Individual goal‐oriented cognitive rehabilitation to improve everyday functioning for people with early‐stage dementia: A multicentre randomised controlled trial (the GREAT trial)

Feb 7, 2019International journal of geriatric psychiatry

Personalized thinking skill training to improve daily life in people with early dementia: A large clinical trial

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Abstract

Statistically significant large positive effects were observed for participant-rated goal attainment at 3 months (d = 0.97).

  • Participants receiving reported improvements in achieving personal goals compared to those receiving usual treatment.
  • Informant ratings also supported these findings, indicating a corroboration of participant-reported improvements.
  • The positive effects on goal attainment were maintained at the 9-month follow-up.
  • Improvements were specifically related to the goals that were targeted during the cognitive rehabilitation sessions.
  • No significant differences were found in secondary outcomes, such as quality of life and mood.

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Key numbers

2.84
Participant-Rated Goal Attainment Improvement
Mean change in goal attainment ratings on a 0 to 10 scale.
3.09
Informant-Rated Goal Attainment Improvement
Mean change in ratings by study partners at 3 months.
90%
Retention Rate
Retention rate at 9 months post-randomization.

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