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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 titleBritish Journal of Psychiatry, vol 182, September 2003
Pagespp 248-254
KeywordsDementia ; Therapy ; Psychiatric treatment ; Evaluation ; Clinical surveys.
AnnotationA 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 NumberCPA-040217212 A
ClassmarkEA: LO: LP: 4C: 3G

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