Gonzalez 2015.
Methods | Cluster RCT. | |
Participants | 42 participants with a diagnosis of AD living in 2 nursing homes in Valencia, Spain. Diagnosis determined by DSM‐IV‐TR, MMSE < 23 and impairment on a neuropsychological examination. Mean age: 80.24 years. |
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Interventions | Intervention: group integrative reminiscence programme. Control: treatment as usual. |
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Outcomes | Quality of life: Ryff Psychological Well‐Being scales. Cognitive: MMSE (Spanish Version). Mood‐related outcomes: CES‐D. |
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Length and frequency of intervention | 10 weekly sessions, each lasting 60 minutes. | |
Time points measured | Pretest (2 weeks before the intervention) and post‐test (immediately after intervention). | |
Number of participants who did not complete study | 0/42. | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Cluster randomisation. "Nursing homes were randomised to determine where the intervention program would be administered." No explanation was given of the randomisation procedure. |
Allocation concealment (selection bias) | Unclear risk | No details given. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Unclear who administered assessments. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | n/a. |
Selective reporting (reporting bias) | Low risk | All outcomes listed in the methods section were reported and there was no evidence of selective outcome reporting. |
Other bias | Unclear risk | Cluster RCT. The study had 2 clusters but was not large enough to apply the methods detailed in the Cochrane Handbook for Systematic Reviews of Interventions to reduce it to its effective sample size. No evidence of baseline imbalanced, missing clusters from the analysis or recruitment bias. |
Availability of training and supervision Objective outcome measures | Unclear risk | Programme led by a psychologist but no information regarding current/previous training/supervision. |
Availability of manual or protocol for intervention All outcomes | Low risk | Paper stated that the authors "implemented a programme based on earlier research." No manual but paper described detailed aims and activities for each individual session. |