Cited by 116Dementia and Cognitive Impairment ResearchHealth Systems, Economic Evaluations, Quality of LifeNursing care and research

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The cost-effectiveness of a behavior intervention with caregivers of patients with Alzheimer’s disease

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Nichols, Linda O., Chang, Cyril, Lummus, Allan, Burns, Robert, Martindale‐Adams, Jennifer, Graney, Marshall J., Coon, David W., Czaja, Sara, for the Resources for Enhancing Alzheimer's Caregivers Health II Investigators·2008·Journal of the American Geriatrics Society

DOI 10.1111/j.1532-5415.2007.01569.xPMC PMC2575686

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Abstract

OBJECTIVES: To examine the cost-effectiveness of a randomized, clinical trial of a home-based intervention for caregivers of people with dementia. DESIGN: This cost-effectiveness analysis examined Resources for Enhancing Alzheimer's Caregivers Health (REACH II), a multisite, randomized, clinical trial, from June 2002 through December 2004, funded by the National Institute on Aging and the National Institute of Nursing Research, of a behavioral intervention to decrease caregivers' stress and improve management of care recipient behavioral problems. SETTING: Community-dwelling dementia caregiving dyads from the Memphis REACH II site. PARTICIPANTS: Of Memphis' random sample of 55 intervention and 57 control black and white dyads, 46 in each arm completed without death or discontinuation. Family caregivers were aged 21 and older, lived with the care recipient, and had provided 4 or more hours of care per day for 6 months or longer. Care recipients were cognitively and functionally impaired. INTERVENTION(S): Twelve individual sessions (9 home sessions and 3 telephone sessions) supplemented by five telephone support-group sessions. Control caregivers received two "check in" phone calls. MEASUREMENTS: Incremental cost-effectiveness ratio (ICER), the additional cost to bring about one additional unit of benefit (hours per day of providing care). RESULTS: At 6 months, there was a significant difference between intervention caregivers and control caregivers in hours providing care (P=.01). The ICER showed that intervention caregivers had 1 extra hour per day not spent in caregiving, at a cost of $5 per day. CONCLUSION: The intervention provided that most scarce of caregiver commodities--time. The emotional and physical costs of dementia caregiving are enormous, and this intervention was able to alleviate some of that cost.

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Authors: Nichols, L. O., Chang, C., Lummus, A., Burns, R., Martindale‐Adams, J., Graney, M. J., Coon, D. W., Czaja, S., & for the Resources for Enhancing Alzheimer's Caregivers Health II Investigators
Affiliations: University of Miami (US)
Corresponding author: Nichols, Linda O.
ORCID: Nichols, Linda O.
Chang, Cyril
Burns, Robert
Coon, David W.
Czaja, Sara
Venue: Journal of the American Geriatrics Society
Publisher: Wiley
Published: 2007-12-27
Volume: 56
Issue: 3
Pages: 413-420
ISSN: 0002-8614 (ISSN-L)
1532-5415
DOI: 10.1111/j.1532-5415.2007.01569.x
PMC: PMC2575686
OpenAlex: W1572827656
Cited by: 116
References: 56
Citations by year: 2026: 1 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 7 · 2016: 4 · 2015: 9 · 2014: 15 · 2013: 11 · 2012: 11
FWCI: 4.63
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of the American Geriatrics Society (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: U.S. Department of Veterans Affairs
Office of Research and Development
National Institute on Aging (U01AG013313, U01AG020274, U01-AG13313)
National Institute of Nursing Research (AG13313)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Health Sciences › Nursing › Research and Theory › Nursing care and research
Keywords: Alzheimer's disease, dementia caregiving, family caregivers, caregiver stress, behavioral symptoms of dementia, home-based intervention, cost-effectiveness, caregiver time
MeSH terms: Aged, Alzheimer Disease, Cost-Benefit Analysis, Female, Health Education, Home Care Services, Humans, Male, Middle Aged, Stress, Psychological, Program Evaluation, Health Behavior, Treatment Outcome, Caregivers, Health Care Costs

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The cost-effectiveness of a behavior intervention with caregivers of patients with Alzheimer’s disease

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