The impact of individual Cognitive Stimulation Therapy

Cognitive stimulation therapy (CST) is a well-established group psychosocial intervention for people with dementia. There is evidence that home-based programmes of cognitive stimulation delivered by family caregivers may benefit both the person and the caregiver. However, no previous studies have ev...

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Veröffentlicht in:PLoS medicine 2017-03, Vol.14 (3)
Hauptverfasser: Orrell, Martin, Yates, Lauren, Leung, Phuong, Kang, Sujin, Hoare, Zoe, Whitaker, Chris, Burns, Alistair, Knapp, Martin, Leroi, Iracema, Moniz-Cook, Esme, Pearson, Stephen, Simpson, Stephen, Spector, Aimee, Roberts, Steven, Russell, Ian, de Waal, Hugo, Woods, Robert T, Orgeta, Vasiliki
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container_issue 3
container_start_page
container_title PLoS medicine
container_volume 14
creator Orrell, Martin
Yates, Lauren
Leung, Phuong
Kang, Sujin
Hoare, Zoe
Whitaker, Chris
Burns, Alistair
Knapp, Martin
Leroi, Iracema
Moniz-Cook, Esme
Pearson, Stephen
Simpson, Stephen
Spector, Aimee
Roberts, Steven
Russell, Ian
de Waal, Hugo
Woods, Robert T
Orgeta, Vasiliki
description Cognitive stimulation therapy (CST) is a well-established group psychosocial intervention for people with dementia. There is evidence that home-based programmes of cognitive stimulation delivered by family caregivers may benefit both the person and the caregiver. However, no previous studies have evaluated caregiver-delivered CST. This study aimed to evaluate the effectiveness of a home-based, caregiver-led individual cognitive stimulation therapy (iCST) program in (i) improving cognition and quality of life (QoL) for the person with dementia and (ii) mental and physical health (well-being) for the caregiver. A single-blind, pragmatic randomised controlled trial (RCT) was conducted at eight study sites across the United Kingdom. The intervention and blinded assessment of outcomes were conducted in participants' homes. Three hundred fifty-six people with mild to moderate dementia and their caregivers were recruited from memory services and community mental health teams (CMHTs). Primary outcomes were cognition (Alzheimer's Disease Assessment Scale-cognitive [ADAS-Cog]) and self-reported QoL (Quality of Life Alzheimer's Disease [QoL-AD]) for the person with dementia and general health status (Short Form-12 health survey [SF-12]) for the caregiver. Secondary outcomes included quality of the caregiving relationship from the perspectives of the person and of the caregiver (Quality of the Carer Patient Relationship Scale) and health-related QoL (European Quality of Life-5 Dimensions [EQ-5D]) for the caregiver. There was no evidence that iCST has an effect on cognition or QoL for people with dementia. However, participating in iCST appeared to enhance the quality of the caregiving relationship and caregivers' QoL.
doi_str_mv 10.1371/journal.pmed.1002269
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subjects Care and treatment
Caregivers
Cognitive therapy
Dementia
Health aspects
Practice
title The impact of individual Cognitive Stimulation Therapy
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