None listed
Conditions
Brief summary
This pilot study will build on the work we have already completed on testing the feasibility of delivering iCST for people with dementia by trained volunteers. The aim is to recruit a larger sample that will allow power calculation for a future multi-centre trial comparing the efficacy of iCST delivered by trained volunteers with treatment as usual (TAU). The null hypothesis is that when compared to treatment as usual, iCST (delivered by trained volunteers) has no positive benefit on cognition or quality of life for people with mild to moderate dementia.
Interventions
(i) The individual Cognitive Stimulation Therapy (iCST) programme (delivered by trained volunteers)
The iCST facilitator has completed the one day master class iCST training delivered by members of the research team.
iCST will be delivered at home twice a week for 45-minute per sessions for 10 weeks.
The iCST programme is:
15 minutes warming up, orientation, current affairs, refreshments and gentle stretches
20 minutes of the iCST activity
10 minutes warm down, discuss topic for following
(i) The individual Cognitive Stimulation Therapy (iCST) programme (delivered by trained volunteers) The iCST facilitator has completed the one day master class iCST training delivered by members of the research team. iCST will be delivered at home twice a week for 45-minute per sessions for 10 weeks. The iCST programme is: 15 minutes warming up, orientation, current affairs, refreshments and gentle stretches 20 minutes of the iCST activity 10 minutes warm down, discuss topic for following session TOTAL 45 minutes The key principles of iCST are 1. Mental stimulation 2. Developing new idea, thoughts and associations 3. Using orientation in a sensitive manner 4. Focusing on opinions, rather than facts 5. Using reminiscence as an aid to the here and now 6. Providing triggers to support memory 7. Stimulate language and communication 8. Stimulate every day planning ability 9. Using a “person-centred” approach 10. Offering a choice of activities 11. Enjoyment and fun 12. Maximising potential 13. Strengthening the relationship by spending quality time together Adherence will be measured by the total number of sessions over the 10 weeks period
Sponsors
University of Auckland
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. People aged 50 years or above with a diagnosis of mild to moderate dementia (Montreal Cognitive Assessment score of 10 or more). 2. The person can have a ‘meaningful’ conversation. 3. The person can hear well enough to participate in a 1-to-1 discussion. 4. The person’s vision is good enough to see most pictures. 5. The person is likely to remain in a session for 45 minutes
Exclusion criteria
1. Those within the past 6 weeks who have had a recent acute medical illness such as stroke or heart attack. 2. Those who is currently participating in a cognitive stimulation treatment
Outcome results
None listed