Summary of the Systematic Review

Article Citation

Cognitive Interventions in Patients With Dementia Living in Long-Term Care Facilities: Systematic Review and Meta-Analysis

Folkerts, A. K., Roheger, M., et al. (2017).
Archives of Gerontology and Geriatrics, 73, 204-221.
Go to Article

Sponsoring Body

No funding received

Article Quality Ratings

Read about Our Rating Process

Indicators of Review Quality

  • Yes The review states a clearly focused question/aim.
  • Yes Criteria for inclusion of studies are provided.
  • Yes Search strategy described in sufficient detail for replication.
  • Yes Included studies are assessed for study quality.
  • Yes Quality assessments are reproducible.
  • Yes Characteristics of the included studies are provided.

Article Details

Description

This is a systematic review of controlled trials examining the efficacy of cognitive treatments provided in long term care settings to individual with dementia. An additional meta-analysis was completed on a subset of studies examining the effects by specific intervention approach and outcome (e.g., global cognition, quality of life, depression). 

Questions/Aims Addressed

To determine the "effects of various cognitive interventions on cognitive and non-cognitive outcomes in patients with
dementia living in [long term care] facilities...and to differentiate effects of studies which compare cognitive interventions to active
versus passive control groups" (p. 205). 

Population

Individuals diagnosed with dementia residing in a long term care facility

Intervention/Assessment

The following interventions were included:
  • reminiscence therapy, 
  • cognitive training,
  • cognitive rehabilitation, 
  • cognitive stimulation/reality orientation.
  • multimodal interventions

Number of Studies Included

27 systematic review; 15 meta-analysis

Years Included

up to December 2015


Conclusions from This Systematic Review

What are Conclusions?

Go to Map

Treatment

Nine studies examined the efficacy of cognitive stimulation/reality orientation for long term care residents with dementia. Three studies included in the meta-analysis examined global cognitive outcomes and reported small effects in favor of the intervention group compared to the passive control group. Small effects were also noted for quality of life/well being outcomes.

Keywords: Setting (Home/Community/SNF), Cognitive-Communication, Cognitive Stimulation, Reality Orientation Therapy

Six studies examined the efficacy of cognitive training (e.g., paper/pencil tasks, spaced retrieval, errorless learning strategy training) for long term care residents with dementia. Of these, two were included in the meta-analyses and reported large effects for improved global cognition after cognitive training. No treatment effects were noted on other cognitive outcomes. 

Keywords: Setting (Home/Community/SNF), Cognitive-Communication

Of the 27 studies included, eight examined the efficacy of reminiscence treatment on long-term care patients with dementia. Two studies were included in the meta-analysis and revealed moderate effects for autobiographic memory skills. Small effects were also noted for improved quality of life and global cognition.

Keywords: Setting (Home/Community/SNF), Cognitive-Communication, Quality of Life, Reminiscence Therapy

Overall, there were moderate significant effects on global cognition favoring cognitive interventions compared to passive and active control groups. Moderate effects were also noted for autobiographical memory for dementia patients receiving cognitive interventions compared to passive control group. However, no significant effects were found for memory, executive functioning, quality of life and well-being for long term care residents with dementia. 

Keywords: Setting (Home/Community/SNF), Cognitive-Communication

Service Delivery

Nine studies examined the efficacy of cognitive stimulation/reality orientation for long term care residents with dementia. Three studies included in the meta-analysis examined global cognitive outcomes and reported small effects in favor of the intervention group compared to the passive control group. Small effects were also noted for quality of life/well being outcomes.

Keywords: Setting (Home/Community/SNF), Cognitive-Communication, Cognitive Stimulation, Reality Orientation Therapy

Six studies examined the efficacy of cognitive training (e.g., paper/pencil tasks, spaced retrieval, errorless learning strategy training) for long term care residents with dementia. Of these, two were included in the meta-analyses and reported large effects for improved global cognition after cognitive training. No treatment effects were noted on other cognitive outcomes. 

Keywords: Setting (Home/Community/SNF), Cognitive-Communication

Of the 27 studies included, eight examined the efficacy of reminiscence treatment on long-term care patients with dementia. Two studies were included in the meta-analysis and revealed moderate effects for autobiographic memory skills. Small effects were also noted for improved quality of life and global cognition.

Keywords: Setting (Home/Community/SNF), Cognitive-Communication, Quality of Life, Reminiscence Therapy

Overall, there were moderate significant effects on global cognition favoring cognitive interventions compared to passive and active control groups. Moderate effects were also noted for autobiographical memory for dementia patients receiving cognitive interventions compared to passive control group. However, no significant effects were found for memory, executive functioning, quality of life and well-being for long term care residents with dementia. 

Keywords: Setting (Home/Community/SNF), Cognitive-Communication

Our Partners