Table 2.

Overview of the resulting recommendations and the level of implementation in Brain Health PRO

	Change types/suggestions	Explanation
Brain Health PRO format and content.	Diversity Images should reflect different ethnic backgrounds, body images, inclusion of persons with handicaps, settings and landscape.	The content was revised to include more diversified images.
	Notepad Provide a hard-copy notepad. Assess the possibility for the notepad to be part of sponsors’ contribution.	A printable notepad was already available online; however, the team explored whether partners might provide access to a printed version. This is a possibility but could be determined locally as a function of the partners’ resource availabilities.
	Glossary for technical terminology Provide a brief description of terminology that participants may not be familiar with. Add a brief explanation of the issue identified in each chapter.	The research team will collect items from the Q/A section to construct Q&A document and identify the terms that could be defined.
	Introduction video Too long, too many details. Make shorter videos. Make them more engaging.	The initial introductory video was split into two shorter videos and their content was simplified to make them more accessible and engaging.
	Gamification Make gamification optional.	The gamification components are integrated into the web framework; as it would have been technically complex and costly to make it optional, the decision was made not to implement this suggestion.
Research aspects.	Modifiable dementia risk factors questionnaires Change the order of the questions, provide a more dynamic format, some questions are ambiguous, present them during different chapters of the programme. Questionnaires are too long.	It was not possible to change or shorten the questionnaires because they were based on validated questionnaires but some of the instructions were clarified.
	Contact with participants Provide personalised email providing feedback on progress.	Visual components (eg, speedometers measuring progress) already provide personalised feedback on the progress on lifestyle risk factors. Adherence notifications (included in the gamification aspects) provide automated emails and reminders, should participants stops using the programme.
	Interactive activities Optional activities which could increase contact among participants, be cognitively engaging, provide an ability to probe more deeply into complex questions, and be designed to retain acquired new knowledge. Meetings could be virtual or in-person. Toolkit should be prepared for facilitators and format adapted to local constraints.	Monthly social activities facilitated by staff or volunteers from the Alzheimer Society will be provided on an optional basis. There will be a possibility for face to face and online. Training is provided and material is constructed by the research team including a tool kit for facilitators.
	Data collection Document the pattern in which participants complete the programme (eg, daily, condensed on 1 day per week, length of sessions).	The protocol includes the option to explore such aspects qualitatively at the end of the implementation.
	Communication Prepare and send newsletters.	One-page summary materials were prepared for the general programme, and each topic is available to be sent to participants and interested parties.
	Video Record short videos from expert on topics not covered by the programme.	As a first step, expert videos were prepared summarising the highlights of each existing topic and some tips. Each module already covered all the topics deemed necessary and relevant. Additional future topics will be explored after implementation of the current content is complete.