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Simultaneous Application of Transcranial Direct Current Stimulation during Virtual Reality Exposure
Published on: January 18, 2021
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Virtual individual cognitive stimulation therapy (V-iCST): Mixed methods feasibility randomised controlled trial
Esther K Hui1, Victoria Tischler2, Gloria H Y Wong3
1Department of Mental Health of Older People, Division of Psychiatry, University College London, London, United Kingdom.
International Journal of Clinical and Health Psychology : IJCHP
|December 9, 2024
Summary
Virtual Individual Cognitive Stimulation Therapy (V-iCST) is feasible and acceptable for dementia care. While not showing significant group changes, it offers a convenient remote option, highlighting the need for further trials.
Area of Science:
- Gerontology
- Neuroscience
- Psychiatry
Background:
- Cognitive Stimulation Therapy (CST) improves cognition and quality of life (QoL) in dementia.
- Previous studies on family-delivered individual CST did not show significant benefits for people with dementia.
Purpose of the Study:
- To evaluate the feasibility and acceptability of Virtual Individual Cognitive Stimulation Therapy (V-iCST) delivered by healthcare personnel.
- To assess V-iCST's impact on cognition, QoL, communication, and depressive symptoms.
Main Methods:
- A mixed-methods feasibility randomized controlled trial involving 34 participants.
- Participants received 14 sessions of V-iCST or treatment as usual over seven weeks.
- Qualitative interviews were conducted with participants and carers, analyzed thematically.
Main Results:
- High attendance, adherence, and outcome completion rates were observed.
- No significant between-group changes were found, but a positive trend in cognition emerged.
- Qualitative data indicated V-iCST was valued and convenient, though it could evoke negative emotions.
Conclusions:
- V-iCST delivered by healthcare personnel is feasible and acceptable.
- V-iCST may increase access to CST for individuals unable or preferring not to attend in-person sessions.
- The study emphasizes the need for a definitive trial due to the demand for remote dementia interventions.

