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

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
Interventions Individual CST (delivered by researchers) (N = 17)
Treatment‐as‐usual (N = 16)
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)
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)