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

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
Interventions Cognitive stimulation groups (N = 10)
Treatment‐as‐usual controls (N = 10)
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).