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

Tsantali 2017.

Study characteristics
Methods RCT
Participants N = 55
Mild Alzheimer's disease according to NINCDS‐ADRDA and DSM‐IV‐TR criteria
All receiving AChEI medication for at least two years
Mean MMSE 23.0 (SD 1.3)
Age 73.7 (SD 5.3)
Community
Interventions Individual cognitive stimulation delivered by psychologists (N = 17)
Individual cognitive training delivered by psychologists (N = 17)
Treatment‐as‐usual controls (N = 21)
Outcomes Cognition: MMSE; CAM‐COG; Boston Naming Test; Pyramids and Palm Trees Test; Rivermead Behavioural Memory Test
Notes 90 minutes, 3 times a week, for 4 months
Data for post‐treatment assessment requested ‐ not received; only 8‐month follow‐up data available
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "Participants were...randomly allocated by lot into the three conditions".
Allocation concealment (selection bias) Unclear risk No detail provided on the randomisation process
Blinding of outcome assessment (detection bias)
All outcomes Low risk Clinicians conducting assessments were blinded.
Incomplete outcome data (attrition bias)
All outcomes High risk Per protocol analysis ‐ 4/21 dropped out from cognitive stimulation group; 0/21 from control group
Selective reporting (reporting bias) Unclear risk Very little reported of results at post‐treatment ‐ nearly all data seems to be from 12‐month follow‐up.
Other bias ‐ training and supervision Low risk "Four licensed psychologists, who had sufficient clinical experience in providing cognitive remediation programmes to an aging population administered the programmes." Activities according to specialisation
Other bias ‐ treatment manual High risk No indication of a manual or a particular structure for the cognitive stimulation