Division of Psychiatry, University College London, London, UK.
Institute of Mental Health, University of Nottingham, Nottingham, UK.
Int J Geriatr Psychiatry. 2017 Dec;32(12):e34-e42. doi: 10.1002/gps.4648. Epub 2017 Feb 20.
The carer-delivered individual cognitive stimulation therapy (iCST) was developed to improve cognition and quality of life of people with dementia. This study aims to explore people with dementia and family carers' concepts of mental stimulation and experiences of participating in the iCST intervention.
A sub-sample of 23 dyads of people with dementia and their family carers who completed the iCST intervention took part in semi-structured in-depth interviews. Data were analysed using framework analysis.
Three main themes emerged, 'Concepts of mental stimulation', 'Experiencing changes in everyday life as a result of participating in iCST' and 'Carer adherence to the intervention' along with 10 sub-themes. The overall experience of participating in iCST was described as having opportunities to engage in enjoyable mentally stimulating activities, motivation to stay active and bringing people with dementia and their carers 'together'. Family carers mentioned that finding time to do the sessions and their relatives being reluctant to engage in the activities could hinder their participation in the intervention.
People with dementia and their family carers found iCST stimulating and enjoyable, but many had difficulty delivering all the sessions as planned. Family carers suggested that providing extra support by involving other people in delivering the intervention may help to improve adherence to the intervention. iCST may be a useful tool to encourage people with dementia and their carers to communicate. Copyright © 2017 John Wiley & Sons, Ltd.
照护者实施的个体认知刺激疗法（iCST）旨在改善痴呆患者的认知和生活质量。本研究旨在探讨痴呆患者及其家庭照护者对精神刺激的概念以及参与 iCST 干预的体验。
完成 iCST 干预的 23 对痴呆患者及其家庭照护者的子样本参加了半结构化深入访谈。使用框架分析对数据进行分析。
出现了三个主要主题，“精神刺激的概念”、“参与 iCST 后日常生活的变化”和“照护者对干预的坚持”，以及 10 个子主题。参与 iCST 的总体体验被描述为有机会参与愉快的精神刺激活动、保持活跃的动力以及使痴呆患者及其照护者“团聚”。家庭照护者提到，找到时间进行课程以及他们的亲属不愿意参与活动可能会阻碍他们参与干预。
痴呆患者及其家庭照护者发现 iCST 具有刺激性和趣味性，但许多人难以按计划完成所有课程。家庭照护者建议通过让其他人参与干预来提供额外的支持，可能有助于提高对干预的坚持。iCST 可能是鼓励痴呆患者及其照护者进行沟通的有用工具。版权所有 © 2017 约翰威立父子公司。
