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Related Experiment Video

Updated: Apr 19, 2026

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Maintenance cognitive stimulation therapy: an economic evaluation within a randomized controlled trial.

Francesco D'Amico1, Amritpal Rehill1, Martin Knapp1

  • 1Personal Social Services Research Unit, London School of Economics and Political Science, London, UK.

Journal of the American Medical Directors Association
|December 22, 2014
PubMed
Summary

Continuing Cognitive Stimulation Therapy (CST) for mild-to-moderate dementia appears cost-effective. Maintenance CST added to usual care improved quality of life and cognition, offering value for money.

Keywords:
Cognitive stimulation therapyacetylcholinesterase inhibitorscostcost-effectivenessdementiarandomized controlled trial

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Area of Science:

  • Gerontology
  • Dementia Care
  • Health Economics

Background:

  • Cognitive Stimulation Therapy (CST) is a proven, cost-effective intervention for mild-to-moderate dementia over 7 weeks.
  • Evaluating long-term cost-effectiveness of CST is crucial for sustained dementia care.

Purpose of the Study:

  • To determine if extending Cognitive Stimulation Therapy (CST) with a maintenance phase is cost-effective.
  • To assess the economic value of adding weekly maintenance CST to usual care for dementia patients.

Main Methods:

  • A multicenter, randomized controlled trial involving 236 participants with mild-to-moderate dementia.
  • Cost-effectiveness analysis comparing weekly maintenance CST plus usual care versus usual care alone for 24 weeks.
  • Subgroup analysis explored cost-effectiveness in participants taking acetylcholinesterase inhibitors (ACHEIs).

Main Results:

  • Maintenance CST demonstrated cost-effectiveness, particularly when self-rated quality of life was the primary outcome.
  • Secondary outcomes, including cognition (MMSE) and proxy-rated quality-adjusted life years, also supported the cost-effectiveness of maintenance CST.
  • Combining CST with ACHEIs yielded additional cost-effectiveness benefits, especially for cognitive outcomes.

Conclusions:

  • Continuation of Cognitive Stimulation Therapy (CST) is likely a cost-effective strategy for managing mild-to-moderate dementia.
  • Extended CST interventions offer economic advantages in dementia care.
  • Maintenance CST represents a valuable addition to usual care for improving patient outcomes and resource utilization.