Conclusions
cognitive decline, dementia, Dementia
This newly developed asynchronous web-based cognitive intervention program is a promising tool for assisting in providing older adults with greater access to cognitive interventions. Although considerably less expensive than face-to-face interventions, consideration of sustainable funding is one of the challenges in implementing this evidence-based intervention into practice. Some avenues to explore include community health services compared with outpatient services (such as memory clinics). It may also be important to investigate a user-pays model. OPTIMiSE provides an encouraging step toward meeting the challenge of the World Health Organization’s recommendation that cognitive interventions be provided to older adults to reduce the risk of cognitive decline and dementia [This work was supported by a La Trobe University Building Healthy Communities Research Funding Area Grant Ready grant and a Griffith Centre for Mental Health Grant Development grant awarded to KP. A La Trobe University Tracey Banivanua Mar Fellowship was awarded to KP. The authors would like to acknowledge the members of their stakeholder advisory committee for their input into the development of Online Personalised Training in Memory Strategies for Everyday (OPTIMiSE): Dr Jim Crosthwaite, Robyn Hartley, Ms Jenny Philipp, and Dr Anne Unkenstein. The authors would also like to acknowledge the assistance of Scott Davis in creating the LEGO animations; Danillo Rudolph and Robert Jaske for video editing services; the technical support staff from the Wicking Dementia Centre, University of Tasmania (particularly Josh Eastgate and Vlasti Broucek); and the guest experts who contributed to the content of OPTIMiSE—Dr Anne Unkenstein, Emeritus Professor Glynda Kinsella, Elizabeth Rand, Elizabeth Mullaly, Dr Terence Chong, and Professor Sharon Naismith. The authors would like to note that LEGO is a trademark of the LEGO Group of companies.This trial has been preregistered (Australian New Zealand Clinical Trials Registry, ACTRN12620000979954), and a protocol paper has also been published [Conflicts of Interest: None declared.Descriptive statistics of the outcome measures at each assessment time point.Online Personalised Training in Memory Strategies for Everyday (OPTIMiSE) module evaluation: percentage of strongly agree or agree responses.Reasons for withdrawing from Online Personalised Training in Memory Strategies for Everyday (OPTIMiSE).Estimates of fixed effects on outcome measures.Participant feedback regarding the application of strategies to everyday life.