{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:04:27Z","timestamp":1780391067337,"version":"3.54.1"},"reference-count":47,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["#73305095007"],"award-info":[{"award-number":["#73305095007"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016036","name":"Health~Holland","doi-asserted-by":"publisher","award":["PPS allowance; #LSHM20106"],"award-info":[{"award-number":["PPS allowance; #LSHM20106"]}],"id":[{"id":"10.13039\/100016036","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022722","name":"GIESKES-STRIJBIS FONDS","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022722","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Brain-healthy lifestyle changes could help reduce dementia risk in individuals with subjective cognitive decline (SCD) or mild cognitive impairment (MCI), but patients and clinicians in memory clinics often lack practical tools to support this.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the acceptability and usability of BreinZorg (English: BrainCare) in a memory clinic setting. BreinZorg is a co-created prototype consisting of a self-management website and hardcopy conversation aid providing dementia risk reduction information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The website includes a lifestyle assessment, personalized module recommendations, practical information on 16 modifiable dementia risk and protective factors (e.g., smoking, sleep) and a goal-setting feature. The hardcopy conversation aid briefly outlines these factors to support clinical risk reduction discussions. This study used semi-structured interviews based on the Program Participation Questionnaire and think-aloud sessions, which were analyzed through thematic content analysis. Participants were individuals with self-reported SCD or MCI (n\u2009=\u200919) and memory clinic professionals (n\u2009=\u20099), i.e., nurses\/nurse practitioners, physicians\/medical specialists and neuropsychologists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>BreinZorg was generally considered useful, trustworthy, easy to use, and applicable in clinical contexts. The platform's accessible design, nonjudgmental tone, and personalization features were appreciated. Some participants with SCD or MCI, particularly those already interested in brain health, desired more in-depth information. A lack of follow-up on personal goals and misaligned module recommendations after the lifestyle assessment were identified as barriers to sustained engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Memory clinic patients and professionals evaluated BreinZorg as practical, useful, and acceptable for supporting dementia risk reduction in clinical care. Offering more detailed information, integrating tailored follow-up support, and enhancing personalization may strengthen long-term user engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261440966","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T14:15:02Z","timestamp":1776262502000},"page":"1108-1120","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of dementia risk factors by memory clinic patients and professionals: Pilot study of the BreinZorg (BrainCare) online platform"],"prefix":"10.1177","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4955-0153","authenticated-orcid":false,"given":"Lotte S.","family":"Truin","sequence":"first","affiliation":[{"name":"Maastricht University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene S.","family":"Heger","sequence":"additional","affiliation":[{"name":"Maastricht University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1339-2974","authenticated-orcid":false,"given":"Kay","family":"Deckers","sequence":"additional","affiliation":[{"name":"Maastricht University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rani","family":"Knops","sequence":"additional","affiliation":[{"name":"Maastricht University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Palsma","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9676-001X","authenticated-orcid":false,"given":"Rianne A. A.","family":"de Heus","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, The Netherlands"},{"name":"Department of Primary and Community Care, Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jurgen A. H. R.","family":"Claassen","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, The Netherlands"},{"name":"Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjolein E.","family":"de Vugt","sequence":"additional","affiliation":[{"name":"Maastricht University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2398-0609","authenticated-orcid":false,"given":"Sebastian","family":"K\u00f6hler","sequence":"additional","affiliation":[{"name":"Maastricht University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Risk reduction of cognitive decline and dementia: WHO guidelines","author":"World Health Organization","year":"2019","unstructured":"World Health Organization. Risk reduction of cognitive decline and dementia: WHO guidelines. Geneva: World Health Organization, 2019."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)01296-0"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7010-z"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2024.107848"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106522"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0277037"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0000000000000496"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2014.01.001"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1533317518791401"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12336"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2025.108668"},{"key":"e_1_3_3_13_2","article-title":"Patients\u2019 evaluation of information provision in the memory clinic","volume":"1","author":"Hendriksen HMA","year":"2025","unstructured":"Hendriksen HMA, Dobbe JHM, de Boer C, et al. Patients\u2019 evaluation of information provision in the memory clinic. Alzheimers Dement Behav Socioecon Aging 2025; 1: e70002.","journal-title":"Alzheimers Dement Behav Socioecon Aging"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13195-023-01276-9"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13195-021-00840-5"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trci.2018.03.003"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.3233\/ADR-230160"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2013.768210"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-230225"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.2196\/12104"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.14283\/jpad.2020.9"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.2196\/16774"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.2196\/55757"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/alz.13577"},{"key":"e_1_3_3_25_2","article-title":"Dutch Brain Research Registry for study participant recruitment: design and first results","volume":"7","author":"Zwan MD","year":"2021","unstructured":"Zwan MD, van der Flier WM, Cleutjens S, et al. Dutch Brain Research Registry for study participant recruitment: design and first results. Alzheimers Dement (N Y) 2021; 7: e12132.","journal-title":"Alzheimers Dement (N Y)"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.2196\/resprot.5142"},{"key":"e_1_3_3_27_2","volume-title":"Standaard Onderwijsindeling 2021: Editie 2024\/\u201925","author":"Centraal Bureau voor de Statistiek","year":"2025","unstructured":"Centraal Bureau voor de Statistiek. Standaard Onderwijsindeling 2021: Editie 2024\/\u201925. Den Haag\/Heerlen: Centraal Bureau voor de Statistiek, 2025."},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.2307\/1423365"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.4135\/9781412983655"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cptl.2020.09.005"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.2307\/249008"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2020.1805536"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7579"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.2196\/27173"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.2196\/25646"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2024.100782"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.2196\/35371"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.2196\/10017"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-240229"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11623-w"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2024.04.008"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2024.2383800"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.14283\/jpad.2017.27"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-201104"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1080\/21642850.2025.2493139"},{"key":"e_1_3_3_48_2","unstructured":"Centraal Bureau voor de Statistiek. Care sector has the most female workers https:\/\/www.cbs.nl\/en-gb\/news\/2024\/35\/care-sector-has-the-most-female-workers? (2024 2026)."}],"container-title":["Journal of Alzheimer\u2019s Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13872877261440966","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13872877261440966","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13872877261440966","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T08:14:11Z","timestamp":1780388051000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13872877261440966"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,15]]},"references-count":47,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/13872877261440966"],"URL":"https:\/\/doi.org\/10.1177\/13872877261440966","relation":{},"ISSN":["1387-2877","1875-8908"],"issn-type":[{"value":"1387-2877","type":"print"},{"value":"1875-8908","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,15]]}}}