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. 2023 Jan 31;2023(1):CD005562. doi: 10.1002/14651858.CD005562.pub3

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)
Interventions Cognitive stimulation group sessions (N = 55)
Treatment‐as‐usual (N = 50)
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)
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)