Yamagami 2012.
Methods | RCT. | |
Participants | 54 participants from 4 residential care homes in Japan with a diagnosis of dementia. Mean age: 85.2 years. |
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Interventions | Intervention: group RT. Group: no treatment. |
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Outcomes | Cognitive: CDR‐SB, Hasegawa Dementia Scale Revised. Communication: MOSES (Withdrawal subscale). Behavioural: MOSES (Irritability subscale). Mood‐related outcomes: MOSES (Depression subscale). |
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Length and frequency of intervention | 1 hour, twice per week, for 12 weeks. | |
Time points measured | Paper described, "before test and after test." | |
Number of participants who did not complete study | 1/54 (1.85%). | |
Notes | Paper reported intervention "Brain Activating Rehabilitation" but inspection of paper indicates that this was mainly reminiscence activities). | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Participants were randomly allocated to conditions, stratifying for severity of dementia. No further details. |
Allocation concealment (selection bias) | Unclear risk | No details. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Paper reported, "care staff who did not participate in the intervention primarily evaluated participants." |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 1 participant dropped out of the control group due to sickness. Analysis carried out with 53 remaining participants. |
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 | Low risk | Paper reported that staff of each residential care home had studied the principles of the intervention and received 4 hours training. After each session of the intervention, an evaluation meeting was held to improve the skills of the staff. |
Availability of manual or protocol for intervention All outcomes | Low risk | No evidence of a manual although a clear structure was described in paper. |
AD: Alzheimer's disease; ADAS‐Cog: Alzheimer’s Disease Assessment Scale for Cognition; ADCS‐ADL: Alzheimer’s Disease Cooperative Study ‐ Activities of Daily Living; ADDTC: Alzheimer's Disease Diagnostic and Treatment Centers; ADL: activities of daily living; AES‐C: Apathy Evaluation Scale ‐ Clinician; AGGIR: Grille d'Autonomie Gérontologique Groups Iso‐Ressources; AMI: Autobiographical Memory Interview; AMI‐E: Autobiographical Memory Interview Extended Version; AMS: Alzheimer's Mood Scale; BADLS: Bristol Activities of Daily Living Scale; BRSE: Brief Retirement Self‐Efficacy; CAPE: Clifton Assessment Procedures for the Elderly; CASI: Cognitive Abilities Screening Instrument; CDR: Clinical Dementia Rating; CDR‐SB: Clinical Dementia Rating ‐ Sum of Boxes; CES‐D: Center for Epidemiological Studies ‐ Depression; COPE‐PAC: a multidimensional coping inventory; COS: Communication Observation Scale; CSDD: Cornell Scale for Depression in Dementia; CT: computer tomography; DAD: Disablement Assessment for Dementia; DEMQOL: a self‐reported outcome measure designed to enable the assessment health‐related quality of life of people with dementia; DSM‐IV: Diagnostic and Statistical Manual of Mental Disorders ‐ fourth edition; DSM‐IV‐TR: Diagnostic and Statistical Manual of Mental Disorders ‐ fourth edition, Text Revision; EQ‐5D: European Quality of Life 5 Dimensions; FIM: Functional Independence Measure; GDS: Geriatric Depression Scale; GDS‐SF: Geriatric Depression Scale ‐ Short Form; GHQ‐12: 12‐item General Health Questionnaire; HADS: Hospital Anxiety and Depression Scale; ICC: intraclass correlation coefficient; ITT: intention to treat; LSB: life story book; MADRS: Montgomery‐Åsberg Depression Rating Scale; MBS: Memory and Behaviour Problems; MCI: mild cognitive impairment; MMSE: Mini‐Mental State Examination; MOSES: Multidimensional Observation Scale for Elderly Subjects; MRI: magnetic resonance imaging; n/a: not available; NPI: Neuropsychiatric Inventory; NPI‐D: Neuropsychiatric Inventory ‐ Caregiver Distress; PANAS: Positive and Negative Affect Schedule; PET: positron emission tomography; PGI: Patient Global Impression; QCPR: Quality of Carer and Patient Relationship; QoL‐AD: Quality of Life in Alzheimer's Disease; RAID: Rating Anxiety In Dementia; RCT: randomised controlled trial; ROI: return on investment; RSS: Relative Stress Scale; RT: reminiscence therapy; RYCT: Remembering Yesterday, Caring Today; SD: standard deviation; SES: Social Engagement Scale; SolCos: a transformational reminiscence model on depressive symptoms; SR‐QoL: Self‐Report Quality of Life; VD: vascular dementia; WIB: Well‐being/Ill‐being Scale; ZBI: Zarit Burden Interview.