Cochrane · systematic review · CD003260
Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer's disease and vascular dementia
Bahar‐Fuchs, A, Clare, L, Woods, B · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library
Dementia and Cognitive ImprovementAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
8
No studies
5
Included studies
NR
No studies 5 · 38.5%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 23.1%Moderate 2 · 15.4%High 3 · 23.1%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Cognitive training compared to control in the short‐term (i.e. immediately post‐intervention) for early‐stage Alzheimer's disease and vascular dementia
Population: participants with early‐stage Alzheimer's disease and vascular dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in a global measure of cognition MMSE, ADAS‐Cog, Mattis Dementia Rating Scale Cognitive training vs control | no estimate extracted | 6 studies · 173 participants | Low Downgraded: risk of bias, imprecision |
Change in participant's capacity for activities of daily living (Caregiver reported) Cognitive training vs control | no estimate extracted | 4 studies · 107 participants | Low Downgraded: imprecision, inconsistency |
Change in participant's mood (self‐reported) Cognitive training vs control | no estimate extracted | 4 studies · 114 participants | Moderate Downgraded: imprecision |
Change in rates of admission to residential care－not measured Cognitive training vs control | no estimate extracted | NR | No studies |
Change in measures of dementia severity－not measured Cognitive training vs control | no estimate extracted | NR | No studies |
Change in immediate verbal memory scores Cognitive training vs control | no estimate extracted | 7 studies · 201 participants | Low Downgraded: risk of bias, imprecision |
Change in self‐reported burden of care Cognitive training vs control | no estimate extracted | 2 studies · 80 participants | Moderate Downgraded: imprecision |
Cognitive rehabilitation compared to control in the short‐term (i.e. immediately post‐intervention) for early‐stage Alzheimer's disease and vascular dementia
Population: participants with early‐stage Alzheimer's disease and vascular dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in a global measure of cognition－not measured Cognitive rehabilitation vs control | no estimate extracted | NR | No studies |
Change in participant's self‐reported performance in relation to individual goals (COPM Performance, self‐reported) Canadian Occupational Performance Measure Cognitive rehabilitation vs control | no estimate extracted | 1 study · 39 participants | High |
Change in participant's mood (Depression, self‐reported) Hospital Anxiety and Depression Scale Cognitive rehabilitation vs control | no estimate extracted | 1 study · 41 participants | High |
Change in rates of admission to residential care－not measured Cognitive rehabilitation vs control | no estimate extracted | NR | No studies |
Change in measures of dementia severity－not measured Cognitive rehabilitation vs control | no estimate extracted | NR | No studies |
Change in self‐reported mood (Depression－caregiver) Cognitive rehabilitation vs control | no estimate extracted | 1 study · 18 participants | High |