Research article summary:

Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: randomised controlled trial.

Abstract Extract:
BACKGROUND: A recent Cochrane review of reality orientation therapy identified the need for large, well-designed, multi-centre trials. AIMS: To test the hypothesis that cognitive stimulation therapy (CST) for older people with dementia would benefit ... (Full abstract text below)

Published 2003Sep in Journal: Br J Psychiatry (Language : eng)

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1. Br J Psychiatry. 2003 Sep;183():248-54

Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: randomised controlled trial.

Spector A, Thorgrimsen L, Woods B, Royan L, Davies S, Butterworth M, Orrell M

Department of Psychiatry and Behavioural Sciences, University College London, UK.

BACKGROUND: A recent Cochrane review of reality orientation therapy identified the need for large, well-designed, multi-centre trials. AIMS: To test the hypothesis that cognitive stimulation therapy (CST) for older people with dementia would benefit cognition and quality of life. METHOD: A single-blind, multi-centre, randomised controlled trial recruited 201 older people with dementia. The main outcome measures were change in cognitive function and quality of life. An intention-to-treat analysis used analysis of covariance to control for potential variability in baseline measures. RESULTS: One hundred and fifteen people were randomised within centres to the intervention group and 86 to the control group. At follow-up the intervention group had significantly improved relative to the control group on the Mini-Mental State Examination (P=0.044), the Alzheimer's Disease Assessment Scale - Cognition (ADAS-Cog) (P=0.014) and Quality of Life - Alzheimer's Disease scales (P=0.028). Using criteria of 4 points or more improvement on the ADAS-Cog the number needed to treat was 6 for the intervention group. CONCLUSION: The results compare favourably with trials of drugs for dementia. CST groups may have worthwhile benefits for many people with dementia.

PMID : 12948999 [PubMed - Indexed for MEDLINE]

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Full Author Information

First Name	LastName	Initials
Aimee	Spector	A
Lene	Thorgrimsen	L
Bob	Woods	B
Lindsay	Royan	L
Steve	Davies	S
Margaret	Butterworth	M
Martin	Orrell	M

Affiliation: Department of Psychiatry and Behavioural Sciences, University College London, UK.

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