Sarah Mkenda1, Olaide Olakehinde2, Godfrey Mbowe1, Akeem Siwoku2, Aloyce Kisoli1, Stella-Maria Paddick3, Babatunde Adediran4, William K Gray5, Catherine L Dotchin6, Akinpelumi Adebiyi7, Richard W Walker8, Declare Mushi1, Adesola Ogunniyi7. 1. Kilimanjaro Christian Medical University College, Moshi, Tanzania. 2. University of Ibadan, Ibadan, Nigeria. 3. Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, UK; Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK. 4. University College Hospital, Ibadan, Nigeria. 5. Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, UK. 6. Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, UK; Institute for Ageing, Newcastle University, Newcastle upon Tyne, UK. 7. University College Hospital (University of Ibadan), Ibadan, Nigeria. 8. Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, UK; Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Abstract
INTRODUCTION: Cognitive stimulation therapy is a non-pharmacological intervention for people with dementia. Its use has been associated with substantial improvements in cognition and quality of life in studies from high-income countries, equivalent to those achieved by pharmacological treatments. Cognitive stimulation therapy may be particularly suited to low resource settings, such as sub-Saharan Africa, because it requires little specialist equipment and can be delivered by non-specialist health workers. The aim of this study was to adapt cognitive stimulation therapy for use in sub-Saharan Africa taking into account socio-cultural differences and resource implications. METHODS: Cognitive stimulation therapy is a structured programme, originally developed in the United Kingdom. Substantial adaptations were required for use in sub-Saharan Africa. The formative method for adapting psychotherapy was used as a framework for the adaption process. The feasibility of using the adapted cognitive stimulation therapy programme to manage dementia was assessed in Tanzania and Nigeria in November 2013. Further adaptations were made following critical appraisal of feasibility. RESULTS: The adapted cognitive stimulation therapy intervention appeared feasible and acceptable to participants and carers. Key adaptations included identification of suitable treatment settings, task adaptation to accommodate illiteracy and uncorrected sensory impairment, awareness of cultural differences and usage of locally available materials and equipment to ensure sustainability. CONCLUSIONS: Cognitive stimulation therapy was successfully adapted for use in sub-Saharan Africa. Future work will focus on a trial of cognitive stimulation therapy in each setting.
INTRODUCTION: Cognitive stimulation therapy is a non-pharmacological intervention for people with dementia. Its use has been associated with substantial improvements in cognition and quality of life in studies from high-income countries, equivalent to those achieved by pharmacological treatments. Cognitive stimulation therapy may be particularly suited to low resource settings, such as sub-Saharan Africa, because it requires little specialist equipment and can be delivered by non-specialist health workers. The aim of this study was to adapt cognitive stimulation therapy for use in sub-Saharan Africa taking into account socio-cultural differences and resource implications. METHODS: Cognitive stimulation therapy is a structured programme, originally developed in the United Kingdom. Substantial adaptations were required for use in sub-Saharan Africa. The formative method for adapting psychotherapy was used as a framework for the adaption process. The feasibility of using the adapted cognitive stimulation therapy programme to manage dementia was assessed in Tanzania and Nigeria in November 2013. Further adaptations were made following critical appraisal of feasibility. RESULTS: The adapted cognitive stimulation therapy intervention appeared feasible and acceptable to participants and carers. Key adaptations included identification of suitable treatment settings, task adaptation to accommodate illiteracy and uncorrected sensory impairment, awareness of cultural differences and usage of locally available materials and equipment to ensure sustainability. CONCLUSIONS: Cognitive stimulation therapy was successfully adapted for use in sub-Saharan Africa. Future work will focus on a trial of cognitive stimulation therapy in each setting.
Authors: Herbert E Ainamani; Paul E Alele; Godfrey Z Rukundo; Samuel Maling; Edith K Wakida; Celestino Obua; Alexander C Tsai Journal: Glob Ment Health (Camb) Date: 2020-05-26
Authors: Aimee Spector; Charlotte R Stoner; Mina Chandra; Sridhar Vaitheswaran; Bharath Du; Adelina Comas-Herrera; Catherine Dotchin; Cleusa Ferri; Martin Knapp; Murali Krishna; Jerson Laks; Susan Michie; Daniel C Mograbi; Martin William Orrell; Stella-Maria Paddick; Shaji Ks; Thara Rangawsamy; Richard Walker Journal: BMJ Open Date: 2019-08-20 Impact factor: 2.692
Authors: Charlotte R Stoner; Monisha Lakshminarayanan; Daniel C Mograbi; Sridhar Vaitheswaran; Elodie Bertrand; Paula Schimidt Brum; Helen Durgante; Cleusa P Ferri; Sarah Mkenda; Richard Walker; Catherine Dotchin; Stella-Maria Paddick; Mina Chandra; Murali Krishna; Bharath Du; Kunnukattil S Shaji; Emily Fisher; Aimee Spector Journal: Dementia (London) Date: 2021-12-09
Authors: Charlotte R Stoner; Mina Chandra; Elodie Bertrand; Bharath Du; Helen Durgante; Joanna Klaptocz; Murali Krishna; Monisha Lakshminarayanan; Sarah Mkenda; Daniel C Mograbi; Martin Orrell; Stella-Maria Paddick; Sridhar Vaitheswaran; Aimee Spector Journal: Front Public Health Date: 2020-07-31