Dementia Care Research and Psychosocial Factors

Area of Science:

• Gerontology
• Neuroscience
• Public Health

Background:

• Community-based organizations (CBOs) are vital in addressing the needs of older adults, including those with Mild Cognitive Impairment, Alzheimer's disease, and other dementias.
• CBOs possess established trust and infrastructure, positioning them to implement evidence-based interventions (EBIs) effectively.
• Cognitive Stimulation Therapy (CST) is a recognized EBI for dementia, showing positive impacts on cognition, mood, and quality of life.

Purpose of the Study:

• To evaluate the implementation and outcomes of Cognitive Stimulation Therapy (CST) delivered by a dementia-focused CBO.
• To assess participant engagement, cognitive function, depression levels, and psychological well-being.
• To identify facilitators and barriers to implementing EBIs in real-world dementia care settings.

Main Methods:

• A dementia-focused CBO implemented a 14-session CST program, delivered virtually or in-person by trained facilitators.
• Participant outcomes were measured using pre/post assessments, including the Geriatric Depression Scale and the Positive Psychology Outcomes Measure.
• Qualitative data were collected through participant and proxy surveys to understand perceived benefits and experiences.

Main Results:

• 76% of participants completed 12 or more sessions, indicating high engagement.
• 48% of participants showed decreased signs of depression, with 20% moving out of the depressed range.
• 56% of participants reported increased hope and resilience, with qualitative data highlighting peer connection and perceived benefits.

Conclusions:

• CBOs can successfully implement evidence-based interventions like CST for individuals with dementia.
• CST shows significant positive effects on depression, hope, and resilience in a community-based setting.
• Addressing challenges in staff training, funding, and participant enrollment is crucial for sustainable EBI delivery by CBOs.