Lin 2018.
Study characteristics | ||
Methods | Cluster‐RCT | |
Participants | N = 105 (66F/39M) People with dementia with symptoms of agitation or depression Mean MMSE 14.9 (SD 3.7) Age 79.5 (SD 7.7) Long‐term care institutions |
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Interventions | Cognitive stimulation (N = 30) Reminiscence therapy (N = 43) Treatment‐as‐usual control (N = 32) |
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Outcomes | Cognition: MMSE Quality of Life: QoL‐AD Three‐month follow‐up |
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Notes | 50 minutes, once a week for 10 weeks; cognitive stimulation versus control was relevant comparison for this review. Analysable data requested ‐ not received |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Long‐term care institutions randomly assigned into the different groups through a randomised block technique ‐ but no information about block size and sequence |
Allocation concealment (selection bias) | Unclear risk | Insufficient information regarding concealment |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No mention of blinding |
Incomplete outcome data (attrition bias) All outcomes | High risk | Participants excluded if attended < 70% of sessions i.e. per protocol analysis ‐ 13% of cognitive stimulation group excluded at post‐test; 15% excluded at follow‐up |
Selective reporting (reporting bias) | Low risk | All outcome measures mentioned in Methods were reported. |
Other bias ‐ training and supervision | Low risk | Researcher attended a training course in CST. |
Other bias ‐ treatment manual | Low risk | Clear structure ‐ followed CST manual, but fewer sessions and adapted content to make more culturally relevant |