A pilot study examining the effectiveness of maintenance Cognitive Stimulation Therapy (MCST) for people with dementia
A pilot study examining the effectiveness of maintenance Cognitive Stimulation Therapy (MCST) for people with dementia
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DOI：
10.1002/gps.1304
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发表时间：
2005-05-01
影响因子：
4
通讯作者：
Woods, B
中科院分区：
文献类型：
--
作者：
Orrell, M;Spector, A;Woods, B
最近一项关于认知刺激疗法（CST）的随机对照试验确定了评估其对痴呆症患者更长期益处的必要性。本研究评估的有效性，每周维护CST计划的人与痴呆症的住宅care.Method三十五人被列入，以下从一个为期七周的每周两次的研究CST。在另外16周内，利用每周一次的国家支助小组方案，在两个居民家庭举行了国家支助小组的维持会议。两个对照家庭没有收到的维护intervention.Results重复测量方差分析，有一个连续的，显着改善认知功能（MMSE）为那些接受MCST（CST +维护CST会议）相比，CST单独或不治疗（p=0.012）。维持治疗后对生活质量、行为或沟通没有影响。最初的认知改善CST后，只有持续在后续的维护CST sessions.Conclusions的方案时，可以保持每周一次的会议约6个月的认知CST的好处。需要进行一项大规模、多中心的维持性CST试验，以阐明维持性CST对痴呆症的潜在长期益处。版权所有（c）2005年约翰威利父子有限公司。
Background A recent randomised controlled trial on Cognitive Stimulation Therapy (CST) identified the need to evaluate its more long-term benefits for people with dementia. This study evaluates the effectiveness of a weekly maintenance CST programme for people with dementia in residential care.Method Thirty-five people with dementia were included, following on from a seven-week twice-weekly study of CST. The maintenance CST sessions ran in two residential homes using a once a week programme of CST over an additional 16 weeks. Two control homes did not receive the maintenance intervention.Results Using repeated measures ANOVAS, there was a continuous, significant improvement in cognitive function (MMSE) for those receiving MCST (CST + maintenance CST sessions) as compared to CST alone or no treatment (p=0.012). There were no effects on quality of life, behaviour or communication following maintenance sessions. The initial cognitive improvements following CST were only sustained at follow-up when followed by the programme of maintenance CST sessions.Conclusions The cognitive benefits of CST can be maintained by weekly sessions for around 6 months. A large-scale, multi-centre maintenance CST trial is required to clarify potential longer-term benefits of maintenance CST for dementia. Copyright (c) 2005 John Wiley & Sons, Ltd.