| Sumario: | Background: Most adults with Down syndrome develop Alzheimer's disease (AD) pathology in their 30s, yet research into cognitive health programmes for this group remains limited. Method: A mixed‐methods feasibility randomised control trial (RCT) evaluated an adapted, manualised group‐based cognitive stimulation therapy (CST) programme for adults with Down syndrome (N = 12; Mage = 30) without dementia. Participants were randomly assigned to CST (n = 6) or control (services as usual; n = 6), with assessments at baseline, post‐programme, and four‐month follow‐up by a blinded researcher. Results: The adapted CST was feasible, with high attendance, strong satisfaction, and good CST programme fidelity (all > 85%). CST participants showed significant gains in adaptive behaviour at post‐programme, maintained at follow‐up, and a trend towards improved episodic memory at post‐programme. Conclusion: Manualised group‐based CST can be successfully adapted for younger adults with Down syndrome and shows promise in supporting cognitive health for this population.
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