Juarez‐Cedillo 2020.
Study characteristics | ||
Methods | iRCT | |
Participants | N = 67 (46F/21M) Diagnosis of mild dementia, using DSM‐5 criteria (MMSE 19‐24) Mean MMSE 22.6 (SD 0.9) Age 77.7 (SD 8.2) Outpatients |
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Interventions | 'SADEM' cognitive stimulation groups (N = 39) Treatment‐as‐usual (N = 28) |
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Outcomes | Cognition: ADAS‐Cog; MMSE; Syndrom‐Kurztest (SKT); verbal fluency (semantic and phonological) Mood: CESD‐R, Center for Epidemiologic Studies Depression Scale‐Revised ADL: Rapid Disabilty Rating Scale (RDRS) Behaviour: Blessed Dementia Rating Scale Behaviour problems: NPI Caregiver outcomes (N.B. No data available for these): Zarit Burden Interview; Beck Depression Inventory; Beck Anxiety Inventory |
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Notes | 90 minutes, 2 times a week, for 48 weeks; 12‐month follow‐up | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | The exact randomisation method was unclear. |
Allocation concealment (selection bias) | Low risk | Randomisation performed by independent researcher |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Evaluators blind to treatment allocation |
Incomplete outcome data (attrition bias) All outcomes | Low risk | At end of intervention period attrition was low, and intention‐to‐treat analysis was used. |
Selective reporting (reporting bias) | High risk | The results for caregiver outcomes do not appear to be reported. The results for people with dementia appear to include scales not mentioned in the Methods section. |
Other bias ‐ training and supervision | Low risk | Some indication training was provided. |
Other bias ‐ treatment manual | Low risk | Paper reported a detailed manual was used for the intervention. |