Cognitive stimulation therapy for people with dementia in practice: A service evaluation

  1. Streater, Amy 2
  2. Aguirre, Elisa 3
  3. Spector, Aimee 1
  4. Orrell, Martin 4
  1. 1 Reader in Clinical Psychology, Research Department of Clinical, Education and Health Psychology, University College London, UK
  2. 2 Senior Researcher, Research and Development, Goodmayes Hospital, Essex, UK
  3. 3 Clinical Research Health Psychologist, Research and Development, Goodmayes Hospital, Essex, UK
  4. 4 Director of the Institute of Mental Health, University of Nottingham, UK
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Revista:
British Journal of Occupational Therapy

ISSN: 0308-0226,  1477-6006

Año de publicación: 2016

Volumen: 79

Número: 9

Páginas: 574-580

Tipo: Artículo

DOI: 10.1177/0308022616659886 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: British Journal of Occupational Therapy

Resumen

IntroductionCognitive stimulation therapy is a well-recognised evidence-based cognitive psychosocial intervention for people with mild to moderate dementia. Despite increased use of the programme, little is known about its implementation in practice.MethodA service evaluation of care home staff that received cognitive stimulation therapy training was conducted, and on-going support to deliver the programme in practice was provided. Outcome measures collected at baseline and 6 month follow up included sense of competence, learning transfer, dementia knowledge, and approaches to dementia. Attendance records were also collected.ResultsTen out of 12 care homes attempted to deliver the cognitive stimulation therapy programme after receiving training and support. Overall, a high number of sessions were delivered. In addition, the staff members demonstrated significant improvements in positive approaches to dementia care and sense of competence.ConclusionsThis article reports encouraging findings of training and outreach support with demonstrated improvements in staff outcomes and successful implementation of the cognitive stimulation therapy programme. These results support the current evidence base supporting the use of cognitive stimulation therapy in routine care. This is relevant to occupational therapy as the profession plays a crucial part in the implementation of psychosocial interventions for dementia in practice.

Referencias bibliográficas

  • Aguirre, E, Spector, A, Hoe, J (2010) Maintenance cognitive stimulation therapy (CST) for dementia: A single-blind, multi-centre, randomized controlled trial of maintenance CST vs. CST for dementia. Trials 11: 46.
  • Aguirre, E, Spector, A, Streater, A (2011) Making a Difference 2, London: Hawker Publications.
  • Ballard, C, Khan, Z, Clack, H (2011) Nonpharmacological treatment of Alzheimer disease. The Canadian Journal of Psychiatry 56(10): 589–592.
  • Boersma, P, van Weert, J, Lakerveld, J (2015) The art of successful implementation of psychosocial interventions in residential dementia care: A systematic review of the literature based on the RE-AIM framework. International Psychogeriatrics 27(1): 19–35.
  • Corr S (n.d.) Occupational therapy and cognitive stimulation therapy: Facilitating occupational performance of people with dementia (PhD study) – Institute of Health and Wellbeing. Available at: http://institute-of-health-and-wellbeing.org.uk/projects/occupational-therapy-and-cognitive-stimulation-therapy-facilitating-occupational-performance-of-people-with-dementia-phd-study/ (accessed 6 January 2016).
  • Craig, P, Dieppe, P, MacIntyre, S (2008) Developing and evaluating complex interventions: The new medical research council guidance. British Medical Journal 337: a1655, .
  • Dõpp, C, Graff, M, Olde Rikkert, M (2013) Determinants for the effectiveness of implementing an occupational therapy intervention in routine dementia care. Implementation Science 8(1): 131, .
  • Holton, E, Bates, R, Ruona, W (2000) Development of a generalized learning transfer system inventory. Human Resource Development Quarterly 11(4): 333–360.
  • Holton, E, Bates, R, Seyler, D (1997) Toward construct validation of a transfer climate instrument. Human Resource Development Quarterly 8(2): 95–113.
  • Kolanowski, A, Fick, D, Frazer, C (2010) It's about time: Use of nonpharmacological interventions in the nursing home. Journal of Nursing Scholarship 42(2): 214–222.
  • Lintern, T, Woods, B (1996) Approaches to Dementia Questionnaire, Bangor: University of Wales.
  • Moore G, Audrey S, Barker M, et al. (2015) Process evaluation of complex interventions: Medical Research Council guidance. The British Medical Journal 350: h1258.
  • National Institute for Health and Clinical Excellence and the Social Care Institute for Excellence (NICE-SCIE) (2006) Dementia: Supporting people with dementia and their carers in health and social care. Clinical Guideline 42. November. London: NICE-SCIE. Available at: www.nice.org.uk/guidance/cg42 (accessed 29 January 2016).
  • National Research Ethics Service (2009) Defining Research. London.
  • Orrell, M, Aguirre, E, Spector, A (2014) Maintenance cognitive stimulation therapy for dementia: Single-blind, multicentre, pragmatic randomised controlled trial. The British Journal of Psychiatry 204(6): 454–461.
  • Orrell, M, Spector, A, Thorgrimsen, L (2005) A pilot study examining the effectiveness of maintenance cognitive stimulation therapy (MCST) for people with dementia. International Journal of Geriatric Psychiatry 20(5): 446–451.
  • Salmon, N (2006) Cognitive stimulation therapy versus acetyl cholinesterase inhibitors for mild to moderate dementia: A latter-day David and Goliath? British Journal of Occupational Therapy 69(11): 528–530.
  • Schepers, A, Orrell, M, Shanahan, N (2012) Sense of competence in dementia care staff (SCIDS) scale: Development, reliability, and validity. International Psychogeriatrics 24(7): 1153–1162.
  • Shanahan, N, Orrell, M, Schepers, A (2013) The development and evaluation of the DK-20: A knowledge of dementia measure. International Psychogeriatrics 25(11): 1899–1907.
  • Spector, A, Orrell, M (2006) Quality of life (QoL) in dementia: A comparison of the perceptions of people with dementia and care staff in residential homes. Alzheimer Disease & Associated Disorders 20(3): 160–165.
  • Spector, A, Orrell, M, Aguirre, A (2011) Translating research into practice: A pilot study examining the use of cognitive stimulation therapy (CST) after a one-day training course. Non-Pharmacological Therapies in Dementia 1(1): 63–72.
  • Spector, A, Thorgrimsen, L, Woods, B (2006) Making a Difference: An Evidence- Based Group Programme to Offer Cognitive Stimulation Therapy (CST) to People with Dementia, London: Hawker Publications.
  • Spector, A, Thorgrimsen, L, Woods, B (2003) Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: Randomised controlled trial. The British Journal of Psychiatry 183(3): 248–254.
  • Staedtler, A, Nunez, D (2015) Nonpharmacological therapy for the management of neuropsychiatric symptoms of Alzheimer's disease: Linking evidence to practice. Worldviews on Evidence-Based Nursing 12(2): 108–115.
  • Vernooij-Dassen, M, Moniz-Cook, E (2014) Raising the standard of applied dementia care research: Addressing the implementation error. Aging & Mental Health 18(7): 809–814.
  • World Alzheimer Report (2011) (2011) The Benefits of Early Diagnosis and Intervention, London: Alzheimer's Disease International.
  • Yuill, N, Hollis, V (2011) A systematic review of cognitive stimulation therapy for older adults with mild to moderate dementia: An occupational therapy perspective. Occupational Therapy International 18(4): 163–186.