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Cognitive and Psychosocial Effects of Individual Cognitive Stimulation in Dementia: A Randomized Controlled Trial
Susana I. Justo‐Henriques, Rosa Carla Gomes da Silva, Enrique Pérez, Janessa O. Carvalho. Journal of Psychosocial Rehabilitation and Mental Health, 2025-09-09
Topic: Risk, prevention and care in population studies
Abstract This study aimed to evaluate the impact of a year-long, home-based individual cognitive stimulation (iCS) program on cognitive performance, mood, functional independence, and quality of life (QoL) in older adults with mild Alzheimer’s disease and vascular dementia. Thirty-nine socially vulnerable, community-dwelling older adults with mild dementia (mean age = 79.7 ± 6.9 years; 66.7% female) were randomly assigned to an iCS group (n = 18) or a control group (n = 21) in a single-blind, parallel two-arm randomized controlled trial. The intervention group received 47 weekly iCS sessions delivered individually by trained professionals, while the control group continued their usual daily routines. Participants were assessed at baseline, midpoint (25 weeks), and post-intervention (50 weeks) using standardized measures. Outcomes included global cognitive function (Mini-Mental State Examination [MMSE], and Montreal Cognitive Assessment [MoCA]), mood (Geriatric Depression Scale-15), instrumental activities of daily living (adapted Lawton-Brody Index), and QoL (QoL-AD). The iCS group showed a significant improvement in global cognition, mood, and functional independence compared to the control group, which showed cognitive and emotional decline. The analysis of MMSE cognitive domains assessed revealed significant improvements in attention and calculation, and delayed recall; on the MoCA, there were improvements in attention, language, and delayed recall. Quality of life remained stable in the iCS group but declined in the control group, though without reaching statistical significance. Adherence, and degree of collaboration to the intervention were high. iCS delivered over an extended period appears to be a feasible and effective non-pharmacological intervention for preserving cognitive function, emotional well-being and autonomyin older adults with mild dementia. Trial registration Clinicaltrials.gov ID: NCT04417751; Care at 360º: A Long-term Individual Cognitive Stimulation Program.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Justo‐Henriques, S. I., da Silva, R. C. G., Pérez, E., & Carvalho, J. O. (2025). Cognitive and Psychosocial Effects of Individual Cognitive Stimulation in Dementia: A Randomized Controlled Trial. Journal of Psychosocial Rehabilitation and Mental Health. https://doi.org/10.1007/s40737-025-00489-5
Vancouver
Justo‐Henriques SI, da Silva RCG, Pérez E, Carvalho JO. Cognitive and Psychosocial Effects of Individual Cognitive Stimulation in Dementia: A Randomized Controlled Trial. Journal of Psychosocial Rehabilitation and Mental Health. 2025. doi:10.1007/s40737-025-00489-5.
BibTeX
@article{justohenriques2025-93926460,
author = {Justo‐Henriques, Susana I. and da Silva, Rosa Carla Gomes and Pérez, Enrique and Carvalho, Janessa O.},
title = {{Cognitive and Psychosocial Effects of Individual Cognitive Stimulation in Dementia: A Randomized Controlled Trial}},
journal = {Journal of Psychosocial Rehabilitation and Mental Health},
year = {2025},
doi = {10.1007/s40737-025-00489-5},
url = {https://doi.org/10.1007/s40737-025-00489-5}
}
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Key findings
- The iCS group showed a significant improvement in global cognition, mood, and functional independence compared to the control group, which showed cognitive and emotional decline.
- The analysis of MMSE cognitive domains assessed revealed significant improvements in attention and calculation, and delayed recall; on the MoCA, there were improvements in attention, language, and delayed recall.
Why it matters
In this small randomized trial of 39 older adults with mild dementia, a year-long home-based individual cognitive stimulation program improved global cognition, mood, and functional independence compared with a control group that declined. The authors note that larger studies with long-term follow-up are needed to confirm these findings.
Study details
- Study designrandomized controlled trial
- Participants18
- Effect size66.7%
- Evidence strengthHigh
How this study scored 52/100
Published in a peer-reviewed journal, and it is a randomised controlled trial.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Psychosocial Rehabilitation and Mental Health) |
| Journal's citation record | 0 / 4 | Journal of Psychosocial Rehabilitation and Mental Health: journal h-index 21 (OpenAlex, 2026-10-29) |
| Study design | 11 / 12 | A randomised controlled trial |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 1 / 4 | 18 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 1 / 2 | Randomised (as stated in the record) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 1 / 6 | Cited 0.6× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Janessa O. Carvalho: h-index 13 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Universidade do Porto: institution h-index 646 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 6 institution(s) in 3 countries |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 52 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1007/s40737-025-00489-5
- Original source →
- Free full text: Journal of Psychosocial Rehabilitation and Mental Health →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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