None listed
Conditions
Brief summary
Cognitive Stimulation Therapy (CST) was initially developed in the UK and therefore lacking in Maori and Pasifika cultural content and values. Cultural adaptation is needed to ensure Maori and Pasifika people with dementia will benefit from this evidence based treatment. Internationally CST has been successfully adapted in many non-English speaking countries including Japan, China, Hong Kong, Italy, Denmark, Nigeria and Tanzania. The aim of this project is to test CST that has been adapted for Maori and Pasifika people with mild to moderate dementia. The research team has worked with Maori and Pasifika community stakeholders in Eastern Bay of Plenty and Wellington respectively and adapted CST for Maori and Pasifika people with mild to moderate dementia. The aim of this study is to pilot and refine the adapted Maori and Pasifika CST manuals in two community settings (Maori: Eastern Bay of Plenty, partnered with Alzheimers Eastern Bay of Plenty; Pasifika: Wellington, partnered with Dementia Wellington). Two groups based on the Maori manual and two groups based on the Pasifika manual will be conducted.
Interventions
Cognitive Stimulation Therapy (CST) is an evidence based non-pharmacological treatment currently available for people with a diagnosis of mild to moderate dementia. CST consists of 14 twice-weekly group sessions (see below) that take place over the course of 7 weeks. All sessions are diverse in nature and the program offers a wide array of topics to ensure it meets the group’s interests and cognitive abilities. Every CST group has personalized elements to it, such as choice of a group name and s
Cognitive Stimulation Therapy (CST) is an evidence based non-pharmacological treatment currently available for people with a diagnosis of mild to moderate dementia. CST consists of 14 twice-weekly group sessions (see below) that take place over the course of 7 weeks. All sessions are diverse in nature and the program offers a wide array of topics to ensure it meets the group’s interests and cognitive abilities. Every CST group has personalized elements to it, such as choice of a group name and song. These are displayed on an reality orientation board during the session. Sessions last 60 minutes including a 10-minute noncognitive warmup and a 10-minute closing activity (summary and/or the group song). The facilitators are encouraged to adhere to the key principles of CST, which helps to create the most optimal environment for mental stimulation and enjoyment. Examples of the 18 key principles are mental stimulation, using reminiscence as an aid to the here and now, implicit learning, fun, choice, building/strengthening relationships, and focusing on opinions, rather than facts. These features are unique to CST. Cognitive Stimulation Therapy session Content 1 Physical games 2 Sound 3 Childhood 4 Food 5 Current affairs 6 Faces/scenes 7 Associated words 8 Being creative 9 Categorizing objects 10 Orientation 11 Using money 12 Number games 13 Word games 14 Team games CST was developed in the UK. We have adapted the CST manual for Maori and Pasifika people. This pilot study will involve running 2 CST groups for Maori people and 2 CST for Pasifika people with dementia. 1. A total of 14 sessions delivered twice a week for 7 weeks 2. Each session lasts for 60 minutes 3. Each session is facilitated by 2 facilitators. CST facilitators come from a range of health professional backgrounds including nursing, occupational therapy, diversional therapy and social work. Facilitators are required to attend a 1-day training workshop before delivering CST. 4. Each group has 6 to 8 people with mild to moderate dementia We are not planning to assess intervention adherence or fidelity in this pilot study.
Sponsors
University of Auckland
Study design
Allocation
Non-randomised trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
We will use the usual CST inclusion criteria: (i) mild to moderate dementia, defined by a score of 10 or more on the RUDAS (Rowland Universal Dementia Assessment Scale): (ii) able to have a “meaningful” conversation; can hear well enough to participate in small group discussion; (iii) vision good enough to see most pictures. (iv) Maori ethnicity for the Maori CST groups; Pasifika ethnicity for the Pasifika group
Exclusion criteria
People will be excluded if they: have had a recent significant illness; have severe visual or hearing impairment; or are receiving terminal or palliative care.
Outcome results
None listed