Cochrane · systematic review · CD013388

Cognitive rehabilitation for people with mild to moderate dementia

Kudlicka, A, Martyr, A, Bahar-Fuchs, A, 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 1 · 7.1%Low 1 · 7.1%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

Summary of findings table ‐ Cognitive rehabilitation compared to inactive control condition for people with mild‐to‐moderate dementia (at the end of therapy)

Population: people with mild‐to‐moderate dementia (at the end of therapy)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Functional ability in targeted activities: personal goals ‐ performance (participant self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 501 participantsHigh
Functional ability in targeted activities: personal goals ‐performance (informant report of participant)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 476 participantsHigh
General functional ability (informant report of participant)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 673 participantsLow
Downgraded: risk of bias, imprecision
Self‐efficacy (participant self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted2 studies · 456 participantsHigh
Mood: depression (participant self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 502 participantsVery low
Downgraded: imprecision, inconsistency
Quality of life (participant self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted5 studies · 853 participantsModerate
Downgraded: imprecision
Quality of life: psychological (care partner self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 464 participantsModerate
Downgraded: imprecision

Summary of findings table ‐ Cognitive rehabilitation compared to inactive control condition for people with mild‐to‐moderate dementia (at medium‐term follow‐up)

Population: people with mild‐to‐moderate dementia (at medium‐term follow‐up)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Functional ability in targeted activities: personal goals ‐ performance (participant self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted2 studies · 432 participantsHigh
Functional ability in targeted activities: personal goals ‐ performance (informant report of participant)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 446 participantsHigh
General functional ability (informant report of participant)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 380 participantsModerate
Downgraded: imprecision
Self‐efficacy (participant self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted2 studies · 417 participantsModerate
Downgraded: imprecision
Mood: depression (participant self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 456 participantsModerate
Downgraded: imprecision
Quality of life (participant self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted5 studies · 783 participantsModerate
Downgraded: imprecision
Quality of life: psychological (care partner self‐report)
Summary of findings table ‐ Cognitive rehabilitation vs inactive control condition
no estimate extracted3 studies · 437 participantsModerate
Downgraded: imprecision