Tailored Online Physical Activity Coaching for Middle-Aged and Older Adults With Cognitive and Mental Health Concerns: Single-Arm Pre-Post Intervention Study
Our findings showed that this tailored, home-based online intervention successfully supports an at-risk cohort of aging adults to adopt PA, in line with national guidelines. The intervention was acceptable, feasible, and safe and led to significant reductions in dementia risk and mental health symptoms and was associated with progression through stage of change. Reflecting the Capability, Opportunity, and Motivation Behavior model underlying the intervention design, improvements in action planning and outcome expectancy appeared to play a role in bridging the PA intention-behavior gap.
Authors
- Rhoda Lai (ORCID: https://orcid.org/0000-0003-0237-4455)
- Rebecca Moorhead (ORCID: https://orcid.org/0009-0006-7954-5020)
- Serafino G. Mancuso (ORCID: https://orcid.org/0000-0003-1039-3277)
- Thomas Rego (ORCID: https://orcid.org/0000-0003-2788-3221)
- Nicola T. Lautenschlager (ORCID: https://orcid.org/0000-0003-4850-7794)
- Kathryn A. Ellis (ORCID: https://orcid.org/0000-0001-9097-9037)
- Kay L. Cox (ORCID: https://orcid.org/0000-0003-0780-5437)
- Victoria J. Palmer (ORCID: https://orcid.org/0000-0002-1060-9990)
- Jennifer Amanda Southam
- Kaarin J Anstey
- Alissa Westphal
- Eleanor Curran
Institutions
- The Royal Melbourne Hospital (AU)
- The University of Melbourne (AU)
- The University of Western Australia (AU)
- UNSW Sydney (AU)
- St Vincent's Hospital Melbourne (AU)
- Murdoch Children's Research Institute (AU)
- Neuroscience Research Australia (AU)
Publication Details
- Journal
- JMIR Aging
- Published
- 2026-02-04
- DOI
- https://doi.org/10.2196/80040
- Primary Topic
- Digital Mental Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Medical Research Council
- National Health and Medical Research Council