Cognitive Stimulation Therapy in an acute inpatient older adult hospital setting: A service evaluation

Background: Cognitive Stimulation Therapy (CST) is an evidence-based group intervention for people living with mild-to-moderate dementia, with established benefits for cognition, communication and quality of life. However, less is known about the feasibility and perceived value of CST-informed approaches within acute older adult inpatient hospital settings, where patients may experience cognitive impairment, reduced social interaction, low mood, boredom and disruption to their usual routines. Aim: This service evaluation explored the feasibility, acceptability and the perceived benefits of delivering a brief CST-informed group on an acute older adult inpatient ward. Method: A mixed-methods descriptive service evaluation was undertaken. Patient feedback was collected following group attendance using brief Likert-scale questions and free-text comments. Staff feedback was collected using an anonymous questionnaire exploring perceived impact, feasibility and practical considerations. Quantitative data were summarised using descriptive statistics, while qualitative comments were analysed using a descriptive thematic (staff feedback) and content (patient feedback) analysis approach. Results: Patient responses indicated high levels of acceptability, with all 35 respondents agreeing that the group was enjoyable, friendly and inclusive. Qualitative feedback highlighted enjoyment, reminiscence, social connection and a wish for the group to continue. Twelve staff members provided feedback and described perceived benefits for mood, engagement, social interaction and meaningful activity. Practical considerations included the need for appropriate staffing, accessible materials and adaptations for hearing, mobility and cognitive needs. Conclusion: A brief CST-informed group appeared feasible and acceptable within an acute older adult inpatient ward. Findings suggest that such groups may offer a valued opportunity for social connection, meaningful activity and psychological engagement during hospital admission. Further evaluation is required to explore sustainability, wider implementation and potential clinical outcomes.