Cognitive Stimulation as Part of Daily Life for People with Dementia in Inpatient Care Facilities
NeuroStim24/7
| Summary | Cognitive Stimulation Integrated into Daily Life for People with Dementia in Inpatient Care Facilities |
| IfP Participants | Prof. Dr. Sascha Köpke Martin Dichter, Ph.D. Georg Franken, M.Sc. |
| Other Participants (Individuals/Institutions) | Prof. Dr. Elke Kalbe Dr. Theresia Krieger Dr. Ann-Kristin Folkerts (Medical Psychology | Neuropsychology and Gender Studies & Center for Neuropsychological Diagnostics and Intervention (CeNDI), Faculty of Medicine and University Hospital Cologne, University of Cologne) |
| Background | Meta-analyses demonstrate the positive effects of cognitive stimulation (CS)—through, for example, life story work, daily life training, or music therapy—on, among other things, overall cognitive performance, quality of life, and mental health in people with dementia. The S3 guideline on dementia therefore recommends CS for the treatment of cognitive impairments and symptoms of depression. To date CS CS activities in inpatient long-term care have been conducted in small groups, primarily for people with mild to moderate dementia. These activities are limited in both duration and scope and often fail to reach people with advanced dementia, limited mobility, or behavioral changes. At the Institute for Medical Psychology | Neuropsychology and Gender Studies and the Institute for Nursing Science at the Medical Faculty and University Hospital Cologne of the University of Cologne, a training program was developed to integrate CS into everyday nursing and care situations and was tested for its practicability in a pilot study (KonSiSt24 – Cognitive Stimulation in Inpatient Long-Term Care. Development and Pilot Testing of a 24-Hour Approach). The NeuroStim24/7 project is further developing the CS program in a participatory manner with staff and people with dementia in inpatient long-term care and is evaluating it as part of an efficacy study. |
| Objective | The primary objective is to evaluate the effects of the NeuroStim24/7 program on cognitive and non-cognitive endpoints, as well as on the quality of life of people with dementia and their caregivers in residential long-term care facilities. In addition to the effectiveness analysis, the NeuroStim24/7 concept—including staff training—should be finalized; a sustainable implementation strategy should be developed collaboratively; the degree of implementation should be evaluated; and facilitating and hindering factors should be identified. |
| Methods | NeuroStim24/7 follows the MRC Framework for complex interventions and employs a multi-method approach comprising a two-arm clusterrandomized controlled trial (cRCT), a process evaluation with quantitative and qualitative data collection, and a participatory support structure that includes the active involvement of a group of co-researchers and advisory support from a project advisory board. |
| Duration | 11/2025 – 10/2028 |
| Funding | Alzheimer Research Initiative (AFI), Grant Number 25015CRG |
University of Cologne School of Medicine
Institute for Nursing Science
Univ.-Prof. Sascha Köpke
address
Gleueler Straße 176-178
50935 Köln