Delivering Cognitive Stimulation Therapy (CST) Virtually: Developing and Field-Testing a New Framework

Luke Perkins, Emily Fisher, Cerne Felstead, Claire Rooney, Gloria H Y Wong, Ruizhi Dai, Sridhar Vaitheswaran, Nirupama Natarajan, Daniel C Mograbi, Cleusa P Ferri, Joshua Stott, Aimee Spector, Luke Perkins, Emily Fisher, Cerne Felstead, Claire Rooney, Gloria H Y Wong, Ruizhi Dai, Sridhar Vaitheswaran, Nirupama Natarajan, Daniel C Mograbi, Cleusa P Ferri, Joshua Stott, Aimee Spector

Abstract

Purpose: This feasibility and pilot study aimed to develop and field-test a 14-session virtual Cognitive Stimulation Therapy (vCST) programme for people living with dementia, developed as a result of services moving online during the COVID-19 pandemic.

Methods: The vCST protocol was developed using the existing group CST manual, through stakeholder consultation with people living with dementia, caregivers, CST group facilitators and dementia service managers. This protocol was then field-tested with 10 groups of people living with dementia in the Brazil, China (Hong Kong), India, Ireland and the UK, and feedback on the protocol was gathered from 14 facilitators.

Results: Field testing in five countries indicated acceptability to group facilitators and participants. Feedback from these groups was used to refine the developed protocol. The final vCST protocol is proposed, including session materials for delivery of CST over videoconferencing and a framework for offering CST virtually in global settings.

Conclusion: vCST is a feasible online intervention for many people living with dementia. We recommend that it is offered to those unable to access traditional in-person CST for health reasons, lack of transport or COVID-19 restrictions. Further research is needed to explore if participant outcomes are comparable to in-person CST groups.

Keywords: COVID-19; dementia; psychosocial intervention; telehealth.

Conflict of interest statement

AS offers Cognitive Stimulation Therapy (CST) training courses on a consultancy basis. The authors report no other conflicts of interest in this work.

© 2022 Perkins et al.

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