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. 2014 Jun 26:9:1003-7.
doi: 10.2147/CIA.S61849. eCollection 2014.

Guidelines for adapting cognitive stimulation therapy to other cultures

Elisa Aguirre  1 , Aimee Spector  2 , Martin Orrell  1
Affiliations

Guidelines for adapting cognitive stimulation therapy to other cultures

Elisa Aguirre et al. Clin Interv Aging. .

Abstract

Cognitive stimulation therapy (CST) has been shown to be an useful and cost effective intervention that increases cognition and quality of life of people with mild to moderate dementia. It is increasing in popularity in the UK and worldwide, and a number of research teams have examined its effectiveness in other contexts and cultures. However, it is necessary to develop clear evidence-based guidelines for cultural modification of the intervention. This article describes a community-based developmental approach to adapt CST to different cultures, following the five phases of the formative method for adapting psychotherapy (FMAP), an approach that involves collaborating with service users as a first step to generate and support ideas for therapy adaptation. Examples based on clinical and practical experience are presented, along with suggestions for applying these changes in different cultural contexts.

Keywords: CST; FMAP; adaptation; culture; dementia; mild to moderate dementia.

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Figures

Figure 1
Figure 1
The five phases of the formative method for adapting psychotherapy.
See this image and copyright information in PMC

References

    1. Hwang WC. The formative method for adapting psychotherapy (FMAP): A community-based developmental approach to culturally adapting therapy. Prof Psychol Res Pr. 2009;40(4):369–377. - PMC - PubMed
    1. Spector A, Thorgrimsen L, Woods B, et al. Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: randomised controlled trial. Br J Psychiatry. 2003;183(3):248–254. - PubMed
    1. Aguirre E, Spector A, Hoe J, et al. Development of an evidence-based extended programme of maintenance cognitive stimulation therapy (CST) for people with dementia. Non-pharmacological Therapies in Dementia Journal. 2011;1(3):198–215.
    1. Alzheimer’s Disease International . World Alzheimer Report 2011: The benefits of early diagnosis and intervention. Alzheimer’s Disease International; 2011. [Accessed May 10, 2014]. Available from: http://www.alz.co.uk/research/world-report-2011.
    1. Clare L, Woods RT. Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer’s disease: a review. Neuropsychological Rehabilitation. 2004;14(4):385–401.