Effectiveness of an individual cognitive stimulation program for older adults with cognitive impairment
DOI:
https://doi.org/10.12707/RVI24.59.35987Keywords:
nursing, dementia, cognitive stimulation, carers, aged, quasi-experimentalAbstract
Background: The number of people with dementia increases significantly with age. However, non-pharmacological interventions, such as cognitive stimulation, can slow this process down.
Objective: To evaluate the effectiveness of individual cognitive stimulation interventions on the cognition, quality of life, and neuropsychiatric symptoms of older adults with dementia, as well as on the quality of the relationship between the older adult with dementia and the caregiver.
Methodology: A 12-week quasi-experimental study was conducted. The cognitive stimulation program “Make a Difference 3” was administered to older adults with dementia living in the community. Outcomes of interest were assessed before and after the intervention.
Results: There were statistically significant improvements in neuropsychiatric symptoms (p = 0.042) and cognition (p = 0.038) after the program was administered.
Conclusion: This type of intervention should be widely disseminated and administered as it promotes gains in older adults with cognitive impairment.
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References
Ali, A., Brown, E., Tsang, W., Spector, A., Aguirre, E., Hoare, S., & Hassiotis, A. (2022). Individual cognitive stimulation therapy (iCST) for people with intellectual disability and dementia: a feasibility randomised controlled trial. Aging & mental health, 26(4), 698–708. https://doi.org/10.1080/13607863.2020.1869180
Apóstolo, J. (2011). Adaptation into European Portuguese of the geriatric depression scale (GDS-15). Revista de Enfermagem Referência - Suplemento Actas e Comunicações XI Conferência Iberoamericana de Educação em Enfermagem, II(3-4 Supl.), 452-452.
Apóstolo, J., Paiva, D., Silva, R., Santos, E., & Schultz, T. (2018). Adaptation and validation into Portuguese language of the six-item cognitive impairment test (6CIT). Aging & Mental Health, 22(9), 1190-1195. https://doi.org/10.1080/13607863.2017.1348473
Apóstolo, J., Silva, R., Bobrowicz-Campos, E., & Costa, P. (2019). Fazer a diferença 3 - Terapia de Estimulação Cognitiva Individual. Um manual para cuidadores. Escola Superior de Enfermagem de Coimbra.
Bárrios H. (2012). Adaptação Cultural e Linguística e Validação do Instrumento QOL-AD para Portugal. Dissertação de Mestrado em Cuidados Paliativos. Universidade de Lisboa, Portugal.
Brooke, P., & Bullock, R. (1999). Validation of a 6-item cognitive impairment test with a view to primary care usage. International Journal of Geriatric Psychiatry, 14(11), 936-940.
https://doi.org/10.1002/(SICI)1099-1166(199911)14:11<936:AIDGPS39>3.0.CO;2-1
Costa, A., Henriques, J., Alarcão, V., Henriques, A., Madeira, T., Virgolino, A., Sousa, J., Feteira-Santos, R., Arriaga, M., Rocha, J., & Nogueira, P. (2023). Active aging awareness and well-being among older adults in Portugal. Frontiers in public health, 11, 1149731. https://doi.org/10.3389/fpubh.2023.1149731
Cummings, J., Mega, M., K, G., Rosenberg-Thompson, S., Carusi, D., & Gornbein, J. (1994). The Neuropsychiatric Inventory. Neurology, 44, 2308-2314. https://doi.org/10.1212/WNL.44.12.2308
Hui, E. K., Wong, G. H. Y., Tischler, V., Yuan, S. N. V., Leung, W. G., Saunders, R., Suen, L. W., & Spector, A. (2022). Virtual individual cognitive stimulation therapy in Hong Kong: A mixed methods feasibility study. Geriatric nursing (New York, N.Y.), 47, 125–134. https://doi.org/10.1016/j.gerinurse.2022.07.010
Leitão, O., & Nina, A. (2008). Inventário Neuropsiquiátrico – versão portuguesa. In A. Mendonça & M. Guerreiro (Eds.), Grupos de Estudos de Envelhecimento Cerebral e Demência (págs. 33–49).
Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., Ballard, C., Banerjee, S., Burns, A., Cohen-Mansfield, J., Cooper, C., Fox, N., Gitlin, L. N., Howard, R., Kales, H. C., Larson, E. B., Ritchie, K., Rockwood, K., Sampson, E. L., Samus, Q., … Mukadam, N. (2017). Dementia prevention, intervention, and care. Lancet (London, England), 390(10113), 2673–2734. https://doi.org/10.1016/S0140-6736(17)31363-6
Logsdon, R., Gibbons, L., McCurry, S., & Teri, L. (1999). Quality of Life in Alzheimer’s Disease: Patient and Caregiver Reports. Journal of Mental Health and Aging, 5(1), 21-32. https://psycnet.apa.org/record/1999-05045-003
National Institute for Health and Care Excellence (2018). Dementia Assessment, management and support for people living with dementia and their carers. https://www.nice.org.uk/guidance/ng97
Orgeta, V., Leung, P., Yates, L., Kang, S., Hoare, Z., Henderson, C., Whitaker, C., Burns, A., Knapp, M., Leroi, I., Moniz-Cook, E. D., Pearson, S., Simpson, S., Spector, A., Roberts, S., Russell, I. T., de Waal, H., Woods, R. T., & Orrell, M. (2015). Individual cognitive stimulation therapy for dementia: a clinical effectiveness and cost-effectiveness pragmatic, multicentre, randomised controlled trial. Health technology assessment (Winchester, England), 19(64), 1–108. https://doi.org/10.3310/hta19640
Pinto, A. (2007). O teste SLUMS: Apresentação, tradução e normas de cotação. Psicologia, Educação Cultura, 11(2), 393-403. https://www.fpce.up.pt/docentes/acpinto/artigos/27_amancio.pdf
Rai, H., Schneider, J., & Orrell, M. (2020). An Individual Cognitive Stimulation Therapy App for People with Dementia: Development and Usability Study of Thinkability. JMIR aging, 3(2), e17105. https://doi.org/10.2196/17105
Silva, R. C., Bobrowicz-Campos, E. M., Santos-Costa, P. J., Gil, I. M., Almeida, M. L., & Apóstolo, J. L. (2021). Making a Difference 3 – an individual cognitive stimulation program for older people: Appropriateness and feasibility. I, 5(8), e20161. https://doi.org/10.12707/RV20161
Silva, R., Bobrowicz-Campos, E., Cardoso, D., Costa, P., Couto, F., Camarneiro, A. P., Abrunheiro, S., Almeida, M., & Apóstolo, J. (2020). Effects of caregiver-provided individual cognitive interventions on cognition, social functioning and quality of life in older adults with major neurocognitive disorders: a systematic review. JBI evidence synthesis, 18(4), 743–806. https://doi.org/10.11124/JBISRIR-D-19-00125
Silva, R., Bobrowicz-Campos, E., Santos-Costa, P., Cruz, A. R., & Apóstolo, J. (2021). A Home-Based Individual Cognitive Stimulation Program for Older Adults with Cognitive Impairment: A Randomized Controlled Trial. Frontiers in psychology, 12, 741955. https://doi.org/10.3389/fpsyg.2021.741955
Silva, R., Bobrowicz-Campos, E., Santos-Costa, P., Gil, I., Neves, H., & Apóstolo, J. (2021). The Quality of Carer-Patient Relationship Scale: Adaptation and Validation into Portuguese. International journal of environmental research and public health, 18(3), 1264. https://doi.org/10.3390/ijerph18031264
Spruytte, N., Van Audenhove, C., Lammertyn, F., & Storms, G. (2002). The quality of the caregiving relationship in informal care for older adults with dementia and chronic psychiatric patients. Psychology and psychotherapy, 75(Pt 3), 295–311. https://doi.org/10.1348/147608302320365208
Tariq, S. H., Tumosa, N., Chibnall, J. T., Perry, M. H., 3rd, & Morley, J. E. (2006). Comparison of the Saint Louis University mental status examination and the mini-mental state examination for detecting dementia and mild neurocognitive disorder- a pilot study. The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry, 14(11), 900-910. https://doi.org/10.1097/01.JGP.0000221510.33817.86
Woods, B., Aguirre, E., Spector, A. E., & Orrell, M. (2012). Cognitive stimulation to improve cognitive functioning in people with dementia. The Cochrane database of systematic reviews, (2), CD005562. https://doi.org/10.1002/14651858.CD005562.pub2
World Health Organization. (2021). Global status report on the publication health response to dementia. https://www.who.int/publications/i/item/9789240033245
Yates, L., Orrel, M., Phoung, L., Spector, O., Woods, B., & Orgeta, V. (2015). Making a Difference 3 - Individual Cognitive Stimulation Therapy: A manual for carers. The Journal of Dementia Care: Hawker Publications.
Yesavage, J., & Sheikh, J. (1986). Geriatric Depression Scale (GDS). Clinical Gerontologist, 5(1-2), 165-173. https://doi.org/10.1300/J018v05n01_09
