Abstract Details

Title The Feasibility of a Brain Care Self-assessment Tool in the Neurosciences Intensive Care Unit

Topic Neuro Trauma and Critical Care

Presentation(s) P11 - Poster Session 11 (5:30 PM-6:30 PM)

Poster/Presentation
Number 2-003

Objective

We aim to evaluate the feasibility of the Brain Care Score (BCS) as an educational tool for primary and secondary prevention of brain disease in the Neurosciences Intensive Care Unit (NICU) at Mass General Hospital (MGH). A higher BCS signifies improved brain health and reduced risks of stroke, depression, and dementia.

Background The NICU faces educational challenges with critical patient conditions, resource limitations, and the demand for timely medical decisions. The 21-point BCS assesses physical, lifestyle, and social-emotional health. The score educates and motivates users to recognize brain health influences and areas for improvement.

Design/Methods From November 2022 to April 2023, we assessed feasibility of the BCS toolkit at MGH NICU. It included English and Spanish wall decals, flyers, and physical information cards with unique QR codes linked to a secure Redcap database in patient rooms, waiting areas, and public spaces. Participants completed surveys by scanning QR codes with smartphones, granting access to brain health resources and personalized goals. Engagement interventions included toolkit distribution, emails, and physician-champions and were analyzed using interrupted time series.

Results Among 43 QR code users, 36 completed the BCS survey. NICU had the highest participation (21), followed by the waiting area and information cards (7 each), with no Spanish-speaking engagement across any interventions. Physical health questions showed frequent disengagement, highest in HbA1c. NICU rooms showed a trend change from 1 to 13 records. Physician-champions prompted the most engaging intervention.

Conclusions

This study revealed that the BCS is not feasible for the NICU despite identifying important barriers to engagement. Patients' critical conditions and the complexity of the tool hindered its educational value. However, the presence of a physician-champion increased engagement by 48%. The study underscored the importance of Spanish-speaking champions for Hispanic inclusion. Future research should prioritize face-to-face interactions and more straightforward tools to integrate into the ICU workflow effectively.

Authors/Disclosures
Akashleena Mallick, MD, MBBS (Massachusetts General Hospital- Harvard Medical School) PRESENTER	Dr. Mallick has nothing to disclose.
Courtney Nunley	No disclosure on file
Zeina N. Chemali, MD (Massachusetts General Hospital)	Dr. Chemali has nothing to disclose.
Christopher D. Anderson, MD, PhD, FAAN (Brigham and Women's Hospital)	The institution of Dr. Anderson has received research support from Bayer AG. The institution of Dr. Anderson has received research support from American Heart Association. The institution of Dr. Anderson has received research support from National Institutes of Health. An immediate family member of Dr. Anderson has received publishing royalties from a publication relating to health care.
Jonathan Rosand, MD (Massachusetts General Hospital)	Dr. Rosand has received personal compensation for serving as an employee of Massachusetts General Hospital. Dr. Rosand has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Eli Lilly and Co. Dr. Rosand has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Elsevier. The institution of Dr. Rosand has received research support from NIH. The institution of Dr. Rosand has received research support from American Heart Association. Dr. Rosand has received personal compensation in the range of $0-$499 for serving as a Peer reviewer with National Institutes of Health. Dr. Rosand has a non-compensated relationship as a Trustee with Columbia University that is relevant to AAN interests or activities.
Nirupama Yechoor, MD (MassGeneral Brigham)	Dr. Yechoor has nothing to disclose.

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