Comparisons of Cognitive Stimulation Therapy Between Community Versus Hospital-Based Settings: A Multi-Site Study.

BACKGROUND: Non-pharmacological interventions such as Cognitive Stimulation Therapy (CST) have been shown to help persons living with dementia in improving cognitive function and recall. While previous CST interventions have been conducted largely with community populations, none have explored the outcomes of CST in larger healthcare settings. Our study explored differences of cognitive function, mood, and quality-of-life from CST groups both community and residential-based groups. METHOD: Participants (N = 258) from academic and rural, hospital-based settings in Missouri engaged in 14-session psychosocial groups to aid reminiscence for enhanced cognitive function and recall. RESULTS: Post-intervention cognitive function improvements occurred for community (t = -7.48, p < .001) and residential samples (t = -2.46, p < .05). Community groups showed significant improvement in overall mood related to their dementia (t = 6.37, p < .001). CONCLUSION: Healthcare providers should consider CST as a supplemental intervention for older patients receiving usual care for dementia-related symptoms.

A pilot elective course to enhance geriatric medical education using cognitive stimulation therapy.

OBJECTIVE: This study designed a pilot elective course to augment geriatric education in undergraduate and medical students, and secondarily to investigate an alternative individual cognitive stimulation therapy (iCST) platform. METHODS: Student participants (SPs) were recruited over five semesters to create and deliver iCST sessions to geriatric participants (GPs) for 10 weeks. Likert scale survey items and open-ended questions were used to evaluate the success of the SPs. Pre- and post-Saint Louis University Mental Status (SLUMS) exam and Quality of Life in Alzheimer's disease (QOL-AD) scores were obtained and a paired t-test determined whether the novel iCST model significantly improved GPs' cognition and/or quality of life. RESULTS: Thirty SPs and 10 GPs successfully completed the pilot course and iCST intervention. Ninety-three percent of all SPs rated the course positively and 100% felt the course was relevant to their future careers. The iCST model also yielded positive results, including a 3.8-point increase in quality of life for the GP, as measured by the QOL-AD (p = .01). SLUMS scores increased by 1.3-points, although failing to reach statistical significance (p = .25). CONCLUSIONS: This pilot has shown success in exposing students to geriatric-specific education and introducing an alternative iCST platform.