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Individual Cognitive Stimulation Therapy for dementia(iCST): study protocol for a randomized controlled trial

Orrell, Martin, Yates, Lauren A., Burns, Alistair, Russell, Ian, Woods, Robert T., Hoare, Zoë, Moniz-Cook, Esme, Henderson, Catherine, Knapp, Martin, Spector, Aimee and Orgeta, Vasiliki (2012) Individual Cognitive Stimulation Therapy for dementia(iCST): study protocol for a randomized controlled trial. Trials, 13 (1). p. 172. ISSN 1745-6215

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Identification Number: 10.1186/1745-6215-13-172

Abstract

Background Improving the quality of care for people with dementia and their carers has become a national priority in many countries. Cognitive Stimulation Therapy (CST) groups can be beneficial in improving cognition and quality of life for people with dementia. The aim of the current study is to develop and evaluate a home-based individual Cognitive Stimulation Therapy (iCST) programme for people with dementia which can be delivered by their family carer. Methods This multi-centre, pragmatic randomised controlled trial (RCT) will compare the effectiveness and cost-effectiveness of iCST for people with dementia with a treatment as usual control group. The intervention consists of iCST sessions delivered by a carer for 30 minutes, 3 times a week over 25 weeks. For people with dementia the primary outcome measures are cognition assessed by the ADAS-Cog, and quality of life assessed by QoL-AD. For carers, quality of life using the SF-12 is the primary outcome measure. Using a 5% significance level, comparison of 306 participants will yield 80% power to detect an effect size of 0.35 for cognition as measured by the ADAS-Cog, and quality of life as measured by the QoL-AD. Quality of life for the carer will be measured using the SF-12. The trial will include a cost-effectiveness analysis from a public sector perspective. Discussion The UK Department of Health has recently stressed that improving access to psychological therapies is a national priority, but many people with dementia are unable to access psychological interventions. The development of a home-based individual version of CST will provide an easy to use, widely available therapy package that will be evaluated for effectiveness and cost-effectiveness in a multi centre RCT.

Item Type: Article
Official URL: http://www.trialsjournal.com/
Additional Information: © 2012 Orrell et al.; licensee BioMed Central Ltd.
Divisions: Social Policy
Personal Social Services Research Unit
LSE Health
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > LSE Health
Date Deposited: 11 Feb 2015 16:55
Last Modified: 30 Jan 2019 18:59
Funders: National Institute for Health Research (NIHR)
URI: http://eprints.lse.ac.uk/id/eprint/60928

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