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Centre for Policy on Ageing | |
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Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia randomised controlled trial | Author(s) | Aimee Spector, Lene Thorgrimsen, Bob Woods |
Journal title | British Journal of Psychiatry, vol 182, September 2003 |
Pages | pp 248-254 |
Keywords | Dementia ; Therapy ; Psychiatric treatment ; Evaluation ; Clinical surveys. |
Annotation | A recent Cochrane review of reality orientation therapy identified the need for a large, well-designed, multi-centre trial. 201 older people with dementia were recruited to test the hypothesis that cognitive stimulation therapy (CST) would benefit their cognition and quality of life. An intention-to-treat analysis used analysis of covariance to control for potential variability in baseline measures. 115 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 (MMSE), the Alzheimer's Disease Assessment Scale - Cognition (ADAS-Cog) and Quality of Life - Alzheimer's Disease scales. Using criteria for 4 points or more improvement on the ADAS-Cog, the number needed to treat was 6 for the intervention group. The results compare favourably with trials of drugs for dementia. CST groups may have worthwhile benefits for many people with dementia. (RH). |
Accession Number | CPA-040217212 A |
Classmark | EA: LO: LP: 4C: 3G |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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