A multi-disciplinary approach to offering community based cognitive interventions to people with early-stage dementia in Ireland

Kelly, Michelle, Lawlor, Brian, Coen, Robert, Robertson, Ian, Finan, Sinead, Lawless, M., Scully, N., Fitzpatrick, J., Quigley, M., Tyrrell, F., O'Regan, A. and Devane, A. (2022) A multi-disciplinary approach to offering community based cognitive interventions to people with early-stage dementia in Ireland. In: Abstracts of the 18th Congress of the European Geriatric Medicine Society. Springer Nature, pp. 1-439.

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Abstract

Introduction: Cognitive Stimulation Therapy (CST) and Cognitive Rehabilitation (CR) are two interventions with a substantial evidence-base, showing improvements in outcomes including cognitive function, goal attainment, and quality of life (QoL) for people living with a diagnosis of dementia (PLwD); although neither are yet part of mainstream service delivery in Ireland.

Methods: Two pilot studies were undertaken in collaboration with Trinity College Dublin (TCD) and the Alzheimer Society of Ireland (ASI) to examine the feasibility and impact of community-based CST and CR for PLwD. Study 1 incorporated a mixed methods design and examined the impact of CST on cognitive function, satisfaction with cognitive performance and confidence for 20 participants (quantitative), and the acceptability of CST as rated by PLwD and ASI staff (qualitative). Study 2 incorporated a single-subject multiple baseline design and examined the impact of CR on goal performance and cognitive function of 3 participants.

Results: Study 1 demonstrated pre-post intervention improvements in satisfaction with cognitive performance and confidence but not cognitive function. Qualitative interviews demonstrated a high level of acceptability of CST. Study 2 demonstrated a functional relationship between CR and goal attainment for all three participants, and post-intervention improvements in cognition for two participants.

Key conclusions: CST and CR can be offered with fidelity to community dwelling adults in Ireland. Collaboration between ASI staff, academics, OTs and other key stakeholders will play a key role in the scaling up of intervention delivery. Upcoming research will identify barriers and facilitators to more widespread implementation of CST for Irish PLwD.

Item Type:	Book Section
Subjects:	B Philosophy. Psychology. Religion > Psychology R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry B Philosophy. Psychology. Religion > Psychology > Cognitive psychology
Divisions:	School of Business > Staff Research and Publications
Depositing User:	Tamara Malone
Date Deposited:	21 Dec 2022 15:48
Last Modified:	05 Jan 2023 10:32
URI:	https://norma.ncirl.ie/id/eprint/6019

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