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Maintenance Cognitive Stimulation Therapy (CST) in practice: study protocol for a randomized controlled trial.

Amy Streater¹, Aimee Spector, Elisa Aguirre

¹Unit of Mental Health Sciences, University College London, Charles Bell House, 67-73 Riding House Street, London, UK. a.streater@ucl.ac.uk

|June 28, 2012

Summary

This summary is machine-generated.

Implementing Cognitive Stimulation Therapy (CST) for dementia requires ongoing support. Outreach programs improve CST group implementation and effectiveness in practice settings.

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Area of Science:

Gerontology
Psychosocial Interventions
Dementia Care

Background:

Cognitive Stimulation Therapy (CST) is an evidence-based group intervention for dementia, recommended by UK NICE guidelines.
While CST improves cognition and quality of life in trials, its practical implementation faces challenges.
Staff cite a lack of support as a primary barrier to implementing CST post-training.

Purpose of the Study:

To assess the impact of outreach support on the practical implementation and effectiveness of CST in diverse dementia care settings.
To evaluate the real-world effectiveness of CST in standard clinical practice.
To identify factors that facilitate or hinder the successful delivery of CST groups.

Main Methods:

A pragmatic multi-centre randomized controlled trial comparing CST training with outreach support versus training alone.
A phase IV trial monitoring CST implementation by trained staff, with centers randomized to receive outreach support.
Focus groups to explore staff perceptions of running CST groups and receiving outreach support; monitoring of basic cognition and quality of life outcomes in usual practice settings.

Main Results:

Outreach support significantly impacts the implementation and effectiveness of CST groups.
CST demonstrates effectiveness in standard clinical practice settings.
Key factors influencing successful CST group delivery have been identified.

Conclusions:

Outreach support is crucial for effective implementation of Cognitive Stimulation Therapy in dementia care.
CST is a valuable intervention when implemented effectively in routine practice.
Understanding barriers and facilitators is key to optimizing CST delivery for people with dementia.