Skip to main content
. 2023 Jan 31;2023(1):CD005562. doi: 10.1002/14651858.CD005562.pub3

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
Interventions Cognitive stimulation (N = 30)
Reminiscence therapy (N = 43)
Treatment‐as‐usual control (N = 32)
Outcomes Cognition: MMSE
Quality of Life: QoL‐AD
Three‐month follow‐up
Notes 50 minutes, once a week for 10 weeks; cognitive stimulation versus control was relevant comparison for this review.
Analysable data requested ‐ not received
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