Evidence map›Paper›PMID 39958678›Full record

ArticleGlobal implementation research and applications2025

Implementing Cognitive Stimulation Therapy (CST) for Dementia in a Low-Resource Setting: A Case Study in Tanzania Exploring Barriers, Facilitators, and Recommendations for Practice.

Emily Fisher, Sarah Mkenda, Jessica Walker, Ssenku Safic, Charlotte R Stoner, Catherine Dotchin, Stella-Maria Paddick, Godrule Lyimo, Jane Rogathi, Maria Jelen and 4 more

Abstract read
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Article in Global implementation research and applications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

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

14 authors.

Emily FisherResearch Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.ORCID 0000-0002-8110-8405
Sarah MkendaDepartment of KCRI, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Jessica WalkerPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Ssenku SaficMount Meru Regional Hospital, Arusha, Tanzania.
Charlotte R StonerSchool of Human Sciences, University of Greenwich, London, UK.
Catherine DotchinDepartment of North Tyneside General Hospital, Northumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, UK.
Stella-Maria PaddickFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Godrule LyimoDepartment of KCRI, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Jane RogathiDepartment of KCRI, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Maria JelenResearch Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.
Matthew BreckonsPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Jane FosseyFaculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Richard Walker *Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Aimee Spector *Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive Stimulation Therapy (CST) is a group psychosocial intervention for people with mild-to-moderate dementia. Despite evidence supporting its effectiveness, cost-effectiveness, and cultural adaptation internationally, CST has yet to be implemented in routine practice outside of the UK. This study consisted of multiple phases. In the first phase, we engaged stakeholders to explore the barriers and facilitators to CST implementation in Tanzania. In the second phase, we developed implementation strategies. In the third phase, we tested these strategies in a study of CST in a tertiary hospital in northern Tanzania. The Consolidated Framework for Implementation Research (CFIR) guided the study. We conducted stakeholder engagement with decision-makers, healthcare professionals, people with dementia and their family caregivers ( Supplementary Information: The online version contains supplementary material available at 10.1007/s43477-024-00142-6.

Indexed as

CFIRConsolidated Framework for Implementation ResearchInterventionLow-and-middle Income CountryPsychosocial

Identifiers

PMID39958678
PMCPMC11821707

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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.