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 |
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Interventions | Individual cognitive stimulation delivered by psychologists (N = 17) Individual cognitive training delivered by psychologists (N = 17) Treatment‐as‐usual controls (N = 21) |
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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 |
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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 |