dc.description.abstract |
Background: Cognitive Stimulation Therapy (CST) is a non-
pharmacological intervention developed for dementia that is useful in
Africa but has not been studied widely. We reviewed the existing
evidence regarding CST among older people living with dementia in
Africa.
Methods: A systematic literature search on CST among older people
with dementia in Africa from 2000-2021 was done in MEDLINE
(PubMed), CINAHL (EBSCOhost), and PsycINFO. A narrative approach
was taken to chart, synthesize and interpret the data using Microsoft
Excel.
Results: After removing duplicates using Endnote, a total of 122
studies were retained and screened first by title, then abstract, and
finally by full text. Seven articles matched the inclusion/exclusion
criteria. CST has been adapted and piloted in two African countries
(Nigeria and Tanzania). CST studies in Africa indicate improvements in
clinical outcomes including cognition and quality of life. Although
there are some barriers to overcome, CST has significant facilitators in
an African context.
Conclusions: CST is feasible, adaptable, and acceptable in the African
countries it has been implemented in. Some cultural barriers, such as
religious affiliation and respect for older people, should be overcome.
Further research is needed to further evaluate the efficacy of CST in
various African contexts. |
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