Lopez 2020.
Study characteristics | ||
Methods | RCT | |
Participants | N = 20 (15F/5M) Alzheimer's dementia according to DSM‐5 criteria All receiving AChEI medication Mean MMSE 17.9 (SD 3.9) Age 81.9 (SD 5.5; range 66‐89) Community ‐ daycare centre |
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Interventions | Cognitive stimulation groups (N = 10) Treatment‐as‐usual controls (N = 10) |
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Outcomes | Cognition: ADAS‐Cog; MMSE; WAIS‐III, Wechsler Memory Scale III and Neuropsychological test battery (32 tests in total), including verbal fluency, digit span, Boston Naming Test | |
Notes | 60 minutes, three times a week for 6 months | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Sequence of block randomisation was described. |
Allocation concealment (selection bias) | Unclear risk | No information about blinding at point of randomisation |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No information about blinding of outcome assessments |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | There was no indication of attrition, despite being a 6‐month intervention study. |
Selective reporting (reporting bias) | Low risk | All outcome measures mentioned in methods were reported. |
Other bias ‐ training and supervision | Unclear risk | Little to no information about who delivered the intervention |
Other bias ‐ treatment manual | Low risk | Intervention was extracted from a manualised, Spanish cognitive psychostimulation therapy (cuadernos de repaso). |