Summary of the Systematic Review

Article Citation

Evidence-Based Practice Recommendations: Caregiver-Administered Active Cognitive Stimulation for Individuals with Alzheimer's Disease

Zientz, J., Rackley, A., et al. (2007).
Journal of Medical Speech-Language Pathology, 15(3), xxvii-xxxiv.
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Sponsoring Body

Academy of Neurologic Communication Disorders and Sciences; American Speech-Language-Hearing Association; Department of Veterans Affairs

Article Quality Ratings

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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.
  • No Characteristics of the included studies are provided.

Article Details

Description

This is a review of quantitative studies pertaining to indirect interventions for individuals with Alzheimer's disease. This review is part of a series of reports from the Academy of Neurologic Communication Disorders and Science specific to the assessment and management of individuals with dementia.

Questions/Aims Addressed

  1. What is the purpose and content of caregiver-administered active cognitive stimulation?
  2. Who are the participants who received this intervention?
  3. What are the outcomes of the intervention?
  4. What are the key methodological concerns?
  5. What are the clinically applicable trends across these studies?

Population

Individuals with the diagnosis of Alzheimer's disease

Intervention/Assessment

Indirect caregiver intervention focused on active cognitive stimulation programs that include activities for memory and conversation skills

Number of Studies Included

3

Years Included

1960-2002

Evidence Ratings for This Document

Classes of evidence are defined as follows: 
  • Class I: Evidence from one or more well-designed randomized controlled trial studies.
  • Class II: Evidence from one or more well designed observational studies (e.g. case-control studies, cohort studies).
  • Class III: Evidence from case series, case studies or expert opinion.

Conclusions from This Systematic Review

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Treatment

Results from three studies support the training of caregivers to provide cognitive stimulation therapy for individuals with mild to moderate Alzheimer's disease. However, methodological weakness of studies was noted. Further research is warranted to determine the long term benefits of caregiver-administered treatment (Class II Evidence).

Keywords: Diagnosis, Severity/Stage, Mild-Moderate/Early Stage, Cognitive-Communication, Alzheimer’s Disease, Caregiver Partner Training, Cognitive Stimulation, Education/Counseling

The authors of the review found active cognitive stimulation therapies to be beneficial in maintaining cognitive and behavioral function (Class II Evidence).

Keywords: Mild-Moderate/Early Stage, Provider (SLP/Caregiver), Diagnosis, Severity/Stage, Alzheimer’s Disease, Cognitive-Communication, Caregiver, Cognitive Stimulation, Education/Counseling

Service Delivery

The authors of the review found active cognitive stimulation therapies to be beneficial in maintaining cognitive and behavioral function (Class II Evidence).

Keywords: Mild-Moderate/Early Stage, Provider (SLP/Caregiver), Diagnosis, Severity/Stage, Alzheimer’s Disease, Cognitive-Communication, Caregiver, Cognitive Stimulation, Education/Counseling

Notes on This Article

Associated Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Montessori-Based Interventions
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Dementia: Educating Caregivers on Alzheimer's Disease and Training Communication Strategies
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Spaced-Retrieval Training
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Simulated Presence Therapy
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Computer-Assisted Cognitive Interventions (CACIs)
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Group Reminiscence Therapy
Read ASHA's Article Summary | Go to Article

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