Alvares‐Pereira 2021.
Study characteristics | ||
Methods | RCT | |
Participants | N = 105 (91F/14M) Met the DSM‐5 criteria for neurocognitive disorder (dementia) (no information regarding medication) Age 83.6 (SD 7.6; range 59‐98) Eight centres participated (2 day‐centres, 2 nursing homes, 2 psychogeriatric centres, 1 hospital, 1 rehabilitation centre) |
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Interventions | Cognitive stimulation group sessions (N = 55) Treatment‐as‐usual (N = 50) |
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Outcomes | Cognition: ADAS‐Cog; Clinical Dementia Rating (CDR) Cognitive Reserve Questionnaire Quality of life: QoL‐AD (self‐report & proxy scores combined in paper ‐ separate scores provided by authors) Communication: Holden Communication Scale Mood: Cornell Scale for Depression in Dementia (CSDD); RAID (Rating of Anxiety in Dementia) Behaviour: Behaviour Rating Scale (CAPE) |
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Notes | 45 minutes, twice a week, for 7 weeks | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation process performed centrally using a web‐based system |
Allocation concealment (selection bias) | Low risk | Randomisation carried out by external administrator; participants informed of group allocation by an unblinded researcher |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Outcome assessors blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No attrition in intervention group ‐ reasons given for larger dropout in control group |
Selective reporting (reporting bias) | Low risk | All outcomes cited in Methods section were reported. |
Other bias ‐ training and supervision | Low risk | Facilitators trained by researchers who had trained at International CST centre |
Other bias ‐ treatment manual | Low risk | Used Portugese adaptation of CST Manual (Spector 2006) |