Virtual individual cognitive stimulation therapy (V-iCST): mixed methods feasibility randomised controlled trial

• Esther K. Hui ^[1] ; Victoria Tischler ^[2] ; Gloria H.Y. Wong ^[3] ; Luke Gibbor ^[1] ; Chiara Lousley ^[1] ; Georgia Bell ^[1] ; Maria Jelen ^[1] ; Tiffeny James ^[4] ; Rob Saunders ^[1] ; Charlotte Stoner ^[4] ; Elizabeth Sampson ^[1] ; Aimee Spector ^[1]
  1. [1] University College London

     University College London

     Reino Unido

     
  2. [2] University of Surrey

     University of Surrey

     Guildford District, Reino Unido

     
  3. [3] University of Hong Kong

     University of Hong Kong

     RAE de Hong Kong (China)

     
  4. [4] University of Greenwich

     University of Greenwich

     Reino Unido

     

  Mostrar afiliaciones +
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 24, Nº. 4, 2024, págs. 191-200
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2024.100523
• Enlaces
  • Texto completo
• Resumen

  • Objective Cognitive Stimulation Therapy (CST) is a dementia intervention shown to improve cognition and quality of life (QoL). Previous research on individual CST delivered by family carers showed no significant improvements in people with dementia. We aimed to evaluate the feasibility and acceptability of Virtual Individual Cognitive Stimulation Therapy (V-iCST) delivered by healthcare personnel.

    Methods Mixed methods feasibility randomised controlled trial. Thirty-four participants were randomly allocated to either 14 sessions of twice-weekly V-iCST (n = 17) or treatment as usual (n = 17) delivered over seven weeks. We assessed cognition, QoL, communication, and depressive symptoms pre/post-treatment. We conducted semi-structured qualitative interviews with participants and carers (n = 15) following V-iCST, analysed with thematic analysis.

    Results High levels of attendance, adherence, completion of outcomes, and moderate fidelity. There were no significant between-group changes, but there was a positive trend in cognition. Qualitative findings suggested that V-iCST was valued and convenient but can evoke negative emotions.

    Conclusions V-iCST was feasible and acceptable. Preliminary data indicate that V-iCST delivered by healthcare personnel might meet a critical gap through increasing access to those who cannot or prefer not to attend in-person CST/groups. The need for remote treatments and CST being the main psychosocial intervention emphasizes the need for definitive trial.

• Referencias bibliográficas
  • Alzheimer’s Research UK. (2022). Rare causes of dementia. Alzheimer’s Research UK. https://www.alzheimersresearchuk.org/dementia-information/types-of-deme...
  • American Medical Association. (2022). Treating self or family. https://www.ama-assn.or g/delivering-care/ethics/treating-self-or-family.
  • Borrelli, B. (2011). The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. Journal of Public...
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  • Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health...
  • Feher, E. P., Larrabee, G. J., & Crook, T. H. (1992). Factors attenuating the validity of the Geriatric Depression Scale in a dementia...
  • Food and Drug Administration. (1989). In United States food and drug administration peripheral and central nervous system drugs advisory committee...
  • Gibbor, L., Forde, L., Yates, L., Orfanos, S., Komodromos, C., Page, H., Harvey, K., & Spector, A. (2021). A feasibility randomised control...
  • Holden, U., & Woods, R. (1995). Positive approaches to dementia care. Churchill Livingstone.
  • Hui, E. K. (2022). The development and evaluation of virtual individual cognitive stimulation therapy, an evidence-based teletherapy programme...
  • Hui, E. K., Wong, G. H. Y., Tischler, V., Yuan, S. N. V., Leung, W. G., Saunders, R., Suen, L. W., & Spector, A. (2022). Virtual individual...
  • Join Dementia Research. (2017). Join Demetia Research Retrieved 2 October 2022 from https://www.joindementiaresearch.nihr.ac.uk/.
  • Kallio, H., Pietila, A. M., Johnson, M., & Kangasniemi, M. (2016). Systematic methodological review: Developing a framework for a qualitative...
  • Knapp, M., Thorgrimsen, L., Patel, A., Spector, A., Hallam, A., Woods, B., & Orrell, M. (2006). Cognitive stimulation therapy for people...
  • Logsdon, R. G., Gibbons, L. E., McCurry, S. M., & Teri, L. (2002). Assessing quality of life in older adults with cognitive impairment....
  • McMaughan, D. J., Oloruntoba, O., & Smith, M. L. (2020). Socioeconomic status and access to healthcare: Interrelated drivers for healthy...
  • Nasreddine, Z. S., Phillips, N. A., Be´dirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005)....
  • National Institute for Health and Care Excellence. (2006). Dementia: Supporting people with dementia and their carers in health and social...
  • National Institute for Health and Care Excellence. (2018). Dementia: Assessment, management and support for people living with dementia and...
  • Orgeta, V., Leung, P., Yates, L., Kang, S., Hoare, Z., Henderson, C., Whitaker, C., Burns, A., Knapp, M., Leroi, I., Moniz-Cook, E. D., Pearson,...
  • Orrell, M., Aguirre, E., Spector, A., Hoare, Z., Woods, R. T., Streater, A., Donovan, H., Hoe, J., Knapp, M., Whitaker, C., & Russell,...
  • Orrell, M., Yates, L., Leung, P., Kang, S., Hoare, Z., Whitaker, C., Burns, A., Knapp, M., Leroi, I., Moniz-Cook, E., Pearson, S., Simpson,...
  • Perkins, L., Fisher, E., Felstead, C., Rooney, C., Wong, G. H. Y., Dai, R., Vaitheswaran, S., Natarajan, N., Mograbi, D. C., Ferri, C. P.,...
  • Rosen, W. G., Mohs, R. C., & Davis, K. L. (1984). A new rating scale for Alzheimer’s disease. American Journal of Psychiatry, 141(11),...
  • Schrag, A., & Schott, J. M. (2012). What is the clinically relevant change on the ADAS- Cog? Journal of Neurology, Neurosurgery, and Psychiatry,...
  • Spector, A., Thorgrimsen, L., Woods, B., Royan, L., Davies, S., Butterworth, M., & Orrell, M. (2003). Efficacy of an evidence-based cognitive...
  • Strøm, B. S., Engedal, K., Saltyte˙ Benth, J., & Grov, E.-K. (2016). Psychometric evaluation of the Holden Communication Scale (HCS) for...
  • Thorgrimsen, L., Selwood, A., Spector, A., Royan, L., de Madariaga Lopez, M., Woods, R. T., & Orrell, M. (2003). Whose quality of life...
  • UK Department of Health. (2005). Mental Capacity Act. https://www.legislation.gov.uk/ukpga/2005/9/contents.
  • Walton, H., Spector, A., Williamson, M., Tombor, I., & Michie, S. (2020). Developing quality fidelity and engagement measures for complex...
  • Walton, H., Tombor, I., Burgess, J., Groarke, H., Swinson, T., Wenborn, J., Spector, A., Orrell, M., Mountain, G., & Michie, S. (2019)....
  • Weyer, G., Erzigkeit, H., Kanowski, S., Ihl, R., & Hadler, D. (1997). Alzheimer’s disease assessment scale: Reliability and validity in...
  • Wittich, W., Phillips, N., Nasreddine, Z. S., & Chertkow, H. (2010). Sensitivity and specificity of the montreal cognitive assessment...
  • Woods, B., Aguirre, E., Spector, A. E., & Orrell, M. (2012). Cognitive stimulation to improve cognitive functioning in people with dementia....
  • Woods, B., Rai, H. K., Elliott, E., Aguirre, E., Orrell, M., & Spector, A. (2023). Cognitive stimulation to improve cognitive functioning...
  • World Health Organization. (2021). Fact sheets of dementia. World Health Organization. Retrieved 17 December 2023 from https://www.who.int/news-room/fact-sheets/de...
  • Yates, L. A. (2016). The development and evaluation of individual Cognitive Stimulation Therapy (iCST) for people with dementia. London: University...
  • Yates, L. A., Orrell, M., Spector, A., & Orgeta, V. (2015). Service users’ involvement in the development of individual Cognitive Stimulation...
  • Yesavage, J. A., & Sheikh, J. I. (1986). 9/Geriatric Depression Scale (GDS). Clinical Gerontologist, 5(1–2), 165–173. https://doi.org/10.1300/j018v05n01_09