J Korean Geriatr Psychiatry.  2017 Oct;21(2):99-105. 10.0000/jkgp.2017.21.2.99.

Efficacy of Cognitive Stimulation Program for Community-Dwelling Solitary Elderlies with Mild Cognitive Impairment and Dementia

• Kim TW
• Lee KH
• Lee K
• Kwak KP

• KMID: 2395663
• DOI: http://doi.org/10.0000/jkgp.2017.21.2.99

Abstract

OBJECTIVE
This study aims to investigate the efficacy of 48-sessioned cognitive stimulation programs (CSP) in solitary elderlies with mild cognitive impairment (MCI) and dementia.
METHODS
Among 194 subjects, 125 were CSP participants and 69 were controls. Korean version of Mini-Mental Status Examination for Dementia Screening (MMSE-DS), Global Deterioration Scale, Seoul-Instrumental Activities of Daily Living (S-IADL) and Korean version of Geriatric Depression Scale-Short Form, Korean Quality of Life-Alzheimer's Disease (KQoL-AD) were assessed. Outcomes were measured at baseline and after 48th session. we analyzed these collected data.
RESULTS
In CSP group, MMSE-DS (p<0.001), KQoL-AD (p=0.021) were significantly improved compared with their baseline. MMSE-DS was significantly improved in CSP group compared with controls, but KQoL-AD was not (p=0.078). Relative risk (RR) of MCI and dementia in CSP group was 0.491 [95% confidential interval (CI)=0.380-0.633] and that of activities of daily living (ADL) impairment (S-IADL>8) was 0.873 (95% CI=0.773-0.985).
CONCLUSION
CSP improved cognition and quality of life in solitary elderly individuals with MCI or dementia. Also, CSP reduced relative risk of MCI and dementia by 50.8% and ADL impairment by 12.7%. Although we expect CSP might be helpful to prevent cognitive problems of them, appropriate public mental health programs are still needed for their emotional wellbeing.

Keyword

Dementia; Alzheimer disease; Cognitive dysfunction; Solitary elderly; Cognitive stimulation; Prevention; Dementia shelter

MeSH Terms

Activities of Daily Living
Aged
Alzheimer Disease
Cognition
Dementia*
Depression
Humans
Mass Screening
Mental Health
Mild Cognitive Impairment*
Quality of Life