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

Rai 2021.

Study characteristics
Methods RCT
Participants N = 61 (19F/42M)
Dementia of any type according to DSM‐IV criteria
71% receiving AChEI medication
Age 73.0 (SD 7.7; range: 50–89)
Community
Interventions Individual cognitive stimulation therapy (iCST) app, delivered by family caregiver (N = 31)
Treatment‐as‐usual controls (N = 30)
Outcomes Cognition: ADAS‐Cog
Quality of Life: QoL‐AD (self‐report and proxy); EQ‐5D
Quality of relationship: Quality of the Carer‐Patient Relationship Scale (QCPR)
ADL: Bristol ADL Scale
Mood: Cornell Scale for Depression in Dementia (CSDD) (self‐ and proxy‐rated)
Behaviour problems: NPI
Caregiver outcomes: Hospital Anxiety & Depression Scale (HADS); EQ‐5D; QCPR
Notes Recommended 30 minutes, 2‐3 times a week, for 11 weeks
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk On‐line central randomisation service used for block randomisation
Allocation concealment (selection bias) Low risk Steps taken to ensure allocation concealment appropriate
Blinding of outcome assessment (detection bias)
All outcomes Low risk Blinded researcher carried out all post‐baseline outcome assessments.
Incomplete outcome data (attrition bias)
All outcomes Low risk Intention‐to‐treat analyses and reasons for attrition explained
Selective reporting (reporting bias) Low risk All outcomes cited in Methods section were reported.
Other bias ‐ training and supervision Low risk Training and support provided for carers implementing the intervention
Other bias ‐ treatment manual Low risk App based closely on conventional iCST manual (Yates 2014)