Comparative Effectiveness of 3 Settings of Cognitive Stimulation Therapy on Cognition and Quality of Life for People With Dementia: A Systematic Review and Network Meta-analysis

医学 科克伦图书馆 随机对照试验 心理信息 奇纳 痴呆 荟萃分析 认知 梅德林 物理疗法 生活质量(医疗保健) 内科学 精神科 心理干预 护理部 疾病 政治学 法学
作者
Yue Sun,Xueer Zhang,Zhiwen Wang
出处
期刊:Journal of the American Medical Directors Association [Elsevier]
卷期号:23 (3): 461-467.e11 被引量:12
标识
DOI:10.1016/j.jamda.2021.11.015
摘要

To compare and rank the effectiveness of group cognitive stimulation therapy (group CST), maintenance cognitive stimulation therapy (MCST), and individual cognitive stimulation therapy (iCST) on cognition and quality of life (QoL) in people with dementia.Systematic review and network meta-analysis (NMA).All published randomized controlled trials (RCTs) that compared the differences among 3 different settings of CST or a control group in treating people with dementia.Relevant electronic databases, including PubMed, Embase, Cochrane Library for clinical trials, Web of Science, CINAHL, PsycINFO, Chinese National Knowledge Infrastructure (CNKI), and Wanfang Data were systematically searched from inception to March 2021. RCTs that compared the differences among 3 different settings of CST or a control group in treating people with dementia were included. Then, a pairwise and network meta-analysis was conducted to evaluate the relative effects and rank probability of different CST settings. PRISMA guidelines were used for abstracting data, and the Cochrane Risk of Bias tool was used to assess data quality.In total, 17 studies were included, which enrolled 1680 participants. Compared with the control group, MSCT [standardized mean difference (SMD) = 1.39, 95% CI 0.86, 1.91; low-quality evidence] and group CST (SMD 0.62, 95% CI 0.39, 0.84; very low-quality evidence) could significantly improve cognitive function. MCST (SMD 1.00, 95% CI 0.16, 1.85; low-quality evidence) and group CST (SMD 0.53, 95% CI 0.13, 0.92; low-quality evidence) demonstrated a statistically significant effect in improving the QoL, whereas iCST was not significantly inferior to the control condition. None of the treatments were significantly different from each other with respect to acceptability.For people with dementia, group CST and MCST seems to promote more consistent benefits in terms of cognition and QoL than the iCST, and MCST was likely to be the most effective CST setting. Further RCTs with respect to the MCST and iCST efficacy are needed.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
sciwangyouyou发布了新的文献求助10
3秒前
玖念完成签到,获得积分10
3秒前
3秒前
不喜发布了新的文献求助10
4秒前
毛毛发布了新的文献求助10
4秒前
怡然的一凤完成签到 ,获得积分10
4秒前
上官若男应助wyihao采纳,获得10
6秒前
可爱的函函应助zhc990807采纳,获得10
7秒前
等待无敌发布了新的文献求助10
9秒前
mo发布了新的文献求助10
10秒前
虚幻的夜天完成签到 ,获得积分10
11秒前
耕云钓月完成签到,获得积分10
13秒前
Orange应助自信安荷采纳,获得10
14秒前
15秒前
19秒前
科研通AI2S应助yygz0703采纳,获得10
21秒前
nono1031完成签到 ,获得积分10
23秒前
sherry发布了新的文献求助10
25秒前
。。。完成签到 ,获得积分10
25秒前
江河湖海完成签到 ,获得积分10
30秒前
30秒前
31秒前
SciGPT应助毛毛采纳,获得10
33秒前
自信安荷发布了新的文献求助10
34秒前
PHW完成签到,获得积分10
36秒前
结实嚣完成签到,获得积分10
36秒前
37秒前
geats发布了新的文献求助30
37秒前
38秒前
39秒前
xvzhenyuan发布了新的文献求助10
41秒前
沉默烨霖发布了新的文献求助10
41秒前
彪哥完成签到 ,获得积分10
44秒前
彭于晏应助无尘采纳,获得10
45秒前
顾矜应助无尘采纳,获得10
45秒前
科研通AI2S应助无尘采纳,获得10
45秒前
Asheldon完成签到 ,获得积分10
50秒前
bonnie完成签到,获得积分20
50秒前
可爱访卉完成签到,获得积分20
50秒前
53秒前
高分求助中
The ACS Guide to Scholarly Communication 2500
Sustainability in Tides Chemistry 2000
Pharmacogenomics: Applications to Patient Care, Third Edition 1000
Studien zur Ideengeschichte der Gesetzgebung 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Genera Insectorum: Mantodea, Fam. Mantidæ, Subfam. Hymenopodinæ (Classic Reprint) 800
Ethnicities: Media, Health, and Coping 700
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3085924
求助须知:如何正确求助?哪些是违规求助? 2738890
关于积分的说明 7552090
捐赠科研通 2388595
什么是DOI,文献DOI怎么找? 1266658
科研通“疑难数据库(出版商)”最低求助积分说明 613539
版权声明 598591