Cognitive Stimulation for Persons with Dementia: a Systematic Review and Meta-Analysis

Wong, Yiu-Lung; Cheng, Calvin Pak-Wing; Wong, Chi Fong; Wong, Sze-Nga; Wong, Hau-Lam; Tse, Serene; Wong, Gloria; Chan, Wai-Chi

doi:10.12809/eaap2102

Cited by 13 publications

(5 citation statements)

References 39 publications

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“…FCEM can reduce the burden of care on family caregivers by empowering family members to participate in treatment and care decisions (Nia et al., 2022). China is a culture strongly influenced by Confucianism, which emphasizes familial responsibility and family harmony (Wang et al., 2023). The effectiveness of the FCEM in improving health outcomes for family caregivers in China will be further explored in the future.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of family centred interventions for family caregivers: A systematic review and meta‐analysis of randomized controlled trials

Wang,

Yu,

Liu

et al. 2024

Journal of Clinical Nursing

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Aims and objectivesTo examine the effectiveness of family‐centred interventions among family caregivers.BackgroundFamily‐centred interventions are an emerging form of intervention that can be effective at improving physical and mental health outcomes for patients and family caregivers. To date, no reviews have examined the effectiveness of family‐centred interventions for family caregivers.DesignA systematic review, including a meta‐analysis, was conducted according to the Preferred Reporting Items for Systematic reviews and Meta‐Analyses (PRISMA 2020) checklist.MethodsSeven English and two Chinese electronic databases were compressively searched from the outset to March 2023. Two researchers independently reviewed the abstracts and full texts, extracted the data and assessed the risk of bias independently by using the Cochrane ‘Risk of bias assessment tool’.ResultsThis systematic review and meta‐analysis included 20 articles. The results of the meta‐analysis showed that family‐centred interventions could significantly improve caregiver burden (p=0.003), quality of life (p = 0.007), depression (p = 0.0002), and stress (p < 0.0001) but not anxiety or family functioning. According to our subgroup analysis, the family‐centred empowerment model (p = 0.009) was superior to the other family intervention (p=0.004) in reducing caregiver burden. Family‐centred interventions are more effective at reducing the burden of caregiving on family caregivers of adolescent patients (SMD=−0.79, 95% CI[−1.22,−0.36], p = 0.0003) than on adult patients (SMD=−0.37, 95% CI [−0.61,−0.12], p = 0.004).ConclusionsFamily‐centred interventions could enhance family caregivers’ burden, quality of life, stress and depression but had no significant impact on anxiety or family functioning.Relevance to Clinical PracticeFamily‐centred interventions have the potential to improve the health status and caregiving burden of family caregivers. Rigorous and high‐quality evidence is needed to confirm the long‐term effects of these interventions on family caregivers.Trial Registration DetailsThe protocol has been registered in the PROSPERO international prospective register of systematic reviews (Protocol registration ID: CRD42023453607).

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Section: Discussionmentioning

confidence: 99%

Effectiveness of family centred interventions for family caregivers: A systematic review and meta‐analysis of randomized controlled trials

Wang,

Yu,

Liu

et al. 2024

Journal of Clinical Nursing

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“…Cognitive stimulation interventions trigger neuronal growth, foster cognitive resilience, and increase the ability of the CNS to resist age-related cognitive changes. This resilience may decelerate cognitive decline, even when initial dementia symptoms manifest [29][30][31][32][33][34][35].…”

Section: Introductionmentioning

confidence: 99%

A Longitudinal Study on Cognitive Training for Cognitively Preserved Adults in Liguria, Italy

Veneziano,

Piazza,

Palummeri

et al. 2024

Healthcare

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In this study, we examined the effects of memory training on cognitive function and depressive symptoms in a cohort of 794 healthy adults aged 50 years or older. Participants were divided into an active intervention group and a passive intervention group, with various cognitive measures assessed over a one-year period. Univariate analysis revealed that the active intervention group consistently outperformed the passive group in measures of memory self-perception (Memory Complaint Questionnaire—MACQ), depressive symptoms (Geriatric Depression Scale—GDS-4), verbal memory and recall ability (A3LP), and verbal fluency (VF). Significant differences in MACQ scores were observed between the two groups at all time points, indicating enhanced memory self-perception in the active group. GDS-4 scores consistently favored the active group, suggesting a reduction in depressive symptoms. A3LP scores demonstrated that the active group had better verbal memory and recall abilities. VF scores consistently favored the active group, indicating superior language skills and cognitive flexibility. Linear regression model and mixed linear regression model reinforced these findings, with highly significant interaction effects observed between the active/passive group, gender, age, education, and time. These effects were particularly pronounced for MACQ and A3LP scores, indicating the combined impact of these factors on memory self-perception and verbal memory. This study highlights the positive impact of memory training intervention on cognitive function and depressive symptoms in older adults and underscores the importance of considering gender, age, and education in cognitive interventions. Notably, these benefits persist for up to six months from the end of the program. The results provide valuable insights into cognitive changes in aging populations and suggest that tailored memory training programs can yield significant improvements.

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“…The burden of dementia care is particularly pressing in China, which accounts for approximately 20% of the global cases [10]. The cultural norm of lial piety emphasizes home care [11], with over 96% of care delivered by untrained family members or nannies [12]. Over 80% of caregivers experience stress, anxiety, and depression [13], with studies in Hong Kong indicating a burnout rate of 15.5% among them [14].…”

Section: Introductionmentioning

confidence: 99%

Cultural adaptation and evaluation of Namaste Care program for home-dwelling persons with dementia and their caregivers in China: a mixed-methods study protocol

Jin,

Meng,

Sun

et al. 2024

Preprint

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Background: The Namaste Care program is an evidence-based intervention proven effective for individuals with moderate to advanced dementia and their caregivers. To enhance its efficacy, the program will be adapted to align with Chinese culture. Methods: A multi-stage, mixed-methods design comprising three stages and eleven steps will be implemented, incorporating comprehensive process evaluations. Outcome measures will include the quality of life and self-perceived burden for persons with dementia, as well as the quality of life, caregiving burden, caregiving capacity, attitudes towards caregiving, and positive perceptions of dementia for caregivers. These outcomes will be evaluated through a combination of qualitative feedback and specific quantitative measures collected at baseline (T0), immediately post-intervention(T1), and three-month post-intervention (T2). Linear mixed effects models will be employed to analyze the effects of intervention. Qualitative interviews will explore caregivers’ experiences, and thematic analysis will assess the acceptability of the intervention. Discussion: A culturally adapted Namaste Care program is essential for implementing practical adjustments that accommodate local communities and cultural contexts.The expected outcomes will enhance the knowledge of non-pharmacological interventions for dementia care within the home setting. Trial registration: This study was registered on 29 August 2023 at https://www.chictr.org.cn (identifier: ChiCTR2300075195).

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Cognitive Stimulation for Persons with Dementia: a Systematic Review and Meta-Analysis

Cited by 13 publications

References 39 publications

Effectiveness of family centred interventions for family caregivers: A systematic review and meta‐analysis of randomized controlled trials

Effectiveness of family centred interventions for family caregivers: A systematic review and meta‐analysis of randomized controlled trials

A Longitudinal Study on Cognitive Training for Cognitively Preserved Adults in Liguria, Italy

Cultural adaptation and evaluation of Namaste Care program for home-dwelling persons with dementia and their caregivers in China: a mixed-methods study protocol

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