Jurnal

The Effect of Cognitive Stimulation on Nursing Home Elders: A Randomized Controlled Trial

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Purpose: This paper describes the effectiveness of cognitive stimulation therapy (CST) on cognition and depressive symptoms in older adults in nursing homes (NHs).
Design: A randomized controlled trial, carried out from 2012 to 2013, included 56 residents from four NHs, 36 women and 20 men (randomized into experimental and control groups). Eight participants dropped out.
Methods: Participants of the experimental group underwent 14 CST sessions (7 weeks) in groups of six to eight older adults, and participants of the control group received usual care. The Montreal Cognitive Assessment, the Geriatric Depression Scale-15, and the Barthel Index of activities of daily living (ADLs) were administered at baseline and postintervention.
Findings: Repeated measures revealed that CST increased cognition (F = 8.581; p = .005; partial η squared = 0.157; power = 0.82). There were no statistically significant differences in depressive symptoms (F = 1.090; p = .302). Baseline level of ADLs did not affect the outcomes.
Conclusions: CST had significantly improved cognition, explaining the 15.7% variability, but there was no statistical evidence of its effectiveness on depressive symptoms. This improvement was not affected by the baseline level of dependence-independence in ADLs.
Clinical Relevance: CST offers a range of activities, providing general stimulation for thinking, concentration, and memory, usually in a social setting. These results will support implementation of CST in NHs. In addition to the impact on elderly independence and autonomy, CST may also have an economic impact by reducing the direct costs of the impact of elders’ cognitive
frailty.

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Detail Information

Series Title

Journal of Nursing Scholarship, Volume 46, Number 3 2014

Call Number

(05) 610.5 WIL j

Publisher

Malden : Wiley-Blackwell., 2014

Collation

Hlm. 157-166

Language

English

ISBN/ISSN

1527-6546

Classification

(05) 610.5 WIL j

Content Type

-

Media Type

-

Carrier Type

-

Edition

Volume 46, Number 3

Subject(s)

Depression
Cognitive stimulation therapy
aged
aged 80 and over
cognition

Specific Detail Info

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