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Cognitive stimulation therapy improved cognition and quality of life in dementia

https://doi.org/10.1136/ebn.7.2.54

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    Spector A, Thorgrimsen L, Woods B, et al. Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: randomised controlled trial. Br J Psychiatry 2003;183:248–54.OpenUrlAbstract/FREE Full Text

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

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.

    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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    Footnotes

    • ↵* 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. m.orrellucl.ac.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.