Ito 2007.
Methods | RCT. | |
Participants | 60 participants with clinical diagnosis of VD recruited from 2 nursing homes and 1 hospital in Japan. 40 were in groups that were included in the current review. Mean age: 82 years. |
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Interventions | Intervention 1: group RT. Control: supportive care. Intervention 2: social contact (not included in this review). |
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Outcomes | Cognitive: MMSE (Japanese Version), CASI. Mood‐related outcomes: MOSES.* |
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Length and frequency of intervention | 1 hour per week for 12 weeks. | |
Time points measured | Paper stated, "before and after the interventions." | |
Number of participants who did not complete study | 6/40 (15%) (from groups relevant to the current review). | |
Notes | *MOSES data not included as no subscale data available, only the overall score. Contacted author by email requesting further information but we have not received a response. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | 2‐step randomised allocation of participants stratified by age and education conducted by blinded researchers. Groups of 12 participants randomly divided into 3 subgroups by a computer, based on education and age. Subgroups were then randomly allocated to 3 arms by blinded researchers. |
Allocation concealment (selection bias) | Low risk | Group allocation. Paper reported allocators were blinded. |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Assessments were carried out by neuropsychologists blinded to group allocation. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 3 participants dropped out of both the control and reminiscence groups. Attrition due to ill health or transfer out of the care home. 1 participant withdrew consent. Data from the ITT analysis was not extractable. Instead, authors extracted data from the per protocol analysis. |
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 | Low risk | n/a. |
Availability of training and supervision Objective outcome measures | Unclear risk | Not specified though paper reports each group included a care provider and 3 specialists, who were chosen among a psychologist, 2 speech therapists, 3 occupational therapists, 3 medical social workers and a nurse. |
Availability of manual or protocol for intervention All outcomes | Low risk | Paper provided detailed schedule for each session and was based on that proposed by Akanuma and colleagues (Akanuma 2006). |