Cognitive Stimulation in Daily Activities for People Living With Early to Middle Stage Dementia (CS-ADL)

National University of Ireland, Galway, Ireland

Status: Completed

Conditions: Dementia, Mild; Dementia Moderate; Dementia

Treatments: Behavioral: CS-ADL (Cognitive stimulation in Activities of Daily Living)

Study type: Interventional

Funder types: Other

Identifiers

NCT06147479

REC/23/042

Details and patient eligibility

About

The goal of this study is to test the effect of CS-ADL is on people living with early to middle stage dementia. The study also aims to evaluate the feasibility of conducting larger-scale research of CS-ADL.

The main questions it aims to answer are:

• What is the effect of CS-ADL on the ability of people with early to middle stage dementia to carry out their everyday activities?
• What is the effect of CS-ADL on the memory, mood, communication, and quality of life of people living with early to middle stage dementia? What is the feasibility of conducting large-scale research of CS-ADL?

Participants will take part in a group program that lasts 7 weeks, with one session per week, lasting two hours. Participants will take part in rewarding and stimulating activities, for example discussion, reminiscence, music, and practical activities such as baking, cooking, gardening. Participants will be asked to complete a variety of questionnaires before and after taking part in the group.

Researchers will compare a group receiving CS-ADL to a group receiving their usual care, to explore whether CS-ADL works well in comparison to typical treatment provided by the health services.

Enrollment: 16 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants must have a formal diagnosis of major neurocognitive disorder (dementia) as per the DSM-V criteria.
• Participants must have a mild-to-moderate cognitive impairment as classified by the Montreal Cognitive Assessment (MoCA).
• Participants must have some ability to communicate and understand communication, determined by a score of 1 or 0 on questions 12 and 13 of the Clifton Assessment Procedures for the Elderly-Behaviour Rating Scale.
• Participants must be able to see and hear well enough to participate in the group.

Exclusion criteria

• Individuals with severe dementia, i.e., an MMSE<10, will be excluded as most CS interventions are not applicable for those with severe cognitive impairment.
• Participants will be excluded if they have significant uncontrolled disruptive behaviours.
• Premorbid diagnosis of a learning disability.
• A significant physical illness/disability that may affect participation during intervention sessions or assessments.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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16 participants in 2 patient groups

CS-ADL

Experimental group

Description:

CS-ADL is a multi-component cognitive stimulation program that aims to enhance performance of activities of daily living (ADL) for people living with mild-to-moderate dementia.

Treatment:

Behavioral: CS-ADL (Cognitive stimulation in Activities of Daily Living)

Treatment as Usual (TAU)

No Intervention group

Description:

The control group continue to receive their usual care. This may differ between individuals, but may include physiotherapy, occupational therapy, nursing, medication or attendance at a day-care centre/day hospital. This treatment is decided by their healthcare provider who is external to the research team. It is possible that 'TAU' for some individuals dictates no treatment.