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

Chapman 2004.

Study characteristics
Methods RCT
Participants N = 54 (29F/25M)
Probable AD, on stable dose of donepezil for at least 3 months
Mean MMSE 20.87 (SD 3.55, range 12‐28)
Age 76.4 (SD 7.9; range 54‐91)
Living at home initially
Interventions Cognitive stimulation + donepezil
Donepezil only
Outcomes Cognition: MMSE; ADAS‐Cog
ADL: Texas Functional Living Scale
Behavioural problems: NPI ‐ Irritability and Apathy
Quality of Life: QoL‐AD
Global functioning: CBIC
Verbalisation: Composite discourse score
Carer distress ‐ derived from the NPI
10‐month follow‐up data available
Notes 90 minutes, once a week, for 8 weeks
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Remote telephone randomisation, using a SAS procedure
Allocation concealment (selection bias) Low risk Independent randomisation procedure
Blinding of outcome assessment (detection bias)
All outcomes Low risk All raters underwent extensive training; assessors blinded to group allocation
Incomplete outcome data (attrition bias)
All outcomes Low risk Intention‐to‐treat analysis used. 24% attrition rate at end of study
Selective reporting (reporting bias) Low risk Data on all measures reported
Other bias ‐ training and supervision Low risk Programme led by trained speech therapist, assisted by three Master’s level speech language
pathology students, who underwent a 2‐hr training session before beginning treatment of each group and were provided with written reference materials. Weekly meetings were held in order to ensure the programme was implemented as designed.
Other bias ‐ treatment manual Low risk No indication of a manual, but a clear structure to follow was evident.