Methodology
A structured multidomain assessment, and a clinician who decides what it means.
The methodology produces domain scores and a prioritized, multidomain lifestyle plan. The clinician applies it with full clinical judgment, and overrides it whenever judgment says otherwise.
What the methodology is
A structured assessment across cognitive performance, lifestyle domains, medical and vascular risk, and mental-health screening, completed before the first visit.
Cognitive performance
Unsupervised digital tasks across memory, processing speed, attention, and executive function, administered before the visit.
Sleep
Duration, continuity, timing, symptoms suggestive of sleep-disordered breathing, and current treatment.
Physical activity
Aerobic and resistance activity, sedentary time, functional capacity, and barriers.
Nutrition
Dietary pattern, not single nutrients; alcohol; food access and preparation constraints.
Stress and mood
Perceived stress, validated mood and anxiety screens, with defined escalation for positive screens.
Social and cognitive engagement
Social contact, loneliness, purposeful and novel cognitive activity.
Substance use
Tobacco, alcohol, and other substances, with brief-intervention prompts.
Medical and vascular risk
Blood pressure, lipids, glycaemia, weight trajectory, hearing, vision, medications including anticholinergic burden, head injury history.
Outputs are domain scores, a composite summary, and a prioritized plan that names two or three domains rather than all of them. Prioritization logic is published in the protocol summary and revised on an annual cycle by the Clinical Governance Committee.
What the clinician retains
Sole authority over diagnosis, treatment, referral, and every clinical decision. The methodology is decision support, never a decision.
An explicit override: the clinician may disregard any element of the generated plan or any score, at any time, and documents the override in a single field. Overrides are reviewed in aggregate to improve the protocol, never to audit the clinician's judgment.
The decision to pursue formal neuropsychological evaluation, imaging, laboratory investigation, or biomarker workup is the clinician's call, on the clinical picture. The protocol lists indications to consider; it does not order tests.
What the assessment is not
- Not a diagnostic test. It does not diagnose, predict, or detect any condition.
- Not a medical device and not a substitute for clinical evaluation.
- Not validated for individual prognosis; composite scores have limited individual predictive validation.
- Not equivalent to supervised neuropsychological testing; unsupervised digital administration differs materially.
The coach's role
Coaches provide behavior-change support between visits within a defined non-clinical scope: goal setting, habit structure, accountability, and education from clinician-approved materials. They do not interpret results, do not advise on medication, and do not answer clinical questions.
Escalation is explicit and time-bound. Any clinical question, any new or worsening symptom, any positive mental-health screen, and any safety concern routes to the clinician, with red-flag items routed immediately.
Protocol summary
The protocol summary is published ungated. Clinicians should read it before a discovery call.