Cochrane · systematic review · CD013069
Cognitive training for people with mild to moderate dementia
Bahar‐Fuchs, A, Martyr, A, Goh, AMY, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
28
current version
GRADE rated
24
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 4 · 14.3%Very low 12 · 42.9%Low 7 · 25%Moderate 5 · 17.9%High 0 · 0%
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 immediately post intervention for people with mild to moderate dementia
Population: people with mild to moderate dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in a global measure of cognition (composite) Cognitive training vs control immediately post intervention | no estimate extracted | 27 studies · 1389 participants | Moderate Downgraded: inconsistency |
Change in a global measure of cognition Cognitive training vs control immediately post intervention | no estimate extracted | 20 studies · 1288 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Change in delayed memory Cognitive training vs control immediately post intervention | no estimate extracted | 11 studies · 543 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Change in participants' mood Cognitive training vs control immediately post intervention | no estimate extracted | 8 studies · 577 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Change in capacity for activities of daily living Cognitive training vs control immediately post intervention | no estimate extracted | 10 studies · 687 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Participant burden (retention rates) Cognitive training vs control immediately post intervention | OR 0.73 [0.37, 1.43] | 17 studies · 1282 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Change in mood and well‐being (caregiver) Cognitive training vs control immediately post intervention | no estimate extracted | 1 study · 36 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Cognitive training compared to control in the medium term (3 to 12 months post intervention) for people with mild to moderate dementia
Population: people with mild to moderate dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in a global measure of cognition (composite) Cognitive training vs control | no estimate extracted | 8 studies · 387 participants | Very low Downgraded: risk of bias |
Change on global cognition (screening) (Global cog) Cognitive training vs control | no estimate extracted | 6 studies · 387 participants | Very low Downgraded: risk of bias |
Change in disease progression Cognitive training vs control | no estimate extracted | 3 studies · 98 participants | Very low Downgraded: risk of bias |
Change in delayed memory Cognitive training vs control | no estimate extracted | 4 studies · 253 participants | Very low Downgraded: risk of bias |
Change in capacity for activities of daily living Cognitive training vs control | no estimate extracted | 3 studies · 64 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Change in participants' mood Cognitive training vs control | no estimate extracted | 2 studies · 30 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Change in mood and well‐being (caregiver) Cognitive training vs control | no estimate extracted | 0 studies · 0 participants | Ungraded |
Cognitive training compared to alternative treatment immediately post intervention for people with mild to moderate dementia
Population: people with mild to moderate dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in a global measure of cognition (composite) Cognitive training vs alternative treatment immediately post intervention | no estimate extracted | 7 studies · 769 participants | Low Downgraded: imprecision |
Change in a global measure of cognition Cognitive training vs alternative treatment immediately post intervention | no estimate extracted | 7 studies · 724 participants | Very low Downgraded: imprecision |
Change in delayed memory Cognitive training vs alternative treatment immediately post intervention | no estimate extracted | 3 studies · 147 participants | Very low Downgraded: imprecision, inconsistency |
Change in participants' mood Cognitive training vs alternative treatment immediately post intervention | no estimate extracted | 3 studies · 543 participants | Moderate Downgraded: imprecision, inconsistency |
Change in capacity for activities of daily living Cognitive training vs alternative treatment immediately post intervention | no estimate extracted | 3 studies · 525 participants | Moderate Downgraded: imprecision, inconsistency |
Participant burden (retention rates) Cognitive training vs alternative treatment immediately post intervention | OR 0.78 [0.24, 2.57] | 4 studies · 639 participants | Very low Downgraded: imprecision |
Change in mood and well‐being (caregiver) Cognitive training vs alternative treatment immediately post intervention | no estimate extracted | 1 study · 88 participants | Moderate Downgraded: imprecision, inconsistency |
Cognitive training compared to alternative treatment in the medium term (3 to 12 months post intervention) for people with mild to moderate dementia
Population: people with mild to moderate dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in a global measure of cognition (composite) Cognitive training vs alternative treatment | no estimate extracted | 2 studies · 73 participants | Very low Downgraded: imprecision |
Change in a global measure of cognition Cognitive training vs alternative treatment | no estimate extracted | 2 studies · 73 participants | Very low Downgraded: imprecision |
Change in disease progression Cognitive training vs alternative treatment | no estimate extracted | 0 studies · 0 participants | Ungraded |
Change in delayed memory Cognitive training vs alternative treatment | no estimate extracted | 2 studies · 73 participants | Very low Downgraded: imprecision |
Change in participants' mood Cognitive training vs alternative treatment | no estimate extracted | 1 study · 39 participants | Low Downgraded: imprecision |
Change in capacity for activities of daily living Cognitive training vs alternative treatment | no estimate extracted | 0 studies · 0 participants | Ungraded |
Change in mood and well‐being (caregiver) Cognitive training vs alternative treatment | no estimate extracted | 0 studies · 0 participants | Ungraded |