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. 2020 Feb 26;2020(2):CD011961. doi: 10.1002/14651858.CD011961.pub2

Folkerts 2018.

Methods RCT (cross‐over RCT)
Participants People with Parkinson's disease dementia (PDD) living in long‐term care; diagnosed according to the Movement Disorders Society (MDS) task force Level I guidelines and PDD diagnosed with the MMSE (10 to 25 points). Number randomised (n = 12).
Interventions Although intervention is described as cognitive stimulation therapy, it was a structured standardised Cognitive Training (CT) programme (NEUROvitalis) adapted to the cognitive and psychomotor profile of participants; performed over 8 weeks, twice weekly for 60 minutes.
Control group received usual care (arts, sports, music).
Outcomes Cognition
  1. Consortium to Establish a Registry for Alzheimer's Disease test battery ‐ "CERAD Plus" (plus a word fluency test and the TMT; total score as an index for global cognition (maximum 111 points)


Neuropsychiatric symptoms
  1. Neuropsychiatric Inventory


Depression
  1. Geriatric Depression Scale‐Short form (GDS‐15)

  2. Cornell Scale for Depression in Dementia


Activities of daily living
  1. Barthel Index


Quality of life
  1. EQ‐5D‐5L

  2. QUALIDEM

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Participants were randomised by picking a note with the participant's identification code, comprised of 2 random letters and random numbers.
Allocation concealment (selection bias) Low risk Mentions that randomisation was done by a member of the staff not involved in the study.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk No details provided.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not all assessors were blind.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Attrition and reasons for each group are reported.
Selective reporting (reporting bias) Low risk All outcomes reported.
Other bias Low risk None identified.