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Cognitive Stimulation as a Therapeutic Modality for Dementia: A Meta-Analysis | |
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Year of publication | 2017 |
Title of paper | Cognitive Stimulation as a Therapeutic Modality for Dementia: A Meta-Analysis |
Author | Kayoung Kim, Ji Won Han, Yoonseop So, Jiyeong Seo, You Joung Kim, Joon Hyuk Park, Seok Bum Lee, Jung Jae Lee, Hyun-Ghang Jeong, Tae Hui Kim, and Ki Woong Kim |
Publication in journal | Psychiatry Investigation |
Status of publication | accepted |
Vol | 14(5) |
Link | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639131/ 491회 연결 |
ObjectiveAlthough cognitive stimulation (CS) is one of the most popular non-pharmacological interventions for people with dementia, its efficacy is still debatable. We performed a meta-analysis of randomized controlled trials (RCTs) on the efficacy of CS in people with dementia. MethodsData sources were identified by searching PubMed, MEDLINE, Embase, psychINFO, and Cochrane Reviews Library. A total of 7,354 articles were identified, and of these, 30 RCTs were selected based on the selection criteria. Of these 30 RCTs, 14 were finally included in our meta-analysis [731 participants with dementia; 412 received CS (CS group) and 319 received usual care (control group)]. ResultsWe found that the people with dementia had a moderate benefit from CS. The mean difference between the CS and control groups was 2.21 [95% CI (0.93, 3.49), Z=3.38, p=0.00007] in the Alzheimer's Disease Assessment Scale-Cognition and 1.41 [95% CI (0.98, 1.84), Z=6.39, p<0.00001] in the Mini-Mental State Examination. CS also improved quality of life in people with dementia [95% CI (0.72, 3.38), Z=3.02, p=0.003]. ConclusionCS is effective for improving cognition and quality of life in people with dementia; however, its effects were small to moderate. Keywords: Cognitive stimulation, Dementia, Meta-analysis, Cognition, Quality of life |