Research and Development, North East London NHS Foundation Trust, Ilford, UK.
Department of Clinical, Education, and Health Psychology, University College London, London, UK.
Int J Geriatr Psychiatry. 2017 Dec;32(12):e64-e71. doi: 10.1002/gps.4653. Epub 2017 Jan 23.
There is evidence that Cognitive Stimulation Therapy and maintenance Cognitive Stimulation Therapy are effective in mild to moderate dementia. There is, however, little evidence available for its implementation in practice and the impact of outreach support on the sustainability of the programme.
Two hundred and forty-one staff members were randomised from 63 dementia care settings between outreach support including an online forum, email, and telephone support, compared to usual Cognitive Stimulation Therapy control group. The primary outcome was average number of attendees to the Cognitive Stimulation Therapy and maintenance Cognitive Stimulation Therapy programmes.
There was no difference in average number of attendees between the intervention and usual Cognitive Stimulation Therapy control groups for the Cognitive Stimulation Therapy (p = 0.82) or the maintenance Cognitive Stimulation Therapy programme (p = 0.97).
Outreach support does not affect the average number of people with dementia attending the Cognitive Stimulation Therapy or maintenance Cognitive Stimulation Therapy programme. Irrespective of outreach support, the programmes remain widely implemented and yield perceived benefits for people with dementia. Copyright © 2017 John Wiley & Sons, Ltd.
有证据表明，认知刺激疗法和维持性认知刺激疗法对轻度至中度痴呆症有效。然而，关于其在实践中的实施以及外展支持对该项目可持续性的影响的证据很少。
在 63 个痴呆症护理环境中，从 241 名工作人员中随机抽取了包括在线论坛、电子邮件和电话支持在内的外展支持组与常规认知刺激疗法对照组进行比较。主要结局是认知刺激疗法和维持性认知刺激疗法方案的平均参加人数。
认知刺激疗法（p=0.82）或维持性认知刺激疗法方案（p=0.97）中，干预组与常规认知刺激疗法对照组的平均参加人数无差异。
外展支持并不会影响参加认知刺激疗法或维持性认知刺激疗法方案的痴呆症患者的平均人数。无论是否提供外展支持，这些方案仍然得到广泛实施，并为痴呆症患者带来了明显的益处。版权所有©2017 约翰威立父子公司
