Individual cognitive stimulation therapy for people with intellectual disability and dementia: protocol of a feasibility randomised controlled trial

  1. Afia Ali 45
  2. Emma Brown 45
  3. Aimee Spector 34
  4. Elisa Aguirre 12
  5. Angela Hassiotis 45
  1. 1 Talking Therapies, Barking and Dagenham IAPT
  2. 2 NHS Foundation trust
  3. 3 Clinical, Education and Health Psychology, Division of Psychology and Language Sciences
  4. 4 University College London
    info

    University College London

    Londres, Reino Unido

    ROR https://ror.org/02jx3x895

  5. 5 Division of Psychiatry
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Journal:
BMJ Open

ISSN: 2044-6055

Year of publication: 2018

Volume: 8

Issue: 12

Pages: e022136

Type: Article

DOI: 10.1136/BMJOPEN-2018-022136 GOOGLE SCHOLAR lock_openOpen access editor

More publications in: BMJ Open

Abstract

Introduction Cognitive stimulation therapy (CST) is apsychosocial intervention for dementia. Group CST iseffective in reducing cognitive decline and improvingquality of life in patients with dementia. There is someevidence that individual CST (iCST) may be beneficialin reducing cognitive decline. People with intellectualdisability (ID) have an increased risk of dementia. However,there are no published studies of CST in people with IDand dementia. This protocol describes the feasibility andacceptability of a randomised controlled trial of iCSTdelivered by carers to people with ID and dementia,compared with treatment as usual (TAU). The results ofthis study will inform the design of a future definitiverandomised controlled trial.Methods and analysis The iCST intervention has beenadapted for this trial. Forty dyads (individuals with IDand their carer) will be randomised to either iCST orTAU. The manualised intervention comprises 40 iCSTsessions delivered by a carer for 30min, twice a week,over 20weeks. The primary outcome will be processmeasures assessing the feasibility and acceptability of theintervention and trial procedures. The secondary outcomewill be changes in the scores of outcome measures(cognition, functional ability and quality of life in individualswith ID, and caregiver burden, competence in managingdementia, and anxiety and depression in carers). Datawill be collected at baseline, 11weeks and at 21weeks.A process evaluation will examine adherence to iCST andwill include qualitative interviews with participants toidentify aspects of the intervention that were or were notsuccessful

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Funding information

This research is being supported by the Baily Thomas Charitable Fund (reference number TRUST/VC/AC/SG/3755-6846). The study is being sponsored by University College London.

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