Hui Esther K, Tischler Victoria, Wong Gloria H Y, Gibbor Luke, Lousley Chiara, Bell Georgia, Jelen Maria, James Tiffeny, Saunders Rob, Stoner Charlotte, Sampson Elizabeth, Spector Aimee
Department of Mental Health of Older People, Division of Psychiatry, University College London, London, United Kingdom.
School of Psychology, The University of Surrey, Guildford, United Kingdom.
Int J Clin Health Psychol. 2024 Oct-Dec;24(4):100523. doi: 10.1016/j.ijchp.2024.100523. Epub 2024 Nov 22.
Cognitive Stimulation Therapy (CST) is a dementia intervention shown to improve cognition and quality of life (QoL). Previous research on individual CST delivered by family carers showed no significant improvements in people with dementia. We aimed to evaluate the feasibility and acceptability of Virtual Individual Cognitive Stimulation Therapy (V-iCST) delivered by healthcare personnel.
Mixed methods feasibility randomised controlled trial. Thirty-four participants were randomly allocated to either 14 sessions of twice-weekly V-iCST ( = 17) or treatment as usual ( = 17) delivered over seven weeks. We assessed cognition, QoL, communication, and depressive symptoms pre/post-treatment. We conducted semi-structured qualitative interviews with participants and carers ( = 15) following V-iCST, analysed with thematic analysis.
High levels of attendance, adherence, completion of outcomes, and moderate fidelity. There were no significant between-group changes, but there was a positive trend in cognition. Qualitative findings suggested that V-iCST was valued and convenient but can evoke negative emotions.
V-iCST was feasible and acceptable. Preliminary data indicate that V-iCST delivered by healthcare personnel might meet a critical gap through increasing access to those who cannot or prefer not to attend in-person CST/groups. The need for remote treatments and CST being the main psychosocial intervention emphasizes the need for definitive trial.
认知刺激疗法（CST）是一种痴呆症干预措施，已被证明可改善认知和生活质量（QoL）。先前关于家庭护理人员提供的个体CST的研究表明，痴呆症患者没有显著改善。我们旨在评估医护人员提供的虚拟个体认知刺激疗法（V-iCST）的可行性和可接受性。
混合方法可行性随机对照试验。34名参与者被随机分配到两组，一组接受为期七周、每周两次、共14节的V-iCST（n = 17），另一组接受常规治疗（n = 17）。我们在治疗前后评估了认知、生活质量、沟通和抑郁症状。在V-iCST结束后，我们对参与者和护理人员（n = 15）进行了半结构化定性访谈，并采用主题分析法进行分析。
出勤率、依从性、结局完成率较高，保真度适中。两组之间没有显著变化，但认知方面有积极趋势。定性研究结果表明，V-iCST有价值且方便，但可能会引发负面情绪。
V-iCST是可行且可接受的。初步数据表明，医护人员提供的V-iCST可能通过增加无法或不愿参加面对面CST/小组治疗的人群的可及性，填补一个关键空白。对远程治疗的需求以及CST作为主要心理社会干预措施的情况，强调了进行确定性试验的必要性。
