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Cognitive stimulation therapy improved cognition and quality of life in dementia

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OpenUrlAbstract/FREE Full Text

Q In people with dementia, does cognitive stimulation therapy (CST) improve cognition and quality of life?


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded (outcome assessor).

Embedded ImageFollow up period:

7 weeks.

Embedded ImageSetting:

5 day centres and 18 residential homes (with ⩾15 people in each) in the UK.

Embedded ImagePatients:

201 people (mean age 85 y, 79% women) who met DSM-IV criteria for dementia, scored 10–24 on the Mini-Mental State Examination (MMSE), were able to communicate (according the Clifton Assessment Procedures for the Elderly—Behaviour Rating Scale), had sufficient vision and hearing to participate and use material in a group, and did not have major physical illness or disability (including learning disability).

Embedded ImageInterventions:

CST (n = 115): fourteen 45 minute sessions twice a week for 7 weeks. The programme used the concepts of reality orientation and cognitive stimulation and included the topics of money, word games, the present day, and famous faces. “Usual activities” (n = 86): in most settings, this consisted of doing nothing.

Embedded ImageOutcomes:

cognition (MMSE), quality of life (Quality of Life–Alzheimer’s Disease Scale), communication (Holden Communication Scale), behaviour (Clifton Assessment Procedures for the Elderly–Behaviour Rating Scale), global …

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  • * RBI, NNT, and CI calculated from data in article.

  • For correspondence: Dr M Orrell, Department of Psychiatry and Behavioural Sciences, University College London, London, UK.

  • Sources of funding: NHS London Regional Office Research and Development Programme, and Barking, Havering and Brentwood Community NHS Trusts.

  • A modified version of this abstract appears in Evidence-Based Medicine.