Economic Analysis of the Tailored Activity Program: A Nonpharmacological Approach to Improve Quality of Life in People Living With Dementia and their Caregivers

被引：2

作者：

Pizzi, Laura T. ^{[1
,8
]}

Prioli, Katherine M. ^{[1
]}

Jutkowitz, Eric ^{[2
,3
]}

Piersol, Catherine V. ^{[3
]}

Lyketsos, Constantine G. ^{[4
]}

Abersone, Ilze ^{[1
]}

Marx, Katherine A. ^{[5
]}

Gitlin, Laura N. ^{[6
,7
]}

机构：

[1] Rutgers State Univ, Ctr Hlth Outcomes Policy & Econ, Piscataway, NJ USA

[2] Brown Univ, Dept Hlth Serv Policy & Practice, Sch Publ Hlth, Providence, RI USA

[3] Providence VA Med Ctr, Ctr Innovat Long Term Serv & Supports, Providence, RI USA

[4] Thomas Jefferson Univ, Jefferson Coll Rehabil Sci, Dept Occupat Therapy, Philadelphia, PA USA

[5] Johns Hopkins Bayview Med Ctr, Dept Psychiat & Behav Sci, Baltimore, MD USA

[6] Johns Hopkins Sch Nursing, Ctr Innovat Care Aging, Baltimore, MD USA

[7] Drexel Univ, Coll Nursing & Hlth Profess, AgeWell Collaboratory, Philadelphia, PA USA

[8] Rutgers State Univ, Ctr Hlth Outcomes Policy & Econ, 160 Frelinghuysen Rd, Piscataway, NJ 08854 USA

来源：

JOURNAL OF APPLIED GERONTOLOGY | 2023年 / 42卷 / 07期

关键词：

dementia; costs; caregivers; healthcare utilization; economic evaluation; BEHAVIORAL SYMPTOMS; COST-EFFECTIVENESS; INFORMAL CARE; HEALTH; INTERVENTION; DIFFERENCE; RESIDENTS; UTILITY; IMPACT; POLICY;

D O I：

10.1177/07334648231158091

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

We investigated costs of delivering the Tailored Activity Program (TAP) and cost savings from two perspectives (health sector and societal) for people living with dementia (PLWD) and their caregivers (dyads) compared to attention control (AC) using data from a randomized controlled trial. The evaluation assessed intervention delivery costs and caregiver reported health care utilization. The total intervention cost of TAP was $1707/dyad versus $864/dyad for AC, and total costs over 6 months for TAP dyads as compared to AC were $1299 (CI: -$10,496, $7898) less from the healthcare perspective, and $761 (CI: -$10,133, $8611) less from the societal perspective. TAP cost savings are driven by lower use of healthcare services among participating dyads, but further analyses with larger samples is warranted to confirm its financial impact.

引用

页码：1433 / 1444

页数：12

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