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Staff training and outreach support for Cognitive Stimulation Therapy and its implementation in practice: a cluster randomised trial

Streater, A; Spector, A; Hoare, Z; Aguirre, E; Russell, I; Orrell, M; (2017) Staff training and outreach support for Cognitive Stimulation Therapy and its implementation in practice: a cluster randomised trial. International Journal of Geriatric Psychiatry 10.1002/gps.4653. (In press). Green open access

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Abstract

OBJECTIVE: There is evidence that Cognitive Stimulation Therapy and maintenance Cognitive Stimulation Therapy are effective in mild to moderate dementia. There is, however, little evidence available for its implementation in practice and the impact of outreach support on the sustainability of the programme. METHODS: Two hundred and forty-one staff members were randomised from 63 dementia care settings between outreach support including an online forum, email, and telephone support, compared to usual Cognitive Stimulation Therapy control group. The primary outcome was average number of attendees to the Cognitive Stimulation Therapy and maintenance Cognitive Stimulation Therapy programmes. RESULTS: There was no difference in average number of attendees between the intervention and usual Cognitive Stimulation Therapy control groups for the Cognitive Stimulation Therapy (p = 0.82) or the maintenance Cognitive Stimulation Therapy programme (p = 0.97). CONCLUSIONS: Outreach support does not affect the average number of people with dementia attending the Cognitive Stimulation Therapy or maintenance Cognitive Stimulation Therapy programme. Irrespective of outreach support, the programmes remain widely implemented and yield perceived benefits for people with dementia.

Type: Article
Title: Staff training and outreach support for Cognitive Stimulation Therapy and its implementation in practice: a cluster randomised trial
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/gps.4653
Publisher version: http://dx.doi.org/10.1002/gps.4653
Language: English
Additional information: Copyright © 2017 John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at http://dx.doi.org/10.1002/gps.4653. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Keywords: Cognitive Stimulation Therapy (CST), cluster randomised trial, implementation, online support, outreach, phase IV trial, staff training
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1537654
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