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The cost-effectiveness of a behavior intervention with caregivers of patients with Alzheimer’s disease
Open accessAbstract
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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“Within the United States, a similar therapy to ours delivered at an individual level was found to be significantly cost effective in completers compared with controls for freeing up time spent on care.38”
From Clinical effectiveness of a manual based coping strategy programme (START, STrAtegies for RelaTives) in promoting the mental health of carers of family members with dementia: pragmatic randomised controlled trial (2013) · cites this paper as [38]
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“Within the USA, a similar therapy to ours delivered to individuals was found to be significantly cost-effective in completers compared with controls in terms of freeing up caring time.21”
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“It examined the cost-effectiveness of a modular multicomponent intervention delivered in carers' homes, with three sessions by telephone, supplemented by five group sessions (five or six carers in each) delivered by telephone. Focusing on hours of care-giving, the authors found a significant difference over the 6-month study period, with carers in the intervention group having more time to dedicat”
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“However, only one of the studies covered by that review employed a similar therapeutic approach to the START intervention.21”
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Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282
Hirono, N., Mori, E., Ikejiri, Y., Imamura, T., Shimomura, T., Hashimoto, M., Yamashita, H., & Ikeda, M. (1997) · PubMed · Cited by 21,012
Kok, J. S., Berg, I. J., & Scherder, E. J. A. (2013) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000353441 · Cited by 20,589
Older Adults' Reasons for Using Technology while Aging in Place
Peek, S. T. M., Luijkx, K. G., Rijnaard, M. D., Nieboer, M. E., van der Voort, C. S., Aarts, S., van Hoof, J., Vrijhoef, H. J., & Wouters, E. (2015) · Gerontology · doi:10.1159/000430949 · Cited by 19,852
Sensitivity and False Alarm Rate of a Fall Sensor in Long-Term Fall Detection in the Elderly
Kangas, M., Korpelainen, R., Vikman, I., Nyberg, L., & Jämsä, T. J. (2014) · Gerontology · doi:10.1159/000362720 · Cited by 19,007
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540
Assessment of older people: self-maintaining and instrumental activities of daily living.
Lawton, M., & Brody, E. M. (1969) · The gerontologist · doi:10.1097/00006199-197005000-00029 · Cited by 18,276
Methods for the Economic Evaluation of Health Care Programmes
Drummond, M. E., Sculpher, M. J., Torrance, G. W., O’Brien, B. J., & Stoddart, G. L. (2005) · doi:10.1093/oso/9780198529446.001.0001 · Cited by 13,648
Cost-Effectiveness in Health and Medicine
(1996) · doi:10.1093/oso/9780195108248.001.0001 · Cited by 7,193
Relatives of the Impaired Elderly: Correlates of Feelings of Burden
Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980) · The Gerontologist · doi:10.1093/geront/20.6.649 · Cited by 5,810
Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES-D
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)30622-6 · Cited by 5,403
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994) · PubMed · Cited by 4,426
The National Institute for Clinical Excellence
(2001) · Nursing Management · doi:10.7748/nm.8.2.39.s15 · Cited by 3,868
Recommendations of the Panel on Cost-Effectiveness in Health and Medicine
Weinstein, M. C. (1996) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1996.03540150055031 · Cited by 2,455
Katz, S. (1963) · JAMA · doi:10.1001/jama.1963.03060120024016 · Cited by 2,421
Alzheimer Disease in the US Population: Prevalence Estimates Using the 2000 Census
Hebert, L. E., Scherr, P. A., Bienias, J. L., Bennett, D. A., & Evans, D. A. (2003) · Archives of Neurology · doi:10.1001/archneur.60.8.1119 · Cited by 2,168
Brookmeyer, R., Gray, S. G., & Kawas, C. H. (1998) · American Journal of Public Health · doi:10.2105/ajph.88.9.1337 · Cited by 1,802
Screening for Depression in the Older Adult
Irwin, M. R., Artin, K. H., & Oxman, M. N. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.15.1701 · Cited by 1,220
Recommendations for Reporting Cost-effectiveness Analyses
Siegel, J. E. (1996) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1996.03540160061034 · Cited by 1,147
Assessment of behavioral problems in dementia: The Revised Memory and Behavior Problems Checklist.
Teri, L. L., Truax, P. A., Logsdon, R. G., Uomoto, J. M., Zarit, S., & VITALIANO, P. P. (1992) · Psychology and Aging · doi:10.1037//0882-7974.7.4.622 · Cited by 1,135
Siegel, J. E. (1996) · JAMA · doi:10.1001/jama.276.16.1339 · Cited by 1,040
Diagnosis and Treatment of Alzheimer Disease and Related Disorders
Small, G. W. (1997) · JAMA · doi:10.1001/jama.1997.03550160083043 · Cited by 992
Mandelkow, E. (1998) · Trends in Cell Biology · doi:10.1016/s0962-8924(98)01368-3 · Cited by 980
A Family Intervention to Delay Nursing Home Placement of Patients With Alzheimer Disease
Mittelman, M. S. (1996) · JAMA · doi:10.1001/jama.1996.03540210033030 · Cited by 870
The US economic and social costs of Alzheimer's disease revisited.
Ernst, R. L., & Hay, J. W. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.8.1261 · Cited by 580
Dunkin, J. J., & Anderson‐Hanley, C. (1998) · Neurology · doi:10.1212/wnl.51.1_suppl_1.s53 · Cited by 439
A Comprehensive Support Program: Effect on Depression in Spouse-Caregivers of AD Patients
Mittelman, M. S., Ferris, S. H., Shulman, E., Steinberg, G., Ambinder, A., Mackell, J. A., & Cohen, J. (1995) · The Gerontologist · doi:10.1093/geront/35.6.792 · Cited by 396
Estimated Prevalence of Alzheimer's Disease in the United States
Evans, D. A. (1990) · Milbank Quarterly · doi:10.2307/3350099 · Cited by 356
Mittelman, M. S., Ferris, S. H., Steinberg, G., Shulman, E., Mackell, J. A., Ambinder, A., & Cohen, J. (1993) · The Gerontologist · doi:10.1093/geront/33.6.730 · Cited by 314
Ostwald, S. K., Hepburn, K. W., Caron, W., Burns, T., & Mantell, R. (1999) · The Gerontologist · doi:10.1093/geront/39.3.299 · Cited by 281
Effect of a training programme to reduce stress in carers of patients with dementia.
Brodaty, H., & Gresham, M. (1989) · BMJ · doi:10.1136/bmj.299.6712.1375 · Cited by 259
Alzheimer's Disease Care: Costs And Potential Savings
Leon, J., Cheng, C.-K., & Neumann, P. J. (1998) · Health Affairs · doi:10.1377/hlthaff.17.6.206 · Cited by 247
Feldman, H., Gauthier, S. G., Hecker, J. R., Vellas, B. J., Emir, B., Mastey, V., Subbiah, P., & The Donepezil MSAD Study Investigators Group (2003) · Journal of the American Geriatrics Society · doi:10.1046/j.1365-2389.2003.51260.x · Cited by 202
Diagnosis and evaluation of dementia *
Corey‐Bloom, J., Thal, L. J., Galasko, D. R., Folstein, M. F., Drachman, D. A., Raskind, M. A., & Lanska, D. J. (1995) · Neurology · doi:10.1212/wnl.45.2.211 · Cited by 155
Ross, F., & O’Tuathail, C. (2006) · Research Repository (Kingston University London) · Cited by 154
Modifying Repetitive Verbalizations of Community-Dwelling Patients with AD
Bourgeois, M. S., Burgio, L. D., Schulz, R., Beach, S. R., & Palmer, B. W. (1997) · The Gerontologist · doi:10.1093/geront/37.1.30 · Cited by 141
Health Care CBA and CEA from 1991 to 1996: An Updated Bibliography
Elixhauser, A., Halpern, M. T., Schmier, J. K., & Luce, B. R. (1998) · Medical Care · doi:10.1097/00005650-199805001-00001 · Cited by 136
Longitudinal study of effects of patient characteristics on direct costs in Alzheimer disease
Zhu, C. W., Scarmeas, N., Torgan, R., Albert, M., Brandt, J., Blacker, D., Sano, M. C., & Stern, Y. (2006) · Neurology · doi:10.1212/01.wnl.0000230160.13272.1b · Cited by 113
Gallagher-Thompson, D. E., & DeVries, H. M. (1994) · The Gerontologist · doi:10.1093/geront/34.4.548 · Cited by 108
Behavioural complications of dementia—can they be treated?
Hinchliffe, A. C., Hyman, I., Blizard, B., & Livingston, G. (1995) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.930101005 · Cited by 104
Cost Effectiveness of a Training Program for Dementia Carers
Brodaty, H., & Peters, K. (1991) · International Psychogeriatrics · doi:10.1017/s1041610291000479 · Cited by 82
Mahoney, D. F., Jones, R. N., Coon, D. W., Mendelsohn, A. B., Gitlin, L. N., & Ory, M. G. (2003) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331750301800110 · Cited by 72
Self-citationPaul, I. M., Phillips, T. A., Widome, M. D., & Hollenbeak, C. S. (2004) · PEDIATRICS · doi:10.1542/peds.2003-0766-l · Cited by 61
Variation in cost of informal caregiving and formal-service use for people with Alzheimer's desease
Harrow, B. S., Mahoney, D. F., Mendelsohn, A. B., Ory, M. G., Coon, D. W., Belle, S. H., & Nichols, L. O. (2004) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331750401900507 · Cited by 60
Self-citationThe Economics of Alzheimer Disease
Leung, G. M., Yeung, R., Chi, I., & Chu, L. (2002) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000066675 · Cited by 37
Respite Use and Caregiver Well-Being in Families Caring for Stable and Declining AD Patients
Deimling, G. T. (1992) · Journal of Gerontological Social Work · doi:10.1300/j083v18n03_09 · Cited by 37
STANDARDIZED CARE PLAN: Managing Alzheimer's Patients at Home
Hall, G. R., Buckwalter, K. C., Stolley, J. M., Gerdner, L. A., Garand, L., Ridgeway, S., & Crump, S. (1995) · Journal of Gerontological Nursing · doi:10.3928/0098-9134-19950101-08 · Cited by 34
Cost-effectiveness of fracture prevention treatments in the elderly
Fleurence, R. (2004) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462304000960 · Cited by 31
Barrett, J., Haley, W. E., & Powers, R. E. (1996) · Southern Medical Journal · doi:10.1097/00007611-199601000-00001 · Cited by 30
Envisioning Better Approaches for Dementia Care
Covinsky, K. E., & Johnston, C. B. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-145-10-200611210-00011 · Cited by 25
Long-term effectiveness of a group program for caregivers of frail elderly veterans.
Labrecque, M. S., Peak, T., & Toseland, R. W. (1992) · American Journal of Orthopsychiatry · doi:10.1037/h0079385 · Cited by 23
Belle, S. H., Burgio, L., Burns, R., Coon, D., Czaja, S. J., Gallagher-Thompson, D., Gitlin, L. N., Klinger, J., Koepke, K. M., Lee, C. C., et al. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-145-10-200611210-00005 · Cited by 23
Self-citationEffect of Support Groups on Family Caregivers to the Frail Elderly
Demers, A., & Lavoie, J.-P. (1996) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980800013337 · Cited by 22
Health Economical Aspects of Alzheimer Disease and its Treatment
Wimo, A., & Winblad, B. G. (2001) · Psychogeriatrics · doi:10.1111/j.1479-8301.2001.tb00047.x · Cited by 21
Interventions for Family Management of Patients With Alzheimer’s Disease
Wykle, M. L. (1996) · International Psychogeriatrics · doi:10.1017/s1041610296003195 · Cited by 6
Parsek, J. D. (1991) · PubMed · Cited by 3
Research works printed but not linked: 3
- Belle S, 2006, for the REACH II Investigators. Enhancing the quality of life of Hispanic/Latino, Black/African American, and White/Caucasian dementia caregivers, The REACH II randomized controlled trial, 145, 727
- Katz S, 1963, The index of ADL, A standardized measure of biological and psychosocial function, 185, 914
- Mahoney D, 2003, Caregiver vigilance—instrumentation and use with Alzheimer's family caregivers, Am J Alzheimers Dis Other Dement, 18, 39
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Dementia prevention, intervention, and care
Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., Ballard, C., Banerjee, S., Burns, A., Cohen-Mansfield, J., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31363-6 · Cited by 6,072
The worldwide economic impact of dementia 2010
Wimo, A. B., Jönsson, L., Bond, J., Prince, M. J., Winblad, B. G., & International, A. D. (2013) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2012.11.006 · Cited by 1,192
Nonpharmacological therapies in Alzheimer’s disease: a systematic review of efficacy
Olazarán, J., Reisberg, B., Clare, L., Cruz, I., Peña-Casanova, J., del Ser, T., Woods, B., Beck, C., Auer, S., Lai, C., et al. (2010) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000316119 · Cited by 937
Economics and mental health: the current scenario
Knapp, M., & Wong, G. (2020) · World Psychiatry · doi:10.1002/wps.20692 · Cited by 409
Midlife in the 2020s: Opportunities and challenges.
Infurna, F. J., Gerstorf, D., & Lachman, M. E. (2020) · American Psychologist · doi:10.1037/amp0000591 · Cited by 406
Metadata
- 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.
- 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
- 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
- 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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