Gibbor 2020b.
Study characteristics | ||
Methods | RCT | |
Participants | N = 33 (16F/17M) DSM‐V criteria for dementia Mean MMSE 21.7 (SD 3.5; range 14‐27) Age 81.9 (SD 10.3; range 56‐98) Care homes |
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Interventions | Individual CST (delivered by researchers) (N = 17) Treatment‐as‐usual (N = 16) |
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Outcomes | Cognition: SMMSE, ADAS‐Cog Well‐being and Quality of Life: QoL‐AD (self‐report), QoL‐AD (proxy), Positive Psychology Outcome Measure (PPOM), Engagement and Independence in Dementia Questionnaire (EID‐Q) |
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Notes | 45 minutes, 2 times a week for 7 weeks | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Participants were randomly allocated by an independent web‐based randomiser to receive either iCST or TAU within the care home, with a 1:1 ratio. |
Allocation concealment (selection bias) | Low risk | Randomisation conducted independently |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Researchers conducting follow‐up assessments were blinded to group allocation. Some risk for proxy QoL‐AD |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | The treatment of missing data was unclear, with some imputation, some items omitted and some participants excluded for some measures. |
Selective reporting (reporting bias) | Low risk | All outcome measures mentioned in methods were reported. |
Other bias ‐ training and supervision | Unclear risk | All sessions conducted by members of the research team, also described as 'professionals', but no specific mention of their training or supervision |
Other bias ‐ treatment manual | Low risk | Adapted from CST (Spector 2006) and iCST manuals (Yates 2014) |