Evidence map›Paper›PMID 38861708›Full record

ArticleJMIR aging2024

Online Cognitive Stimulation Therapy for Dementia in Brazil and India: Acceptability, Feasibility, and Lessons for Implementation.

Emily Fisher, Shreenila Venkatesan, Pedro Benevides, Elodie Bertrand, Paula Schimidt Brum, Céline El Baou, Cleusa P Ferri, Jane Fossey, Maria Jelen, Jerson Laks and 11 more

Abstract readMulticenter Study
In one paragraph

Article in JMIR aging, 2024. 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. Trial
  3. Article
  4. Article
  5. Article
  6. Article
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

21 authors.

Emily FisherUniversity College London, London, United Kingdom.ORCID 0000-0002-8110-8405
Shreenila VenkatesanDementia Care in Schizophrenia Research Foundation, Chennai, India.ORCID 0009-0008-6231-9232
Pedro BenevidesPontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0009-0001-8985-7857
Elodie BertrandUniversité Paris Cité, Paris, France.ORCID 0000-0002-8361-8548
Paula Schimidt BrumUniversidade Federal de Sao Paulo, Sao Paulo, Brazil.ORCID 0000-0001-5041-9772
Céline El BaouUniversity College London, London, United Kingdom.ORCID 0000-0002-7212-1835
Cleusa P FerriUniversidade Federal de Sao Paulo, Sao Paulo, Brazil.ORCID 0000-0002-1815-7685
Jane FosseyUniversity of Exeter, Exeter, United Kingdom.ORCID 0000-0002-8533-3263
Maria JelenUniversity College London, London, United Kingdom.ORCID 0000-0002-9729-1208
Jerson LaksFederal University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0002-0022-3162
Lisa LiuUniversity College London, London, United Kingdom.ORCID 0009-0002-2219-5155
Daniel C MograbiPontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0002-4271-2984
Nirupama NatarajanUniversity of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-1881-8877
Renata NaylorPontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0009-0000-3349-2927
Despina PantouliUniversity College London, London, United Kingdom.ORCID 0009-0003-5216-623X
Vaishnavi RamanujamDementia Care in Schizophrenia Research Foundation, Chennai, India.ORCID 0000-0002-9290-7114
Thara RangaswamyDementia Care in Schizophrenia Research Foundation, Chennai, India.ORCID 0000-0001-6813-066X
Raquel L Santos de CarvalhoPontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0001-7460-901X
Charlotte StonerUniversity of Greenwich, London, United Kingdom.ORCID 0000-0002-1536-4347
Sridhar VaitheswaranDementia Care in Schizophrenia Research Foundation, Chennai, India.ORCID 0000-0001-7848-7638
Aimee SpectorUniversity College London, London, United Kingdom.ORCID 0000-0003-4448-8143

Funding

Medical Research Council MR/S004009/1
6 · The paper itself

Abstract

backgroundCognitive stimulation therapy (CST) is an evidence-based, group psychosocial intervention for people with dementia, and it has a positive impact on cognition and quality of life. CST has been culturally adapted for use globally. It was developed as a face-to-face intervention but has recently been adapted for online delivery.

objectiveIn this study, we aimed to explore the feasibility and acceptability of online or virtual CST (vCST) delivery in India and Brazil, emphasizing barriers and facilitators to implementation.

methodsA single-group, multisite, mixed methods, feasibility study was conducted, with nested qualitative interviews. Primary feasibility outcomes were recruitment rate, attendance, attrition, acceptability, and outcome measure completion. Exploratory pre- and postintervention measures, including cognition and quality of life, were assessed. Qualitative interviews were conducted with people with dementia, family caregivers, and group and organizational leaders following intervention delivery, and the data were analyzed using the Consolidated Framework for Implementation Research.

resultsA total of 17 vCST group sessions with 59 participants were conducted for 7 weeks, with 53% (31/59) of participants attending all 14 sessions. Attrition rate was 7% (4/59), and outcome measure completion rate at follow-up was 68% (40/59). Interviews took place with 36 stakeholders. vCST was acceptable to participants and group leaders and enabled vital access to services during pandemic restrictions. While online services broadened geographic access, challenges emerged concerning inadequate computer literacy, poor technology access, and establishing interpersonal connections online. Exploratory, uncontrolled analyses indicated positive trends in quality of life but negative trends in cognition and activities of daily living, but these results were not statistically significant.

conclusionsvCST demonstrated feasibility and acceptability, serving as a crucial resource during the pandemic but raised challenges related to technology access, computer literacy, and long-term implementation. The study highlights the potential of vCST while emphasizing ongoing development and solutions to address implementation challenges.

Indexed as

Cognitive Behavioral TherapyDementiaFeasibility StudiesQuality of LifeAgedAged, 80 and overBrazilCaregiversFemaleHumansIndiaMaleMiddle AgedPatient Acceptance of Health CareCOVID-19interventionLMIClow and middle income countriespsychosocialtechnology

Identifiers

PMID38861708
PMCPMC11200045

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.