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Maintenance Cognitive Stimulation Therapy (CST) in practice: study protocol for a randomized controlled trial


Streater, Amy, Spector, Aimee, Aguirre, Elisa, Hoe, Juanita, Hoare, Zoe, Woods, Robert, Russell, Ian, Orrell, Martin


Trials, Volume: 13, Pages.: 91-91

Year of Publication



Background: Cognitive Stimulation Therapy (CST) is a psychosocial evidence-based group intervention for people with dementia recommended by the UK NICE guidelines. In clinical trials, CST has been shown to improve cognition and quality of life, but little is known about the best way of ensuring implementation of CST in practice settings. A recent pilot study found that a third of people who attend CST training go on to run CST in practice, but staff identified a lack of support as a key reason for the lack of implementation.; Methods/design: There are three projects in this study: The first is a pragmatic multi-centre, randomised controlled trial (RCT) of staff training, comparing CST training and outreach support with CST training only; the second, the monitoring and outreach trial, is a phase IV trial that evaluates implementation of CST in practice by staff members who have previously had the CST manual or attended training. Centres will be randomised to receive outreach support. The primary outcome measure for both of these trials is the number of CST sessions run for people with dementia. Secondary outcomes include the number of attenders at sessions, job satisfaction, dementia knowledge and attitudes, competency, barriers to change, approach to learning and a controllability of beliefs and the level of adherence. Focus groups will assess staff members’ perceptions of running CST groups and receiving outreach support. The third study involves monitoring centres running groups in their usual practice and looking at basic outcomes of cognition and quality of life for the person with dementia.; Discussion: These studies assess the effects of outreach support on putting CST into practice and running groups effectively in a variety of care settings with people with dementia; evaluate the effectiveness of CST in standard clinical practice; and identify key factors promoting or impeding the successful running of groups.; Trial Registration: Clinical trial ISRCTN28793457.;

Bibtex Citation

@article{Streater_2012, doi = {10.1186/1745-6215-13-91}, url = {}, year = 2012, month = {jun}, publisher = {Springer Nature}, volume = {13}, number = {1}, author = {Amy Streater and Aimee Spector and Elisa Aguirre and Juanita Hoe and Zoe Hoare and Robert Woods and Ian Russell and Martin Orrell}, title = {Maintenance Cognitive Stimulation Therapy ({CST}) in practice: study protocol for a randomized controlled trial}, journal = {Trials} }


aging, attitude of health personnel, clinical competence, cognitive therapy, community mental health services, dementia, diagnosis, education, great britain, guideline adherence, health knowledge attitudes practice, health personnel, health services for the aged, humans, implementation, inservice training, job satisfaction, manpower, manuals as topic, monitoring, ongoing, practice guidelines as topic, psychology, quality of life, questionnaires, research design, standards, therapy, treatment outcome, videodisc recording

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Cost and service use study, Focus Group, Other, Randomised Controlled Trial

Type of Outcomes

Activities of Daily Living, Cognition, Quality of Life of Person With Dementia, Service use or cost reductions (incl. hospital use reduction, care home admission delay)

Type of Interventions

Non-pharmacological Treatment, Treatment/prevention of co-morbidities or additional risks

Non-Pharmaceutical Interventions

Adult safeguarding and abuse detection/prevention

Workforce Interventions

Professional Training / Continuing Professional Development