This project aims to examine the feasibility of implementing Cognitive Stimulation Therapy (CST) under real world circumstances in a more heterogenous population, with the ultimate goal of making the treatment broadly accessible. The effects of CST on the behavioral and psychological symptoms of dementia (BPSD) as a non-pharmacologic intervention will also be studied.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
23
Group-based therapy for people living with mild to moderate stage dementia, delivered by two trained facilitators.
Durham Center for Senior Life
Durham, North Carolina, United States
Program for All Inclusive Care of the Elderly
Durham, North Carolina, United States
The Forest at Duke
Durham, North Carolina, United States
Program for All Inclusive Care of the Elderly
Greensboro, North Carolina, United States
Percent of participants who were eligible for Cognitive Stimulation Therapy but were excluded from participation
Time frame: 2 years
Change in cognitive status as measured by Saint Louis University Mental Status Examination
A validated 30 point office-based cognitive screen
Time frame: Baseline, end-of-protocol (7 weeks), 3-month, 6-month, 12-month
Change in anxiety/depression as measured by Cornell Scale for Depression in Dementia
A validated 19 point scale to identify anxiety/depression symptoms in patients with moderate to severe dementia.
Time frame: Baseline, end-of-protocol (7 weeks), 3-month, 6-month, 12-month
Change in quality of life as evaluated by ICEpop CAPability measure for Older people (ICECAP-O)
A 5-point scale measuring general well-being/quality of life for older adults
Time frame: Baseline, end-of-protocol (7 weeks), 3-month, 6-month, 12-month
Change in behavioral symptom severity as measured by the Neuropsychiatric Inventory
A validated 12-domain questionnaire to assess dementia-related behavioral symptoms
Time frame: Baseline, end-of-protocol (7 weeks), 3-month, 6-month, 12-month
Adoption as measured by the percentage of non-participating centers to the total number approached.
Time frame: 2 years
Number of CST groups adhering to 18 components of therapy protocol assessed by direct observation using a checklist.
Time frame: 1 year
Maintenance as measured by percentage of long-term attrition
Time frame: 2 years
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Assess the barriers and facilitators to implementation of CST in community settings
Focus groups will be held to better understand the barriers and facilitators to adoption at both the setting level and individual level. These focus groups will also be used to assess implementation by gathering data on adherence to the prescribed CST protocol and any adaptations made to the CST intervention. Implementation fidelity will be assessed by direct observation of the CST groups by members of the research team using a checklist to describe adherence to key components of the protocol. Implementation barriers will be assessed through the use of focus groups and questionnaires. Based on collected data on implementation barriers and process measures, we will develop strategies to improve fidelity of the intervention and to enhance reach.
Time frame: 1 year