Barriers and Facilitators for the Adaptation and Implementation of Cognitive Stimulation Therapy: A Systematic Review.
Valentina Herrera Montoya, Raquel Luiza Santos de Carvalho, Elodie Bertrand et al.
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In 30 seconds
This systematic review examined barriers and facilitators encountered when adapting or implementing Cognitive Stimulation Therapy (CST) across countries. Following PRISMA guidelines, the authors searched PubMed, ScienceDirect, and PsycInfo for studies describing CST adaptation or implementation. Social connection, emotional support, and spirituality were identified as facilitators, while stigma, caregiver burden, and limited dementia awareness were reported as barriers. The review highlights the importance of cultural context in adapting CST and assessing its efficacy, and points to dementia awareness as relevant to uptake of psychosocial interventions.
Key findings
- Social connection, emotional support, and spirituality were identified as key facilitators of CST adaptation or implementation.
- Stigma, caregiver burden, and limited awareness of dementia were significant barriers to CST uptake.
- Cultural influences across social contexts were important to CST adaptation and exploration of program efficacy.
Why it matters
CST provision is expanding, but access remains limited, particularly in low- and middle-income countries. Understanding context-specific barriers and facilitators can inform culturally sensitive adaptation and implementation. The review also underscores that dementia awareness and stigma may affect uptake of psychosocial interventions, making these considerations relevant to efforts to broaden access.