Cognitive Stimulation Therapy for Dementia: Pilot Studies of Acceptability and Feasibility of Cultural Adaptation for India

Am J Geriatr Psychiatry. 2017 Sep;25(9):1029-1032. doi: 10.1016/j.jagp.2017.04.014. Epub 2017 Apr 27.

Abstract

Objective: This study aims to culturally adapt, translate, and test the feasibility and acceptability of delivering cognitive stimulation therapy (CST) for persons with mild to moderate dementia in Chennai, India.

Methods: The adaptation followed a five-stage process in accordance with the formative method for adapting psychotherapy. Focus-group discussions with experts and feedback from participants, carers, and facilitators after two consecutive pilot studies provided the basis for adaptation.

Results: Substantial modifications were required. The adapted program was found to be an acceptable, enjoyable, and constructive by participants and carers alike.

Conclusion: CST was successfully adapted for use in South India. Translations into other Indian languages using the adapted manual are required for nation-wide implementation. Large-scale clinical trials are required to replicate global reports on the efficacy and cost-effectiveness of CST in India across different settings.

Keywords: CST; India; adaptation; cognitive stimulation; cognitive stimulation therapy; cognitive therapy; culture; dementia.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Caregivers
  • Cognitive Remediation / methods*
  • Culturally Competent Care / ethnology*
  • Dementia / ethnology*
  • Dementia / rehabilitation*
  • Feasibility Studies
  • Female
  • Humans
  • India
  • Male
  • Patient Acceptance of Health Care / ethnology*
  • Pilot Projects