Evidence map›Paper›PMID 37066632›Full record

ArticleBJPsych open2023

Identifying prognostic indicators for cognitive stimulation therapy for dementia: protocol for a systematic review and individual participant data meta-analysis.

Dominic Crawley, Rob Saunders, Joshua E J Buckman, Esther Hui, Richard Walker, Catherine Dotchin, Aimee Spector

Abstract read
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Dominic CrawleyInstitute of Health and Society, Newcastle University, UK.
Rob SaundersDepartment of Clinical, Educational and Health Psychology, University College London, UK.ORCID https://orcid.org/0000-0002-7077-8729
Joshua E J BuckmanDepartment of Clinical, Educational and Health Psychology, University College London, UK.ORCID https://orcid.org/0000-0002-2281-0907
Esther HuiDepartment of Clinical, Educational and Health Psychology, University College London, UK.ORCID https://orcid.org/0000-0001-7815-5473
Richard WalkerInstitute of Health and Society, Newcastle University, UK.
Catherine DotchinInstitute of Health and Society, Newcastle University, UK.
Aimee SpectorDepartment of Clinical, Educational and Health Psychology, University College London, UK.

Funding

Royal College of PsychiatristsWellcome TrustWellcome Trust 201292/Z/16/Z
6 · The paper itself

Abstract

backgroundCognitive stimulation therapy (CST) is the only non-pharmacological, treatment for dementia recommended by the UK National Institute for Health and Care Excellence, following multiple international trials demonstrating beneficial cognitive outcomes in people with mild-to-moderate dementia. However, there is limited understanding of whether treatment prognosis is influenced by sociodemographic and clinical variables (such as dementia subtype and gender), information which could inform clinical decision-making.

aimWe describe the protocol for a systematic review and individual patient data meta-analysis assessing the prognostic factors related to CST. In publishing this protocol, we hope to increase the transparency of our work, and keep healthcare professionals aware of the latest evidence for effective CST.

methodA systematic review will be conducted with searches of the bibliographic databases Medline, EMBASE and PsycINFO, from inception to 7 February 2023. Studies will be included if they are clinical trials of CST, use the Alzheimer's Disease Assessment Scale - Cognitive Subscale (gold-standard measure of cognition in dementia in clinical trials) and include participants with mild-to-moderate dementia. Following harmonisation of the data-set, mixed-effect models will be constructed to explore the relationship between the prognostic indicators and change scores post-treatment.

conclusionsThis is the first individual patient data meta-analyses on CST, and has the potential to significantly optimise patient care. Previous analyses suggest people with advanced dementia could benefit more from CST treatment. Given that CST is currently used post-diagnosis in people with mild-to-moderate dementia, the implications of confirming this finding, among identifying other prognostic indicators, are profound.

Indexed as

Dementiaoutcome studiespsychosocial interventionsrandomised controlled trialstatistical methodology

Identifiers

PMID37066632
PMCPMC10134233

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