Cochrane · systematic review · CD005562

Cognitive stimulation to improve cognitive functioning in people with dementia

Woods, B, Rai, HK, Elliott, E, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

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
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 14.3%Moderate 7 · 50%High 5 · 35.7%

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 stimulation compared to no cognitive stimulation (post‐treatment) in people with dementia

Population: people with dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition
Cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted34 studies · 2340 participantsModerate
Downgraded: inconsistency
Quality of Life: self‐report
Cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted18 studies · 1584 participantsModerate
Downgraded: inconsistency
Communication and social interaction
Cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted7 studies · 702 participantsHigh
Mood: self‐reported
Cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted10 studies · 787 participantsHigh
Mood: interviewer/staff‐rated
Cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted11 studies · 1011 participantsLow
Downgraded: imprecision, inconsistency
Instrumental ADL
Cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted13 studies · 1318 participantsHigh
Behaviour that challenges
Cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted12 studies · 1340 participantsModerate
Downgraded: imprecision, inconsistency

Group cognitive stimulation compared to no cognitive stimulation (post‐treatment) in people with dementia

Population: people with dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition
Group cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted27 studies · 1637 participantsModerate
Downgraded: inconsistency
Quality of Life: self‐report
Group cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted13 studies · 1058 participantsLow
Downgraded: imprecision, inconsistency
Communication and social interaction
Group cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted7 studies · 702 participantsHigh
Mood: self‐reported
Group cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted6 studies · 299 participantsModerate
Downgraded: imprecision, inconsistency
Mood: interviewer/staff‐rated
Group cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted10 studies · 959 participantsModerate
Downgraded: imprecision, inconsistency
Instrumental ADL
Group cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted8 studies · 687 participantsHigh
Behaviour that challenges
Group cognitive stimulation vs no cognitive stimulation (post‐treatment)
no estimate extracted8 studies · 754 participantsModerate
Downgraded: inconsistency