Impaired Cognition Clinical Trial
Official title:
The Efficacy of Using Volunteers to Implement a Cognitive Stimulation Program in Two Long-Term Care Homes
Many volunteers visiting seniors make socially-based "friendly visits". This study investigated the efficacy of volunteers making visits focused on stimulating cognition. Participants were randomly assigned to either a "friendly visit" control group or a cognitive stimulation group. Seniors receiving stimulation visits made statistically significant improvement in memory abilities.
Older adults who maintain their cognitive skills and abilities are able to live more
independently than those whose skills have deteriorated. The costs (money, time, personnel)
associated with providing cognitive stimulation programs to residents in long-term care
homes often prohibit the delivery of these programs. The present study explored the efficacy
of using volunteers to administer a stimulation program in two long-term care homes. The
program focused on stimulating reasoning, attention, and memory abilities using
uncomplicated, pen-and-paper exercises. Thirty-six resident participants and 16 volunteer
participants were randomly assigned to one of two parallel groups, either the control or
stimulation group.
For eight weeks, three times each week, control group participants met for standard
"friendly visits" (casual conversation between a resident and volunteer) and stimulation
group participants met to work through a variety of exercises meant to stimulate the
cognitive abilities of residents. Results were analyzed using a 2-way ANOVA and indicated
statistically significant Group x Time interactions for Verbal Memory (F(1, 33) = 7.92, p =
.008), Non-Verbal Memory (F(1, 33) = 6.8, p = .014), Learning (F(1, 33) = 5.27, p = .028),
and Verbal Fluency (F (1, 33) = 5.56, p = .024).
Volunteers completed a post-study questionnaire which indicated that the volunteers in the
stimulation group found their skills-based interactions more stimulating for residents.
Given this showing of improved resident abilities, it is reasonable to assert that the study
does demonstrate that a volunteer-administered, cognitive stimulation program can provide
measurable gains in the cognitive abilities of older adults. Further studies concerning the
role of volunteers in the maintenance of the cognitive abilities of older adults are
recommended.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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