Evidence map›Paper›PMID 26757182›Full record

Observational studyJournal of Alzheimer's disease : JAD2016

Beneficial Effects of an Integrated Psychostimulation Program in Patients with Alzheimer's Disease.

Marta Ibarria, Montserrat Alegret, Sergi Valero, Amèrica Morera, Marina Guitart, Pilar Cañabate, Mariola Moreno, Susana Lara, Susana Diego, Joan Hernández and 7 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of Alzheimer's disease : JAD, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Review
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Marta IbarriaAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Montserrat AlegretMemory Clinic of Fundació ACE, Institut Catalá de Neurociències Aplicades, Barcelona, Spain.
Sergi ValeroDepartment of Psychiatry, Hospital Universitari Vall d'Hebron. Universitat Autònoma de Barcelona, Spain.
Amèrica MoreraAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Marina GuitartAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Pilar CañabateAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Mariola MorenoAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Susana LaraAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Susana DiegoAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Joan HernándezAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Natàlia TantinyáAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Maribel VeraAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Isabel HernándezAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
James T BeckerDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Agustín RuízMemory Clinic of Fundació ACE, Institut Catalá de Neurociències Aplicades, Barcelona, Spain.
Mercè BoadaAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.
Lluís TárragaAlzheimer Center Educational, Day Care Centers of Fundació ACE, Barcelona, Spain.

Funding

TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, JAMES T. · 1985 to 2019
$43.0M
NIA NIH HHS P50 AG005133
6 · The paper itself

Abstract

backgroundThe existing pharmacological treatments for Alzheimer's disease (AD) can only slow the progression of symptoms or delay admission to long-term care facilities. The beneficial effects of non-drug treatments are poorly studied.

objectiveTo describe the effects of an Integrated Psychostimulation Program (IPP) in patients with mild-moderate AD treated with acetylcholinesterase inhibitors; and to identify factors related to greater benefit of the IPP.

methods206 patients (mean age = 75.9 years; MMSE = 19.6) were evaluated before starting the IPP and 3, 6, 9, and 12 months later. Measures included: Mini-Mental State Examination (MMSE), Cognitive Subscale of Alzheimer's Disease Assessment Scale (ADAS-Cog), Rapid Disability Rating Scale (RDRS-2), and Neuropsychiatric Inventory Questionnaire (NPI-Q).

resultsPatients remained cognitively stable (MMSE/ADAS-Cog) for more than 6 months and significantly worsened at 9-month and 12-month follow-ups, without clinically significant functional changes (RDRS-2) or psychiatric symptoms(NPI-Q). The mean annual change on MMSE and ADAS-Cog were 2.06 and 3.56 points, respectively, lower than the annual decline demonstrated previously in similar patients (2.4 and 4.5, respectively). 42.7% of patients maintained or improved global cognitive scores between baseline and 12-month follow-up. The patients who maintained cognitive functions were older than those who did not (77.5 versus 74.7 years).

conclusionsThe IPP may be an effective treatment to maintain cognition, functionality, and psychiatric symptoms in AD patients pharmacologically treated, and older age seems to increase beneficial effects of IPP.

Indexed as

Activities of Daily LivingAgedAged, 80 and overAlzheimer DiseaseCholinesterase InhibitorsCognitionCombined Modality TherapyDisease ProgressionFemaleHumansMaleNeuropsychological TestsPsychotherapySeverity of Illness IndexTreatment OutcomeCholinesterase InhibitorsAlzheimer’s diseasecognitioncognitive stimulationdementiafunctionalityIntegral Psychostimulation Programnon-pharmacological therapy

Identifiers

PMID26757182
PMCPMC4745126

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.