Fersiynau electronig


Dangosydd eitem ddigidol (DOI)

  • Martin Orrell
    University of Nottingham
  • Lauren Yates
    University of Nottingham
  • Phuong Leung
    University College London
  • Sujin Kang
  • Zoe Hoare
  • Christopher Whitaker
  • Alistair Burns
    Manchester Academic Health Sciences Centre
  • Martin Knapp
    London School of Economics and Political Science
  • Iracema Leroi
    Manchester Academic Health Sciences Centre
  • Esme Moniz-Cook
    University of Hull
  • Stephen Pearson
    Devon Partnership NHS Trust, Devon
  • Stephen Simpson
    Dorset Healthcare University NHS Foundation Trust, Dorset
  • Aimee Spector
    University College London
  • Stephen Roberts
    Lincolnshire Partnership NHS Foundation Trust, Lincoln
  • Ian Russell
    Swansea University
  • Hugo de Waal
    Norfolk & Suffolk NHS Foundation Trust
  • Robert Woods
  • Vasiliki Orgeta
    University College London
Cognitive Stimulation Therapy (CST) is a well-established group psychosocial intervention for people with dementia. There is evidence that homebased 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 (wellbeing) for the caregiver.
Methods and Findings
A single-blind, pragmatic randomized trial (RCT) at eight study sites across the UK. The intervention and blinded assessment of outcomes were conducted in
participants’ homes. 356 people with mild to moderate dementia and their caregivers recruited from memory services, and community mental health teams. Participants were randomly assigned to iCST (75, 30 minute sessions) or treatment as usual (TAU) control over 25 weeks. iCST sessions consisted of themed activities designed to be mentally stimulating and enjoyable. Caregivers delivering iCST received training and support from an unblind researcher.
Primary outcomes were cognition (Alzheimer’s Disease Assessment Scale –
cognitive [ADAS-Cog]) and self-reported quality of life (QoL) (Quality of Life
Alzheimer’s Disease [QoL-AD]) for the person with dementia, and general health
status (Short Form-12 [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 Relationships Scale), and health-related QoL (EQ5D) for the caregiver.
Iaith wreiddiolSaesneg
CyfnodolynPLoS Medicine
Dynodwyr Gwrthrych Digidol (DOIs)
StatwsCyhoeddwyd - 28 Maw 2017

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