Medical Psychology | Neuropsychology and Gender Studies & Center for Neuropsychological Diagnostics and Intervention (CeNDI), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
Medical Psychology | Neuropsychology and Gender Studies & Center for Neuropsychological Diagnostics and Intervention (CeNDI), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
BMJ Open. 2024 May 9;14(5):e078369. doi: 10.1136/bmjopen-2023-078369.
Based on the available evidence, cognitive stimulation is recommended as an intervention for people with dementia (PwD). Currently, cognitive stimulation is regularly offered as a group programme in care facilities. However, some residents, such as those who are bedridden, cannot participate. Furthermore, group programmes were not feasible during the pandemic. A concept that accompanies everyday life and enables cognitive stimulation in everyday communication (ie, '24/7') has been missing. Therefore, this feasibility study aims to (1) assess the feasibility of a new continuous 24/7 cognitive stimulation programme (CogStim24) based on a process evaluation and (2) examine the possible effects of CogStim24 on the primary outcome of global cognition in PwD and further PwD-related and staff-related outcomes.
The complex CogStim24 programme is developed to be conducted as an everyday intervention during routine care including cognitively stimulating techniques, such as reminiscence therapy, multisensory stimulation and physical activity. In this unblinded single-arm study with pre-assessments and post-assessments, four nursing homes with a total of N=20 nursing and care staff will participate in an 11-week CogStim24 training programme. The intervention will be conducted to N=60 PwD. Neuropsychological assessments will be conducted pre-staff and post-staff training, as well as after a 6-week implementation phase. A process evaluation will be performed.
Ethics approval was obtained from the ethics committee of the Faculty of Medicine of the University of Cologne, Cologne, Germany. Although cognitive stimulation is known to be effective for enhancing global cognition and quality of life in PwD, it is currently undersupplied to PwD. Therefore, CogStim24 has the potential to reach many more PwD. This study has the potential to serve as a basis for a large multicentre cluster randomised controlled trial. An interdisciplinarity team and mixed-methods approach will help generate information on the practicality and mechanisms of impact of CogStim24. This is important for the further development of the intervention and for facilitating its implementation. The study results will be disseminated via presentations at scientific conferences and meetings for healthcare professionals and PwD and their relatives. Several manuscripts presenting results of the different study parts will be published in peer-reviewed journals.
DRKS00024381.
基于现有证据，认知刺激被推荐作为痴呆症患者（PwD）的干预措施。目前，认知刺激经常作为护理机构的团体项目提供。然而，一些居民，如卧床不起的居民，无法参与。此外，在大流行期间，团体项目也不可行。缺乏一种伴随日常生活并能在日常交流中实现认知刺激的概念（即“24/7”）。因此，这项可行性研究旨在：（1）通过过程评估评估基于日常生活的新的连续 24/7 认知刺激计划（CogStim24）的可行性，（2）检验 CogStim24 对 PwD 的主要认知结果以及进一步的 PwD 相关和工作人员相关结果的可能影响。
复杂的 CogStim24 计划是为在包括回忆疗法、多感官刺激和体育活动等认知刺激技术的常规护理中进行日常干预而开发的。在这项具有预评估和后评估的非盲单臂研究中，共有 4 家养老院的 20 名护理和工作人员将参加为期 11 周的 CogStim24 培训计划。该干预措施将用于 60 名 PwD。将在工作人员培训前和培训后以及实施阶段 6 周后进行神经心理学评估。将进行过程评估。
德国科隆大学医学院伦理委员会已批准该研究。虽然认知刺激已知对提高痴呆症患者的整体认知和生活质量有效，但目前为痴呆症患者提供的认知刺激不足。因此，CogStim24 有可能为更多的痴呆症患者提供服务。这项研究有可能成为一项大型多中心集群随机对照试验的基础。跨学科团队和混合方法方法将有助于提供关于 CogStim24 的实用性和影响机制的信息。这对于干预措施的进一步发展和促进其实施很重要。研究结果将通过在科学会议和医疗保健专业人员和痴呆症患者及其家属的会议上进行演示来传播。将在同行评议期刊上发表几篇介绍不同研究部分结果的论文。
DRKS00024381。
