The Outcomes of Cognitive Stimulation Therapy (CST ) for Community-Dwelling Older Adults With Cognitive Decline in Taiwan.

Autor: Athena Yijung Tsai, Meng-Chun Lee, Chi-Chieh Lai, Ying-Chun Chou, Chwen-Yng Su
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Zdroj: Topics in Geriatric Rehabilitation; Oct-Dec2019, Vol. 35 Issue 4, p306-312, 8p
Abstrakt: Aim: To assess the impact of cognitive stimulation therapy (CST) on cognition, quality of life, and mood in Taiwanese elders with cognitive impairment attending a day care center. Methods: Twenty-fi ve adults aged 65 years and older were assigned into the CST (n = 12) and control (n = 13) groups. Weekly 90-minute CST sessions for 14 weeks were conducted by occupational therapists and occupational therapist students. The Alzheimer's Disease Assessment Scale- Cognitive subscale (ADAS-Cog), the Quality of Life in Alzheimer's Disease (QOL-AD), and the Hospital Anxiety and Depression Scale (HADS) were used for pre- and posttest measurements. Within- and between-group comparisons of test scores were performed. Results: Signifi cant between-group differences were found for the ADAS-Cog change scores. Specifi cally, there was signifi cant cognitive improvement for participants in CST group at posttest, with no observable change for the controls. No signifi cant pre-/postgains were noted in the QoL-AD and HADS scores for the 2 groups. Conclusion: The once-a-week CST approach seems to be a viable alternative to twice-a-week CST for community-dwelling older adults with mild to moderate cognitive defi cits. Further investigation is required to determine the optimal dose of CST for the elderly. [ABSTRACT FROM AUTHOR]
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