Effect of Cognitive Stimulation Therapy on Quality of Life: A Critical Review

Chao, Iris C. I.; Nicpon, Katarzyna; Roberts, Mary Louise

doi:10.1080/02703181.2020.1716915

Cited by 9 publications

(3 citation statements)

References 54 publications

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“…Research has generally demonstrated that CST can maintain, and to some degree improve, cognitive functions among people with mild to moderate dementia, for example, memory and attention. In some studies, enhanced quality of life and well-being have also been demonstrated (Aguirre et al, 2013;Chao et al, 2020;Woods et al, 2012).…”

Section: Introductionmentioning

confidence: 98%

A multicomponent psychosocial intervention among people with early-stage dementia involving physical exercise, cognitive stimulation therapy, psychoeducation and counselling: Results from a mixed-methods study

Skov¹,

Nielsen²,

Krølner

et al. 2021

Dementia

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Background There is increasing awareness of the benefits of both physical and psychosocial interventions to empower and benefit people with dementia and their caregivers. However, the potential additional benefits of combining physical and psychosocial interventions have only been sparsely explored. The aim of this pilot study was to investigate the acceptability and potential impact of a multicomponent intervention comprising physical exercise, cognitive stimulation therapy (CST), psychoeducation and counselling for people with early-stage dementia. Design A 15-week multicomponent group-based intervention was offered to people with early-stage dementia in Denmark ( N = 44). A mixed-methods design combining interviews, observations, tests of cognitive and physical functioning and an interviewer-assisted questionnaire on quality of life was applied to (1) investigate acceptability of the intervention, including whether people with dementia and their caregivers found the intervention meaningful and (2) to explore and assess changes in participants’ physical and cognitive functioning and quality of life. The study was conducted between June 2018 and August 2019. Results The pilot study demonstrated that the multicomponent intervention was acceptable for people with early-stage dementia and their caregivers. Test results did not show significant changes in measures of participants’ physical and cognitive functioning or quality of life. However, qualitative data revealed that participants perceived the intervention as meaningful and found that it had a positive influence on their physical and social well-being. In addition, interaction and support from peers and staff members was considered important and rewarding. Conclusion This multicomponent intervention constitutes a meaningful and beneficial activity for people with early-stage dementia and their caregivers. It provides an opportunity to engage in social interactions with peers and experience professional support. The study also underlines the importance of providing prolonged and sustainable interventions for people with dementia to maintain personal and social benefits.

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Section: Introductionmentioning

confidence: 98%

A multicomponent psychosocial intervention among people with early-stage dementia involving physical exercise, cognitive stimulation therapy, psychoeducation and counselling: Results from a mixed-methods study

Skov¹,

Nielsen²,

Krølner

et al. 2021

Dementia

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“…Several systematic reviews have been conducted investigating the potential impacts of CS, in its various forms, with people with dementia. These have identified benefits in terms of quality of life, wellbeing and cognitive function ( Aguirre, Woods et al, 2013a ; Chao et al, 2020 ; Lobbia et al, 2019 ; Woods et al, 2006 ). Only one review has focused on the qualitative aspects of CST, findings from which complement the quantitative reviews ( Gibbor et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring outcome measures with cognitive stimulation therapies and how these relate to the experiences of people with dementia: A narrative literature review

2022

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A narrative literature review was undertaken to consider the outcome measures used in research on cognitive stimulation therapy (CST), cognitive training (CT) and cognitive stimulation (CS) interventions. This review extends findings from previous reviews by including a broad range of study methodologies, both qualitative and quantitative, and explored whether participant experiences of taking part in the research are discussed. A database search identified 1261 articles matching the search criteria, with 29 included in this review. Studies tended to use the manualised CST model, with 11 other models identified. Randomised control trials were chosen as the most used method to explore impact. Across the studies, 65 different outcome measures were used with people with dementia, and only four studies used a qualitative approach. Little information is provided on the assessment process in terms of time taken, assessor, or of the experience of the person with dementia. There is heterogeneity of measures used, within and across domains, and number, and agreement or consistency of measures would provide greater comparability across CS studies. Gaps in reporting were noted on the detail of the assessment process and the experience of people with dementia taking part in this research.

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“…CST has produced benefits—immediately after its completion, at least—in terms of general cognitive functioning, language comprehension and narrative abilities (see Lobbia et al, 2019 for a review). The program also has a positive impact on other dementia-related symptoms (e.g., behavioral disorders, depression), and quality of life ( Piras et al, 2017 ; Chao et al, 2020 ). A recent multicenter randomized controlled trial (RCT; Carbone et al, 2021 ) involving 255 PwD at 16 residential care homes and day centers all over Italy examined the efficacy of the Italian (IT) adaptation of the original CST protocol (CST-IT; Capotosto et al, 2017 ) immediately and then 3 months after completing the treatment.…”

Section: Introductionmentioning

confidence: 99%

The Role of Individual Characteristics in Predicting Short- and Long-Term Cognitive and Psychological Benefits of Cognitive Stimulation Therapy for Mild-to-Moderate Dementia

Carbone

Piras

Pastore

et al. 2022

Front. Aging Neurosci.

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Introduction: This study examined the role of individual characteristics in predicting short- and long-term benefits of the Italian version of Cognitive Stimulation Therapy (CST-IT), an evidence-based intervention for people with mild-to-moderate dementia.Materials and Methods: Data were drawn from a sample (N = 123) of people with dementia (PwD) who took part in a multicenter controlled clinical trial of CST-IT. Assessments at pre-test, immediately after completing the treatment, and 3 months later investigated the following outcomes: general cognitive functioning and language, mood and behavior, everyday functioning, and quality of life. Age, education and baseline (pre-test) cognitive functioning, mood (depression) and behavioral and neuropsychiatric symptoms were considered as predictors of any short- and long-term benefits.Results: Linear mixed-effects models showed that different individual characteristics -particularly education and age- influenced the benefits of CST-IT, depending on the outcome measures considered. Higher education predicted larger gains in general cognitive functioning and, along with less severe depressive symptoms, in language (magnification effects). Older age was associated with positive changes in mood (compensation effects). Albeit very modestly, older age was also associated with larger gains in everyday functioning (compensation effects). Gains in quality of life were predicted by older age and lower education (compensation effects). Baseline cognitive functioning, mood and/or behavioral symptoms broadly influenced performance too, but their role again depended on the outcomes considered.Discussion: These findings underscore the importance of considering and further exploring how psychosocial interventions like CST are affected by individual characteristics in order to maximize their efficacy for PwD.

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Effect of Cognitive Stimulation Therapy on Quality of Life: A Critical Review

Cited by 9 publications

References 54 publications

A multicomponent psychosocial intervention among people with early-stage dementia involving physical exercise, cognitive stimulation therapy, psychoeducation and counselling: Results from a mixed-methods study

A multicomponent psychosocial intervention among people with early-stage dementia involving physical exercise, cognitive stimulation therapy, psychoeducation and counselling: Results from a mixed-methods study

Exploring outcome measures with cognitive stimulation therapies and how these relate to the experiences of people with dementia: A narrative literature review

The Role of Individual Characteristics in Predicting Short- and Long-Term Cognitive and Psychological Benefits of Cognitive Stimulation Therapy for Mild-to-Moderate Dementia

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