Evidence mapPaperPMID 40297129Full record

ArticleAgeing international2025

Exploring Older Adults' Pre-Intervention Motivations, Attitudes, Expectations, and Barriers to Participation in the FINGER-NL Lifestyle Intervention to Maintain Optimal Cognitive Functioning: A Qualitative Interview Study.

Rebecca Otte, Anja de Kruif, Elke Naumann, MOCIA consortium, FINGER-NL consortium, Marian de van der Schueren

Abstract read
In one paragraph

Article in Ageing international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rebecca OtteDepartment of Nutrition, Dietetics and Lifestyle, School of Allied Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.ORCID 0000-0002-7792-0660
Anja de KruifDepartment of Nutrition, Dietetics and Lifestyle, School of Allied Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.ORCID 0000-0002-1801-0798
Elke NaumannDepartment of Nutrition, Dietetics and Lifestyle, School of Allied Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.ORCID 0000-0002-0917-3413
MOCIA consortium
FINGER-NL consortium
Marian de van der SchuerenDepartment of Nutrition, Dietetics and Lifestyle, School of Allied Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.ORCID 0000-0001-5693-0811

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multidomain lifestyle interventions hold promise for preventing cognitive decline, but personalized approaches are essential for (maintaining) behaviour change and adherence. The Dutch FINGER-NL trial is based on the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) and includes 7 lifestyle intervention components, supported by technological elements. This study describes older adults' motivations and attitudes regarding participation and lifestyle changes at the start of the FINGER-NL trial. This study followed a qualitative descriptive design, using in-depth, semi-structured interviews with 40 purposively selected participants of the FINGER-NL trial. Thematic analysis was applied. For theme (1) 'Reasons to participate', most participants mentioned personal gain, aiming to improve cognitive and physical health. Dementia prevention was a key motivator, driven by concerns about ageing, cognitive decline, and a desire for behavioural change. Public interest and contributing to a broader societal solution were also mentioned. Knowledge about dementia (prevention) was limited, and perceptions were largely shaped by personal experiences of dementia with close ones. In theme (2) 'Contextual factors influencing participation' are discussed, including work, living situation, and health conditions. According to participants, the main 'Lifestyle-related areas for improvement', theme (3), were diet and physical activity, followed to a lesser extent by cognition, sleep, social activities, and stress management. Theme (4) 'Expectations regarding FINGER-NL' discussed barriers to change which included physical health of participants, time constraints, established habits, and financial limitations. Participants emphasized the need for counselling, coaching in diet and exercise, experiencing positive effects of lifestyle change, participation in group setting and practical aspects, such as appointment reminders to support their commitment and adherence to the study. Participants held different experiences and opinions regarding 'Use of technology', theme (5). Personal experiences with dementia strongly influenced the motivation to participate in FINGER-NL, creating urgency for behaviour change. Participants expressed the wish to receive tailored interventions addressing individual needs and circumstances. Longitudinal follow-up within FINGER-NL promises valuable insights for future interventions.

Indexed as

Behaviour changeCognitive declineLifestyle interventionPreventionQualitative design

Identifiers

PMID40297129
PMCPMC12033172

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.