantly correlated with better global cognitive function in the subjects’ final years.

A brain healthy lifestyle preserves cognitive independence even when dementia pathology was present.

The Rush team additionally looked at the association between lifestyle score and the presence of neuropathology typically associated with Alzheimer’s disease and other dementias at the time of death. They found that folks who led a brain healthy lifestyle maintained their cognitive independence into their final years, even if they had changes in their brain tissue typical of dementia. This provides strong evidence for cognitive reserve theory, which maintains that healthy engagement reduces the expression of cognitive loss during one’s lifetime, even when pathological changes are present in the brain.

A unique lesson for senior living leadership.

The Rush study confirms what we already know – leading a brain healthy lifestyle reduces cognitive decline. It also offers a finding uniquely valuable to senior living leadership, as it provides insight to the power of lifestyle interventions in promoting cognitive independence well into late life. Given the median age is 85 years in many residential settings, this evidence compels industry leadership to think carefully about the value of cognitive wellness training as much more than a program amenity. In fact, this evidence clearly demonstrates that giving residents the chance to increase their cognitive wellness engagement ups their chances of staying independent and healthy at every age, and can reduce increases in community burden associated with memory loss. 

Cognitive wellness training turns the science into action.

Brain healthy living is clearly the most impactful tool we have to reduce dementia risk, even well into our later years. And cognitive wellness training is the best way we can bring that science home. Busy packets and tech games are poor substitutes for teaching the real science behind how brain healthy living to make a difference in our lives. Senior living leaders can deliver meaningful change with brain health programs that provide actionable, sustainable ways residents can engage across physical, cognitive, and social and emotional wellness to boost thinking, reduce dementia risk, and maintain health and independence.

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TBH’s Dr. Green recently joined Abbie Ritchie of Senior Living Foresight’s Tech Tuesday to talk about how TBH is adapting our programs for tech delivery and many other brain buzzing topics.

Click to watch.

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Do We Have a Moral Obligation to Provide Brain Wellness Training?

 Following an extensive review of the data, the Lancet Commission on Dementia Prevention, Intervention and Care challenged the medical community and society with the following conclusion:

“…(G)iving people information about how to prevent or treat dementia is an essential first step but is not enough. There is a responsibility, not just as professionals but as a society, to implement this evidence into interventions that are widely and effectively used… Interventions have to be accessible, sustainable, and, if possible, enjoyable or they will be unused.”

As a longstanding expert in brain health, I believe we have a moral obligation to empower everyone to take charge of their cognitive wellness. In the history of healthcare there are turning points when we shift from suggestion to prescription – think, for example, about vaccinations or heart health promotion. A myriad of factors indicate that we have reached such a point, and that it is time to take a more proactive approach to brain health. The Lancet Commission statement is a very welcome invitation to move brain health to the forefront of our health promotion initiatives, for many reasons, among them:

The Science is There. Over the past three decades, we have experienced rapid-fire growth in our scientific knowledge about dementia prevention. We have evidence from large, well-designed observational and interventional studies that lifestyle behaviors can significantly impact our dementia risk. As the Lancet Commission found, these behaviors range from ones that must be implemented on both a societal level, such as childhood education and social isolation in older age, to personal behavior, such as physical activity and managing hearing loss. The time is ripe for interventions that engage us in brain healthy lifestyles and promote the full range of what keeps our minds sharp and reduces our risk for serious memory loss.

In addition, we are beginning to see more evidence that specific lifestyle interventions, such as physical exercise and meditation, may slow decline in those diagnosed with memory disorders. Leaders in the field, such as Dr. Ronald Petersen, have in fact recently suggested physical activity be prescribed to those with early memory loss.

Recent small studies even suggest that targeted training may even improve cognitive performance in individuals with early memory loss. While the evidence may be early, the potential benefits for most of these interventions, which are often wellness-based and economical, seem to outweigh any inherent risk.

Dementia is a Crisis We Can’t Ignore. Dementia is a worldwide societal crisis. On a global basis, over 45 million people carry a diagnosis of dementia, and the World Health Organization has declared dementia a public health priority. However, the impact is not only medical: The 2015 World Alzheimer’s Report concluded that the worldwide economic drag of the disease is so high that if dementia care were a country, it would be the 18th largest economy in the world. With so many at risk, we can no longer afford to be passive or hesitant in our approach to reducing risk or providing better care to those affected by memory loss.

In addition, dementia is a personal crisis for far too many. It is a devastating disease, not only for the affected individual but for their family, friends and community. Giving relief in any degree that may slow decline, support a better quality of life and help all affected is a morally compelling reason to re-envision and retool what we do in brain wellness across the cognitive continuum.

We Have the Tools to do Better. It is time for the healthcare field to rethink what we do to promote better brain health. As the Lancet Commission researchers note, “giving people information simply is no longer enough.” We must move beyond white papers to meaningful, robust programs that empower people to take better care of their brains. We have the tools to develop innovative, out-of-the-box methods that provide the means to lower risk, improve performance, and live better in the face of disease. Methodologies such as gamification, social-based brain training and experiential learning all offer new and exciting ways to fully engage in all the science shows we need to do to promote cognitive fitness. In memory care, we should continue to explore new pathways towards equal opportunity for cognitive engagement and meaningful, vibrant connections across the cognitive continuum, breaking down the barriers modeled on medical constructs, and taking advantage of technological advances to manage concerns around safety and care. Finally, whatever else, we need to make brain health fun – not childish, not over-simplified, but engaging, challenging, compelling and exciting. 

We are at the point in the history of brain health where we have the evidence and need, both professionally and as a society, to empower everyone to take better care of our brains. The moral burden is on us to act – the only question is how we will rise to the challenge.

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3 Unexpected Benefits of your Brain Health Investment: What to Know

For many in the active aging space, August is a time of budgets and decision making. While dollars are tight, the pandemic’s impact has proven that the real value of wellness engagement to resident health, connection, and satisfaction is, in fact, priceless.

As you consider how to stretch your allocation for maximum impact, you should know that there are multiple, unexpected ways investing in brain health is a wise move for your wellness impact – and your bottom line.

There really are countless ways making cognitive fitness a priority for your wellness spend brings surprising benefits, but let’s start with my top 3:

1. Brain training benefits your wellness engagement.

Your goal is to deliver wellness options residents will use and love. Look no further than brain fitness, which is a high wellness priority for everyone living in your community. A 2017 survey found that a whopping 72% of the 3,000+ adults say losing their memory is their top worry about aging. Residents not only have identified that they want your help keeping their cognition vital – they vote with their attendance when you include cognitive fitness training on the calendar.

Including cognitive wellness also helps you promote your overall health platform. Current science confirms the strong tie between body, mind, and spirit interventions and sharp thinking, dementia prevention, and living well with memory loss. Going beyond busy packets to well-designed brain health training can raise everyone’s awareness and participation in your fitness, creative, and community offerings.

2. Brain training benefits resident’s autonomy and purpose.

Daily thinking and memory are not the only targets of cognitive wellness – so are the skills needed for independence and vitality. After the pandemic, residents have a renewed commitment to taking care of
their brain health. Providing training options that help them meet those goals benefits their confidence, sense of achievement, and autonomy to direct their own wellness decisions. Opportunities for residents to drive their brain health engagement make it much more likely they will find their time in your program meaningful, fulfilling, and purposeful. Adding options such as peer training and program leadership can boost resident autonomy and purpose even more.

3. Brain training benefits your business plan.

Investing in brain training that truly engages your residents pays off for your bottom line as well. High value, meaningful brain training is a differentiator that can set your community apart for prospective community members and their families. While brain teasers may entertain, they do not reflect the serious commitment to cutting edge brain wellness the current marketplace demands. In addition, quality cognitive training contributes to having happy, satisfied residents who feel more deeply connected to each other and to a community that goes beyond the mundane to provide cutting-edge resources that help them thrive. That is, after all, why they moved to your community in the first place — and is most likely what will get them to stay.

Research shows that lifestyle wellness is a main reason folks are drawn to communal living. Further, we know that active wellness participants enjoy a higher quality of life, are more satisfied with living in your community, and stay healthier and independent for about 2 years longer, reducing their cost of care. As a highly sought-after aspect of wellness that brings a bounty of benefits, brain fitness is just a smart investment.

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 MAY I HAVE YOUR ATTENTION, PLEASE? 

 4 EASY TIPS YOU CAN USE TO BOOST FOCUS AND REV UP RECALL

I was recently asked if there is just one thing everyone could do to rev up their recall, especially after so many months (ok, even years) of feeling so distracted and scattered. Fortunately, I had an easy answer – it’s all about attention. If we focused more effectively on the things we want to retain, we would remember them better.

Of course, improving attention is not quite that easy. Let’s face it, life is full of distractions. We have many things competing for our awareness. Think about how many times you’ve been interrupted – or have interrupted yourself! – over the past hour alone. Perhaps you got a snack, checked your text messages, or took a phone call. In the time that I’ve been working on this piece alone I’ve had to answer a call, help my son edit a paper, and of course check email so I don’t miss anything life altering (hey, you never know).

On top of these tempting distractions, add other attention zappers that sometimes feel less within our control, such as how we sleep or feeling stressed or anxious about something. These are just a few of the lifestyle factors that can frazzle our focus, making it less likely we will remember what someone said, or where we left our keys. Aging can also contribute to the problem. As we gain years, it can be harder to sustain our focus.

Finally, we rarely consider how essential attention is to memory. Why? Well, consider for a moment what it takes to remember. First, we must learn the things that we want to recall later. And that process requires – you’ve got it! – attention. Most often the problem isn’t that we forget, but rather than we didn’t “get” the name or directions in the first place.

The good news is that we can all build better attention – and that it isn’t hard to do. And boosting your focus can do wonders for your recall. Here are 4 easy steps you can take to build better attention and memory starting now:

1. Pay attention to your attention. Be aware when you want to remember something for later, such as where you parked your car or the address where you are meeting someone for lunch. Then hit an intentional pause and bring your focus to that moment to make sure you effectively get the information.

2. Train your attention. Research shows we can improve our focus with training, no matter our age. Try game-based training that challenges attention. Playing against the clock is one of my favorite options, as we must stay focused and be fast and nimble in our thinking to do well (and we have fun, which makes the training go faster!).

3. Pay attention to how you live. Daily factors such as fatigue, poor diet, social isolation, and emotional distress can really drain your attention. Think about the daily choices that may be affecting your attention. You can experience a significant boost to focus and even memory ability by leading a lifestyle that supports healthy attention.

4. Stop Overtasking! The human brain is still, well, human! There is only so much we can handle at one time. Protect your attention and your time with some easy strategies that keep you from over-dividing your attention. For example, I use the “do not disturb” setting on my computer when I need to concentrate on a project or have a deadline. This gives me longer chunks of time without the distraction of emails or messages (which invariably are not life altering). Put “do not disturb” signs up when you are working on things that require focus. And try rewarding yourself with a favorite distraction (a game, a walk around the block) when you’ve successfully completed a task and are ready for a break.

In fact, now that I’ve finished this article, I think it’s time to refill my water bottle. Here’s to paying better attention to our attention!

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TBH Programs Improve Brain Fitness: Results of the ACAR Brain Health Intervention Study

Adults 65+ often experience changes in cognition, including memory. Longstanding evidence shows interventions such as lifestyle changes and memory training can improve thinking and cognitive vitality. However, most research has focused on longitudinal outcomes or laboratory-based interventions. There have been few naturalistic studies looking at the impact of cognitive wellness training in active aging communities. In addition, there is a lack of evidence for the value of sustainable, scalable interventions delivered in-place by existing staff to promote healthy cognition and wellbeing in this population.

Data is now available to fill that gap. The recently concluded ACAR Brain Health Intervention Study shows the robust, significant benefits of brain health training for adults in congregant living. The results demonstrate strong support for small group training designed to empower residents to be brain healthy, and to help them make meaningful changes for sharper thinking and better memory.

The ACAR Brain Health Intervention Study stemmed from a collaborative research partnership between Acts Retirement-Life Communities, researchers at the Alabama Research Institute on Aging, and Total Brain Health. Spearheaded by primary investigator Dr. Ian McDonough, associate professor of psychology at the University of Alabama-Tuscaloosa, the 2-year investigation enrolled residents from 23 Acts Retirement-Life Communities. All participants were 65+, resided in independent living, and without a previous diagnosis of memory disorder.

The study used Total Brain Health’s small group cognitive wellness programs as the primary training intervention. Designed especially for aging adults, TBH’s programs reflect a methodology grounded in wellness-based lifestyle interventions across body, mind, and spirit; Social-Based Brain Training that uses the power of social engagement for cognitive benefit; and experiential or “hands on” training.

549 Acts residents participated and were randomly assigned to either 1 of 3 active interventions groups or a waitlist control group:

TBH BRAIN WORKOUT Program Group. Led by Acts staff, participants learned about behaviors promoting cognitive (how to focus attention), physical (how to eat healthy), and socio-emotional (how to stay socially engaged) wellbeing.

TBH MEMORY Program Group. Led by Acts staff, participants learned how memory works, how wellbeing impacts memory, and how to use several practical memory strategies to enhance recall for names, conversations, and more.

The Book Club Group. Led by a peer facilitator, participants discussed brain health knowledge from a book on brain health each week.

Waitlist Control Group. Did not participate in any brain training during the study.

The 3 active groups met for 1-hour weekly for 8 sessions over a 2-month period. Participants completed a packet of self-report measures to assess wellbeing and brain knowledge before training began, immediately at the conclusion of the training classes, and 2 months later.

Analyses of the data was overseen by Dr. McDonough. The results showed that participants in the active intervention groups benefited significantly from the programs when compared to those in the waitlist control group. Furthermore, several of the improvements remained evident at the 2-month follow-up. Specifically, those in the intervention groups were:

Empowered with greater knowledge about how they can take care of their brains

Had greater confidence in their memory and brain fitness

Used more memory strategies than they had before the training

In addition, at the end of the 8-week training participants in both the TBH BRAIN WORKOUT Program and Book Club groups were significantly more likely than those in the control group to:

Make healthier lifestyle choices to support brain health

The results of the ACAR Brain Health Intervention Study offer a meaningful contribution to what we know about the benefit of brain wellness training in active aging settings. First, these outcomes show that such interventions can make a real difference for older adults, giving them the capacity to make brain healthier lifestyle choices, feel more secure in their ability to care for their cognition, and use techniques to improve their memory.

In addition, while independent living communities can play a key role in cognitive wellness research, there have been few meaningful partnerships between academics, communities, and cognitive program providers. The Acts Retirement-Life Communities Center for Applied Research (ACAR) is a forward-thinking model of how organizations can help foster collaborations to contribute knowledge about the benefits of communal settings for older adults. Acts staff were a key part of the research process, giving them the opportunity to gain meaningful professional experience. They were supported by the ACAR team as well as Acts corporate staff as they helped guide the investigation in their communities.

Perhaps most importantly, these findings clearly show that staff-led cognitive wellness training is clearly valuable and sustainable when delivered in ways that are affordable and scalable. As the Lancet Commission on Dementia Prevention, Intervention and Care (2017) charged, “(G)iving people information about how to prevent or treat dementia is an essential first step but is not enough. There is a responsibility, not just as professionals but as a society, to implement this evidence into interventions that are widely and effectively used … . Interventions have to be accessible, sustainable, and, if possible, enjoyable or they will be unused.” The ACAR Brain Health Intervention Study demonstrates that such interventions exist and can be robustly delivered in ways that help older adults thrive.

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