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Trial registered on ANZCTR
Registration number
ACTRN12612001068853
Ethics application status
Approved
Date submitted
20/09/2012
Date registered
5/10/2012
Date last updated
16/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
An evaluation of cognitive stimulation therapy for people with dementia in Australia
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Scientific title
Acceptability of a pilot Australian adaption of Cognitive Stimulation Therapy for people with dementia
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Secondary ID [1]
281278
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Nil
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Universal Trial Number (UTN)
U1111-1134-9383
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dementia
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Cognition
287481
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Condition category
Condition code
Neurological
287811
287811
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0
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Dementias
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Mental Health
287812
287812
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Cognitive Stimulation Therapy is a nonpharmacological intervention for people with a mild to moderate dementia. It is a structured group or one-to-one program that incorporates Reality Orientation and reminiscence therapy using multisensory activities to stimulate thinking, concentration and memory.
There will be 2 x 45 minute sessions held each week for 7 weeks in the initial CST program followed by weekly 45 minute sessions for 24 weeks in the maintenance program. Each session will have 2 facilitators; all sessions will be group sessions.
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Intervention code [1]
285750
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Treatment: Other
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Acceptability & satisfaction - measured by self report of participant and by evaluation of support person on qualitative measure
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Assessment method [1]
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Timepoint [1]
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After Initial course (week 7) and after maintenance course (week 32)
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Secondary outcome [1]
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Quality of life - Quality of Life AD
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Assessment method [1]
299314
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Timepoint [1]
299314
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After Initial course (week 7) and after maintenance course (week 32)
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Secondary outcome [2]
299315
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Depression - Cornell Scale for Depression in Dementia
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Assessment method [2]
299315
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Timepoint [2]
299315
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After Initial course (week 7) and after maintenance course (week 32)
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Secondary outcome [3]
299316
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Cognition - MMSE
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Assessment method [3]
299316
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Timepoint [3]
299316
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After Initial course (week 7) and after maintenance course (week 32)
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Eligibility
Key inclusion criteria
Patients of Prince of Wales Aged Care Psychiatry Services
Meet DSM–IV criteria for dementia; (American Psychiatric Association, 1994)
Score between 16 and 28 on the Mini-Mental State Exam ;
Able to provide informed consent
Mobile and able to attend the group sessions
Ability to communicate and understand communication in English;
Be able to see and hear well enough to participate in the group sessions;
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Minimum age
60
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Behaviour that would make group participation impossible, such as constant wandering, shouting, or aggression;
Diagnosis of learning disability or current severe clinical depression, which would make reliable assessment difficult
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Clinicians within the Aged Care Psychiatry Department at Prince of Wales Hospital will be asked to approach potential participants that meet inclusion criteria
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/10/2012
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Actual
8/02/2013
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Date of last participant enrolment
Anticipated
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Actual
8/02/2013
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Date of last data collection
Anticipated
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Actual
27/09/2013
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Sample size
Target
8
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Accrual to date
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Final
8
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of NSW
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Address [1]
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Sydney, NSW 2052
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of NSW
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Address
Sydney, NSW 2052
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Country
Australia
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Secondary sponsor category [1]
284858
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Hospital
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Name [1]
284858
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Prince of Wales Hospital
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Address [1]
284858
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Barker Street
Randwick
NSW 2031
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Country [1]
284858
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288094
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South East Sydney Local Health District Human Research Ethics Committee
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Ethics committee address [1]
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Prince of Wales Hospital Barker Street Randwick NSW 2031
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
288094
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Approval date [1]
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20/09/2012
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Ethics approval number [1]
288094
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1/12/0155
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Summary
Brief summary
Cognitive stimulation therapy (CST) is a structured group intervention for people with mild to moderate dementia aimed at improving cognition and social functioning. The initial course of CST involves 45-minute group sessions, held twice a week over seven weeks (or weekly with two 45 minute sessions and a 30 minute break). Maintenance CST (MCST) follows on from the initial course and is a weekly 45-minute 24-session group program. The content of the sessions is designed to stimulate mental function by focusing on the retained abilities of people with dementia and by doing so in a varied, interesting and fun way, through group interactions, games and puzzles, and by sights and sounds. This project aims to 1. To develop an Australian adaptation of the Cognitive Stimulation Therapy (CST) and the Maintenance Cognitive Stimulation Therapy (MCST) programs 2. To pilot and evaluate the adaptations in an Australian setting. The project will involve adapting the content to Australian conditions, piloting the CST and MCST programs and evaluation of both the CST and MCST programs. In addition family members and carers (support persons) will be ask for input and feedback regarding their perceptions of the program's efficacy as well as in the latter part of the maintenance program, being informed what was beneficial and/or enjoyed by their relative/friend.
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Trial website
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Trial related presentations / publications
Kanareck D, Mathie S, McCaskie H, Narunsky N, Finlay J, Draper B. (2015) Cognitive Stimulation Therapy – a pilot Australian adaptation. Australian Journal of Dementia Care, 4(1), 33-36. Kanareck D, Narunsky N, Draper B. (2015) 123 Australian CST – Australian Adaptations for Cognitive Stimulation Therapy. Dementia Collaborative Research Centre, University of NSW. http://www.dementiaresearch.org.au/images/dcrc/output-files/1374-1_2_3_australian_cst_guidebook_final.pdf
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Public notes
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Contacts
Principal investigator
Name
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Prof Brian Draper
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Address
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Euroa Centre, Prince of Wales Hospital, Barker Street, Randwick, NSW, 2031
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Country
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Australia
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Phone
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+61-2-93823753
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Fax
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Email
34744
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[email protected]
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Contact person for public queries
Name
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Professor Brian Draper
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Address
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Academic Department for Old Age Psychiatry
Prince of Wales Hospital
Barker Street
Randwick
NSW 2031
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Country
17991
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Australia
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Phone
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+61-2-9382 3753
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Brian Draper
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Address
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Academic Department for Old Age Psychiatry
Prince of Wales Hospital
Barker Street
Randwick
NSW 2031
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Country
8919
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Australia
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Phone
8919
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61-2-9382 3753
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Fax
8919
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Email
8919
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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