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. 2024 May 9;14(5):e078369.
doi: 10.1136/bmjopen-2023-078369.

Cognitive stimulation for people with dementia in nursing homes: a protocol for a feasibility study examining a new 24/7 approach (CogStim24)

Ann-Kristin Folkerts  1 , Ümran Sema Seven  2 , Julie Guicheteau  3 , Martin N Dichter  3 , Martin Hellmich  4 , Sascha Köpke  3 , Elke Kalbe  2
Affiliations

Cognitive stimulation for people with dementia in nursing homes: a protocol for a feasibility study examining a new 24/7 approach (CogStim24)

Ann-Kristin Folkerts et al. BMJ Open. .

Abstract

Introduction: Based on the available evidence, cognitive stimulation is recommended as an intervention for people with dementia (PwD). Currently, cognitive stimulation is regularly offered as a group programme in care facilities. However, some residents, such as those who are bedridden, cannot participate. Furthermore, group programmes were not feasible during the pandemic. A concept that accompanies everyday life and enables cognitive stimulation in everyday communication (ie, '24/7') has been missing. Therefore, this feasibility study aims to (1) assess the feasibility of a new continuous 24/7 cognitive stimulation programme (CogStim24) based on a process evaluation and (2) examine the possible effects of CogStim24 on the primary outcome of global cognition in PwD and further PwD-related and staff-related outcomes.

Methods and analysis: The complex CogStim24 programme is developed to be conducted as an everyday intervention during routine care including cognitively stimulating techniques, such as reminiscence therapy, multisensory stimulation and physical activity. In this unblinded single-arm study with pre-assessments and post-assessments, four nursing homes with a total of N=20 nursing and care staff will participate in an 11-week CogStim24 training programme. The intervention will be conducted to N=60 PwD. Neuropsychological assessments will be conducted pre-staff and post-staff training, as well as after a 6-week implementation phase. A process evaluation will be performed.

Ethics and dissemination: Ethics approval was obtained from the ethics committee of the Faculty of Medicine of the University of Cologne, Cologne, Germany. Although cognitive stimulation is known to be effective for enhancing global cognition and quality of life in PwD, it is currently undersupplied to PwD. Therefore, CogStim24 has the potential to reach many more PwD. This study has the potential to serve as a basis for a large multicentre cluster randomised controlled trial. An interdisciplinarity team and mixed-methods approach will help generate information on the practicality and mechanisms of impact of CogStim24. This is important for the further development of the intervention and for facilitating its implementation. The study results will be disseminated via presentations at scientific conferences and meetings for healthcare professionals and PwD and their relatives. Several manuscripts presenting results of the different study parts will be published in peer-reviewed journals.

Trial registration number: DRKS00024381.

Keywords: Delirium & cognitive disorders; Dementia; Feasibility Studies; Nursing Care; THERAPEUTICS.

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Conflict of interest statement

Competing interests: A-KF and EK are authors of the cognitive intervention series NEUROvitalis (ProLog, Cologne); however, they receive no corresponding honoraria for this. ÜSS, JG, MND, MH and SK have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Logic model for CogStim24.
Figure 2
Figure 2
Overview of the study process. PwD, people with dementia.
See this image and copyright information in PMC

References

    1. Gauthier S, Servaes S, Morais J, et al. . Input of Neurologists to the world Alzheimer report 2021 on the diagnosis of dementia. Journal of the Neurological Sciences 2023;455:121394. 10.1016/j.jns.2023.121394 - DOI
    1. Gaugler JE, Duval S, Anderson KA, et al. . Predicting nursing home admission in the U.S: a meta-analysis. BMC Geriatr 2007;7:13. 10.1186/1471-2318-7-13 - DOI - PMC - PubMed
    1. Dou K-X, Tan M-S, Tan C-C, et al. . Comparative safety and effectiveness of cholinesterase inhibitors and Memantine for Alzheimer’s disease: a network meta-analysis of 41 randomized controlled trials. Alzheimers Res Ther 2018;10:126. 10.1186/s13195-018-0457-9 - DOI - PMC - PubMed
    1. Sikkes SAM, Tang Y, Jutten RJ, et al. . Toward a theory-based specification of non-pharmacological treatments in aging and dementia: focused reviews and methodological recommendations. Alzheimers Dement 2021;17:255–70. 10.1002/alz.12188 - DOI - PMC - PubMed
    1. Bahar-Fuchs A, Martyr A, Goh AM, et al. . Cognitive training for people with mild to moderate dementia. Cochrane Database Syst Rev 2019;3:CD013069. 10.1002/14651858.CD013069.pub2 - DOI - PMC - PubMed

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