Cognitive Stimulation Therapy (CST) for Dementia: A Systematic Review of Qualitative Research

Aging & Mental Health

Gibbor, L., Yates, L., et al. (2021).

Aging & Mental Health, 25(6), 980-990.

This systematic review explores qualitative outcomes following cognitive stimulation therapy from the reports of health care professionals, facilitators, carepartners, and patients with dementia.

Not stated



2003 to January 2019

Qualitative and mixed-method designs

10

Carepartners endorsed frustration regarding lack of education about the content of Cognitive Stimulation Therapy (CST) sessions, reporting that support from others and appropriate communication skills were essential to success for people with dementia (PWD). They additionally reported reduced patient motivation, possibly due to emotional and physical health problems, was associated with increased difficulty in getting PWD to groups, especially during maintenance CST. Mixed results were noted regarding carepartner reports of mental stimulation in CST, however carepartners and PWD reported improvements in attention, alertness, memory, and cognition overall. Improvements in confidence, overall sense of enjoyment, mood, activity, and participation was also noted in PWD. Both PWD and their carepartners reported increased opportunities for engagement and social support. Client preference for practical tasks and outdoor and physical activities was noted. Carepartners endorsed adaptability, individualization, and supportive environments for the program allowed for better engagement of the PWD.