Cognitive Stimulation Therapy—Spain (CST-ES): Cultural Adaptation Process and Pilot Study

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2025-06-05 DOI:10.1002/gps.70109

Enrique Pérez-Sáez, Elisa Aguirre Sánchez, Mireia Tofiño García, Teresa Rodríguez del Rey, Beatriz Peláez Hernández

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引用次数: 0

Abstract

Objectives

To assess the validity and acceptability of an adapted version of Cognitive Stimulation Therapy (CST) for the Spanish population and culturally adapt the original UK manuals.

Methods

The process followed the Formative Method for Adapting Psychotherapy (FMAP). Two focus groups were conducted with healthcare professionals specialized in the care of people with dementia, a pilot study with a small sample size (n = 6), and individual interviews with participants, family caregivers, and group facilitators. The study was conducted at the National Reference Center for Alzheimer's and Dementia Care (CREA), a specialized dementia care center in Spain. The participants included eight healthcare professionals for the focus groups, six persons with dementia from CREA outpatient programs for the pilot study, their family caregivers, and two group facilitators. Assessments for the pilot study included the Mini-Mental State Examination (MMSE), Cambridge Cognitive Assessment Revised (CAMCOG-R), Geriatric Depression Scale (GDS-15), Quality of Life in Alzheimer's Disease Scale (QoL-AD), Barthel Index (BI), and the Lawton and Brody Scale for Instrumental Activities of Daily Living (IADL).

Results

The adapted CST principles and structure were deemed suitable for the Spanish context, with necessary linguistic and cultural adjustments. The pilot study reported no implementation issues, with positive feedback from participants, caregivers, and facilitators, alongside significant cognitive and quality of life improvements.

Discussion

The culturally adapted Cognitive Stimulation Therapy—Spain (CST-ES) is a valid and appropriate intervention for the Spanish population, providing a valuable addition to non-pharmacological therapies for dementia in Spain.

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西班牙认知刺激疗法（CST-ES）：文化适应过程和试点研究

目的评估西班牙人群认知刺激疗法（CST）改编版本的有效性和可接受性，并对英国原版手册进行文化改编。方法采用适应心理治疗形成法（FMAP）。两个焦点小组由专门照顾痴呆症患者的医疗保健专业人员组成，进行了一项小样本量的试点研究（n = 6），并对参与者、家庭照顾者和小组促进者进行了个人访谈。这项研究是在国家阿尔茨海默病和痴呆症护理参考中心（CREA）进行的，这是西班牙一家专门的痴呆症护理中心。参与者包括焦点小组的8名医疗保健专业人员，试点研究中CREA门诊项目的6名痴呆症患者，他们的家庭照顾者和2名小组协调员。试点研究的评估包括简易精神状态检查（MMSE）、剑桥认知评估修订版（CAMCOG-R）、老年抑郁量表（GDS-15）、阿尔茨海默病生活质量量表（QoL-AD）、Barthel指数（BI）和日常生活工具性活动劳顿和布罗迪量表（IADL）。结果调整后的CST原则和结构被认为适合西班牙语语境，并进行了必要的语言和文化调整。试点研究报告没有实施问题，参与者、护理人员和促进者的积极反馈，以及显著的认知和生活质量改善。文化适应性认知刺激疗法-西班牙（CST-ES）是西班牙人群有效和适当的干预措施，为西班牙痴呆症的非药物治疗提供了有价值的补充。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.