Cognitive Stimulation Therapy for Dementia

NCT05514678 | Completed

• 1 other identifier: CST in DEMENTIA
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: The aim of this study is to reveal the effectiveness of cognitive stimulation therapy on activities of daily living, depression and life satisfaction in individuals with mild dementia living in nursing homes.

Conditions

Dementia

Keywords

Cognitive stimulation therapy; dementia; activities of daily living; depression; life satisfaction

Outcome Measures

Primary Outcomes (3)

• The change of the effect of cognitive stimulation therapy on activities of daily living in individuals in nursing homes with dementia is being assessed.

  Barthel index scores range from 0 to 100, 0-20 points; completely addicted, 21 - 61 points; severe addiction, 62 - 90 points; moderate addiction, 91 - 99 points; mild addiction, 100 points; explains independence. In studies using the Barthel Index, a score of 60 was taken as the limit, and scores above 60 explain the ability to function independently. Lawton and Brody Instrumental Daıly Lıfe Actıvıtıes Scale, the scale consists of 8 items and a single sub-dimension. The total score obtained from the scale varies between 0-8. A low score indicates a high level of addiction.

  up to 9 weeks

• The change of the effect of cognitive stimulation therapy on depression in individuals in nursing homes with dementia is being assessed.

  Cornell Dementia for Dementia In this scale, mood-related findings, behavioral changes, physical findings, cyclical functions and intellectual changes are evaluated with 19 items collected in 5 subgroups. Each item is scored between 0-2. A total score of eight and above suggests significant depression.

  up to 9 weeks

• The change of the effect of cognitive stimulation therapy on life satisfaction in individuals in nursing homes with dementia is being assessed.

  In the Satisfaction with Life Scale, a seven-point Likert type scale is graded between "strongly disagree" (1) and "strongly agree" (7). A high score on the scale indicates high life satisfaction.

  up to 9 weeks

Study Arms (2)

Cognitive Stimulation Therapy

EXPERIMENTAL

In the 2nd, 3rd, 4th, 6th, 7th and 8th weeks, IPT implementation twice a week, as two themes, for 7 weeks, with each session of 45 minutes.

Behavioral: Cognitive Stimulation Therapy

CST nonpharmacological intervention

EXPERIMENTAL

Individuals in the control group will be given two sessions in the 2nd week, and they will continue their daily lives in the following weeks.

Behavioral: Cognitive Stimulation Therapy

Interventions

Cognitive Stimulation Therapy BEHAVIORAL

CST consists of 14 sessions, each session with different themes. The materials used in therapy will differ according to the characteristics of each theme. For example; In the theme of physical games, one of the individuals will be selected by voting, and each individual will be asked to choose a song suitable for the theme and introduce himself/herself to the music accompaniment. Then, a small table game will be prepared with the rackets and ball used for table tennis, and individuals will be able to play a round of table tennis with the researcher and their groupmates. Sessions 10 min. introductory part, 25 min. activity section and 10 min. 45 minutes in total, including the ending. in progress.

CST nonpharmacological intervention; Cognitive Stimulation Therapy

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Having been diagnosed with dementia according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM V) by a physician
• Agree to participate in the study
• Being literate and speaking Turkish fluently
• Have communication and understanding skills
• Standardized Mini Mental Test result being between 18-23 points
• Having adequate vision and hearing functions for group participation

You may not qualify if:

• Presence of any sensory impairment
• Having a physical health problem that may impair group cohesion and integrity

Sponsors & Collaborators

• Ejdane Coskun: lead

Study Sites (1)

Korkut Ata University

Osmaniye, Center, 80000, Turkey (Türkiye)

Location

Related Publications (14)

• Cheng ST. Cognitive Reserve and the Prevention of Dementia: the Role of Physical and Cognitive Activities. Curr Psychiatry Rep. 2016 Sep;18(9):85. doi: 10.1007/s11920-016-0721-2.

  PMID: 27481112 BACKGROUND

• Kurz A. [Psychosocial interventions in dementia]. Nervenarzt. 2013 Jan;84(1):93-103; quiz 104-5. doi: 10.1007/s00115-012-3655-x. German.

  PMID: 23306213 BACKGROUND

• Aslan M, Hocaoğlu C. Psychiatric Problems Associated with Aging and Aging. Duzce University Journal of Health Sciences Institute. 2017);7(1):53-62.

  BACKGROUND

• Saragih ID, Tonapa SI, Saragih IS, Lee BO. Effects of cognitive stimulation therapy for people with dementia: A systematic review and meta-analysis of randomized controlled studies. Int J Nurs Stud. 2022 Apr;128:104181. doi: 10.1016/j.ijnurstu.2022.104181. Epub 2022 Jan 22.

  PMID: 35149325 BACKGROUND

• Aguirre E, Hoare Z, Streater A, Spector A, Woods B, Hoe J, Orrell M. Cognitive stimulation therapy (CST) for people with dementia--who benefits most? Int J Geriatr Psychiatry. 2013 Mar;28(3):284-90. doi: 10.1002/gps.3823. Epub 2012 May 10.

  PMID: 22573599 BACKGROUND

• Aguirre E, Woods RT, Spector A, Orrell M. Cognitive stimulation for dementia: a systematic review of the evidence of effectiveness from randomised controlled trials. Ageing Res Rev. 2013 Jan;12(1):253-62. doi: 10.1016/j.arr.2012.07.001. Epub 2012 Aug 7.

  PMID: 22889599 BACKGROUND

• Rai H, Yates L, Orrell M. Cognitive Stimulation Therapy for Dementia. Clin Geriatr Med. 2018 Nov;34(4):653-665. doi: 10.1016/j.cger.2018.06.010. Epub 2018 Aug 20.

  PMID: 30336993 BACKGROUND

• Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189-98. doi: 10.1016/0022-3956(75)90026-6. No abstract available.

  PMID: 1202204 BACKGROUND

• Molloy DW, Standish TI. A guide to the standardized Mini-Mental State Examination. Int Psychogeriatr. 1997;9 Suppl 1:87-94; discussion 143-50. doi: 10.1017/s1041610297004754.

  PMID: 9447431 BACKGROUND

• MAHONEY FI, BARTHEL DW. FUNCTIONAL EVALUATION: THE BARTHEL INDEX. Md State Med J. 1965 Feb;14:61-5. No abstract available.

  PMID: 14258950 BACKGROUND

• Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969 Autumn;9(3):179-86. No abstract available.

  PMID: 5349366 BACKGROUND

• Alexopoulos GS, Abrams RC, Young RC, Shamoian CA. Cornell Scale for Depression in Dementia. Biol Psychiatry. 1988 Feb 1;23(3):271-84. doi: 10.1016/0006-3223(88)90038-8.

  PMID: 3337862 BACKGROUND

• Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess. 1985 Feb;49(1):71-5. doi: 10.1207/s15327752jpa4901_13.

  PMID: 16367493 BACKGROUND

• Lok N, Buldukoglu K, Barcin E. Effects of the cognitive stimulation therapy based on Roy's adaptation model on Alzheimer's patients' cognitive functions, coping-adaptation skills, and quality of life: A randomized controlled trial. Perspect Psychiatr Care. 2020 Jul;56(3):581-592. doi: 10.1111/ppc.12472. Epub 2020 Jan 12.

  PMID: 31930518 BACKGROUND

Related Links

• alzheimer's association
• TUİK
• WHO
• WHO DEMENTİA

MeSH Terms

Conditions

Dementia; Depression; Personal Satisfaction

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Behavioral Symptoms; Behavior

Study Officials

• Ejdane Coşkun, Lect.

  ejdanecoskun@osmaniye.edu.tr

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: August 11, 2022
• First Posted: August 24, 2022
• Study Start: March 30, 2022
• Primary Completion: May 27, 2022
• Study Completion: September 15, 2022
• Last Updated: October 14, 2022

Record last verified: 2022-10

Locations

TU (1)