UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Individual Cognitive Stimulation Therapy (iCST) for people with intellectual disability and dementia: a feasibility randomised controlled trial

Ali, A; Brown, E; Tsang, W; Spector, A; Aguirre, E; Hoare, S; Hassiotis, A; (2021) Individual Cognitive Stimulation Therapy (iCST) for people with intellectual disability and dementia: a feasibility randomised controlled trial. Aging & Mental Health 10.1080/13607863.2020.1869180. (In press).

[img] Text
Ali_Aging and Mental Health_blinded review_revised_clean copy.pdf - Accepted version
Access restricted to UCL open access staff until 5 January 2022.

Download (1MB)

Abstract

Objectives: To examine the feasibility, acceptability and fidelity of individual Cognitive Stimulation Therapy (iCST) in people with intellectual disability (ID) and dementia. Method: We aimed to recruit forty dyads (carer and individual with dementia and ID) who were randomised to iCST or a waiting list control group. Both groups received treatment as usual. Family and paid carers delivered the manualised intervention (40 sessions over 20 weeks). Recruitment and retention of participants, intervention adherence, fidelity and acceptability were assessed. Outcome measures of cognition, adaptive functioning, quality of life (QoL) and carer outcomes were collected at baseline, midpoint (11 weeks) and at 21 weeks. Qualitative interviews were conducted with six carers about their experience of iCST. Results: Forty dyads were recruited over 10 months from 12 National Health Service trusts. One dyad dropped out and 87.5% and 97.5% completed the midpoint and end-point assessments respectively. Assessment of fidelity indicated that the correct session structure was not followed; 70% completed at least 20 sessions and there was a high level of satisfaction with iCST. QoL was significantly higher in the iCST arm at 21 weeks (adjusted mean difference: 3.11; 95% CI: 0.64 to 5.58). There were no differences in the other outcome measures. Conclusion: The intervention was feasible and acceptable. A full-scale trial is warranted but some modifications are needed, including improved training and supervision for carers to improve fidelity.

Type: Article
Title: Individual Cognitive Stimulation Therapy (iCST) for people with intellectual disability and dementia: a feasibility randomised controlled trial
DOI: 10.1080/13607863.2020.1869180
Publisher version: https://doi.org/10.1080/13607863.2020.1869180
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Dementia, Cognitive Stimulation Therapy, , intellectual disabilities, Down Syndrome, feasibility study.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
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/10118379
Downloads since deposit
1Download
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item