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Related Experiment Video

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Simultaneous Application of Transcranial Direct Current Stimulation during Virtual Reality Exposure
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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
PubMed
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.

Keywords:
Cognitive stimulationDementiaPsychosocial interventionTeletherapy

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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.