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

Orgeta 2015.

Study characteristics
Methods RCT
Participants N = 356 (165 F/191 M)
Mild‐to‐moderate dementia according to DSM‐IV criteria
76% receiving AChEI medication
Mean MMSE 21.2 (SD 4.3)
Age 78.2 (SD 7.5)
Community
Interventions Individual cognitive stimulation (delivered by informal caregivers) (N = 180)
Treatment‐as‐usual controls (N = 176)
Outcomes Cognition: ADAS‐Cog; MMSE
Quality of Life: QoL‐AD (self‐report and proxy); DEMQOL (self‐report and proxy)
Quality of relationship: Quality of the Carer‐Patient Relationship Scale (QCPR)
ADL: Bristol ADL Scale
Mood: GDS‐15
Behaviour problems: NPI
Caregiver outcomes: Short Form‐12 Health Survey (physical (PCS) and mental (MCS) components); Hospital Anxiety & Depression Scale (HADS); EQ‐5D‐3L; Resilience Scale‐14; NPI carer distress; QCPR
Notes 30 minutes, 3 times a week, for 25 weeks
Imputed adjusted means used in meta‐analysis
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Randomisation was completed using a dynamic adapative allocation method, with an overall allocation ratio of 1: 1. Random allocation was stratified by site and receipt of acetylcholinesterase inhibitors (AChEIs)."
Allocation concealment (selection bias) Low risk Randomisation database held at trials unit; only unblinded researchers informed of allocation
Blinding of outcome assessment (detection bias)
All outcomes Low risk Assessors blinded
Incomplete outcome data (attrition bias)
All outcomes Low risk Full details given on attrition. ITT analyses used
Selective reporting (reporting bias) Low risk Results given for all planned outcomes
Other bias ‐ training and supervision Low risk Carers all received training in delivering iCST and support throughout study.
Other bias ‐ treatment manual Low risk Carers all received standardised training package and manual (Yates 2014).