Effectiveness of a year-long individual cognitive stimulation program in Portuguese older adults with cognitive impairment

Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2023 May;30(3):321-335. doi: 10.1080/13825585.2021.2023458. Epub 2022 Jan 11.

Abstract

Cognitive stimulation is a recommended therapy with positive effects on the cognitive performance of older adults with neurocognitive disorders. However, there are few one-on-one, long-term interventions applied by professionals. The aim of the present study was to determine the effectiveness of 47-week individual cognitive stimulation (iCS) interventions on cognition, mood, instrumental activities of daily living, and quality of life in older adults, with neurocognitive disorders using a single-blind, randomized, parallel two-arm RCT. A sample of 59 older adults with neurocognitive disorders (predominantly Alzheimer's disease), who were non-institutionalized but socially vulnerable, was selected. The intervention group (n = 30) received 47 iCS weekly sessions. The control group (n = 29) maintained their baseline treatments. Outcomes were global cognitive function, cognitive impairment, mood, instrumental activities of daily living, and self-reported quality of life. All participants were assessed at baseline, 25 weeks, and 50 weeks. The results showed a significant effect of the intervention on MMSE, MoCA, GDS-15. Individual cognitive stimulation may have beneficial effects on the cognitive function and mood of older adults with cognitive impairment.

Trial registration: ClinicalTrials.gov NCT04417751.

Keywords: Alzheimer´s disease; cognition; dementia; home training; mood; neurocognitive disorders; non-pharmacological therapies; older adults; quality of life; randomized controlled trial.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Cognition
  • Cognitive Dysfunction*
  • Humans
  • Portugal
  • Quality of Life / psychology
  • Single-Blind Method

Associated data

  • ClinicalTrials.gov/NCT04417751