AI Article Synopsis
- Cognitive Stimulation Therapy (CST) has potential benefits for improving cognition and quality of life in dementia patients, but previous individual CST approaches by family members were ineffective; this study focused on the feasibility of a virtual version (V-iCST) led by healthcare professionals.* -
- In a mixed methods randomized controlled trial with 34 participants, those receiving V-iCST showed good attendance and engagement, yet there were no significant cognitive improvements compared to the control group, although a positive trend was noted.* -
- Participants found V-iCST convenient and valuable despite some negative emotions it may trigger; the results support the idea that remote CST could address gaps in care, indicating the need for further research to confirm its effectiveness
Article Abstract
Objective: Cognitive Stimulation Therapy (CST) is a dementia intervention shown to improve cognition and quality of life (QoL). Previous research on individual CST delivered by family carers showed no significant improvements in people with dementia. We aimed to evaluate the feasibility and acceptability of Virtual Individual Cognitive Stimulation Therapy (V-iCST) delivered by healthcare personnel.
Methods: Mixed methods feasibility randomised controlled trial. Thirty-four participants were randomly allocated to either 14 sessions of twice-weekly V-iCST ( = 17) or treatment as usual ( = 17) delivered over seven weeks. We assessed cognition, QoL, communication, and depressive symptoms pre/post-treatment. We conducted semi-structured qualitative interviews with participants and carers ( = 15) following V-iCST, analysed with thematic analysis.
Results: High levels of attendance, adherence, completion of outcomes, and moderate fidelity. There were no significant between-group changes, but there was a positive trend in cognition. Qualitative findings suggested that V-iCST was valued and convenient but can evoke negative emotions.
Conclusions: V-iCST was feasible and acceptable. Preliminary data indicate that V-iCST delivered by healthcare personnel might meet a critical gap through increasing access to those who cannot or prefer not to attend in-person CST/groups. The need for remote treatments and CST being the main psychosocial intervention emphasizes the need for definitive trial.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625133 | PMC |
| http://dx.doi.org/10.1016/j.ijchp.2024.100523 | DOI Listing |
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